Papo David
Department of Neuroscience and Rehabilitation, Section of Physiology, University of Ferrara, Ferrara, Italy.
Fondazione Istituto Italiano di Tecnologia, Ferrara, Italy.
Cogn Neurodyn. 2022 Aug;16(4):767-778. doi: 10.1007/s11571-021-09755-1. Epub 2021 Nov 20.
Existing neuropsychological tests of executive function often manifest a difficulty pinpointing cognitive deficits when these are intermittent and come in the form of omissions. We discuss the hypothesis that two partially interrelated reasons for this failure stem from relative inability of neuropsychological tests to explore the cognitive space and to explicitly take into account strategic and opportunistic resource allocation decisions, and to address the temporal aspects of both behaviour and task-related brain function in data analysis. Criteria for tasks suitable for neuropsychological assessment of executive function, as well as appropriate ways to analyse and interpret observed behavioural data are suggested. It is proposed that experimental tasks should be devised which emphasize typical rather than optimal performance, and that analyses should quantify path-dependent fluctuations in performance levels rather than averaged behaviour. Some implications for experimental neuropsychology are illustrated for the case of planning and problem-solving abilities and with particular reference to cognitive impairment in closed-head injury.
现有的执行功能神经心理学测试在面对间歇性出现且以遗漏形式存在的认知缺陷时,往往难以精准定位这些缺陷。我们探讨了这样一种假说:测试未能成功的两个部分相关的原因在于,神经心理学测试相对无法探索认知空间、明确考虑策略性和机会主义的资源分配决策,以及在数据分析中处理行为和与任务相关的脑功能的时间方面。文中提出了适用于执行功能神经心理学评估的任务标准,以及分析和解释观察到的行为数据的恰当方法。建议设计强调典型表现而非最佳表现的实验任务,并且分析应量化表现水平中依赖路径的波动,而非平均行为。以计划和解决问题能力为例,并特别提及闭合性颅脑损伤中的认知障碍,阐述了对实验神经心理学的一些启示。