Darshini Jeevendra Kumar, Afsar Mohammed, Vandana Valiyaparambath Purushothaman, Shukla Dhaval, Rajeswaran Jamuna
Department of Speech Pathology and Audiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2021 Sep 20;12(4):666-672. doi: 10.1055/s-0041-1734008. eCollection 2021 Oct.
Traumatic brain injury (TBI) is associated with deficits in cognition, language, and communication along with physical and psychosocial consequences. This study aimed at evaluating the association between cognition, language, and communication in a cohort of patients with TBI in southern India using standardized language specific assessment tools. The present correlational study included 30 patients with TBI of any severity, that is, mild, moderate, and severe within the postinjury period of 6 to 36 months. Comprehensive evaluation of cognition, language, and communication was done using National Institute of Mental Health and Neurosciences Neuropsychology Battery, Indian adapted versions of Western Aphasia Battery and La Trobe Communication Questionnaire (LCQ) respectively. Measures of descriptive statistics, that is, mean, median, percentages, and frequencies, were used. Raw scores, that is, aphasia quotient (AQ), and subdomain scores for LCQ, that is, LCQ-quality, quantity, relation, manner, and cognition, were calculated. Composite scores for the three neuropsychological domains, that is, attention and processing speed, executive function, learning and memory, were evaluated. Partial correlation was computed for identifying the association between the three variables by controlling for age, education, duration, and severity of injury. A significant correlation was found between AQ and measures of attention and executive functioning and all measures of LCQ except LCQ-manner. Further, a significant correlation was found between executive functioning and LCQ-total, LCQ-quantity, and LCQ cognition. No correlation was found between measures of attention and memory with communication. A good language and executive functioning are associated with better communication abilities in patients with TBI thus emphasizing on the importance of a multidisciplinary team for the management of cognitive-communication impairments following a TBI.
创伤性脑损伤（TBI）与认知、语言和沟通方面的缺陷以及身体和心理社会后果相关。本研究旨在使用标准化的特定语言评估工具，评估印度南部一组创伤性脑损伤患者的认知、语言和沟通之间的关联。
本相关性研究纳入了30例任何严重程度的创伤性脑损伤患者，即在伤后6至36个月内的轻度、中度和重度患者。分别使用国家心理健康和神经科学研究所神经心理学成套测验、西方失语成套测验的印度改编版和拉特罗布沟通问卷（LCQ）对认知、语言和沟通进行综合评估。
使用描述性统计量，即均值、中位数、百分比和频率。计算原始分数，即失语商（AQ），以及LCQ的子领域分数，即LCQ-质量、数量、关系、方式和认知。评估三个神经心理学领域的综合分数，即注意力和处理速度、执行功能、学习和记忆。通过控制年龄、教育程度、病程和损伤严重程度，计算偏相关以确定三个变量之间的关联。
发现AQ与注意力和执行功能的测量指标以及除LCQ-方式外的所有LCQ测量指标之间存在显著相关性。此外，还发现执行功能与LCQ-总分、LCQ-数量和LCQ认知之间存在显著相关性。未发现注意力和记忆测量指标与沟通之间存在相关性。
良好的语言和执行功能与创伤性脑损伤患者更好的沟通能力相关，因此强调了多学科团队在管理创伤性脑损伤后认知沟通障碍方面的重要性。
