创伤性脑损伤患者对话记忆的研究:一项可行性研究及初步发现。

Memory for Conversation in Traumatic Brain Injury: A Feasibility Study and Preliminary Findings.

机构信息

Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.

Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.

出版信息

J Speech Lang Hear Res. 2024 Jul 9;67(7):2343-2352. doi: 10.1044/2024_JSLHR-23-00420. Epub 2024 Jun 11.

Abstract

PURPOSE

Despite common clinical complaints about memory for conversation after traumatic brain injury (TBI), the nature and severity of this deficit are unknown. In this research note, we report feasibility and preliminary data from a new conversation memory study protocol.

METHOD

Participants in this feasibility study were 10 pairs, each including an adult with chronic, moderate-to-severe TBI and their chosen familiar conversation partner. The experiment began with a naturalistic conversation between participants with TBI and their conversation partners. After a filled delay, participants next completed verbal recall for the conversation, which we transcribed and coded for their accuracy relative to the original conversation. Participants also read chosen statements from their original conversation and predicted what each partner would remember in a week. One week later, participants completed a posttest about who said each of the chosen statements, allowing direct comparison to their predictions.

RESULTS

We successfully collected conversation memory data from all 10 pairs, suggesting that this protocol is feasible for future study. In this preliminary sample, people with TBI and their conversation partners did not differ in the accuracy of their recall for the conversation about 20 min after it occurred. When asked to predict their partner's delayed memory, conversation partners were less accurate than participants with TBI because they underestimated how much their partners with TBI would remember.

CONCLUSION

Measuring memory for conversation in TBI is feasible and may advance the characterization of cognitive-communication impairment in TBI, and its heterogeneity, in everyday contexts.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.25927513.

摘要

目的

尽管创伤性脑损伤(TBI)患者常有关于对话记忆的临床主诉,但这种缺陷的性质和严重程度尚不清楚。在本研究报告中,我们报告了一项新的对话记忆研究方案的可行性和初步数据。

方法

这项可行性研究的参与者包括 10 对参与者,每对包括一名患有慢性、中重度 TBI 的成年人及其选择的熟悉对话伙伴。实验开始时,TBI 患者及其对话伙伴之间进行了自然对话。在填充延迟后,参与者接下来对对话进行口头回忆,我们将其转录并编码,以评估其相对于原始对话的准确性。参与者还阅读了他们原始对话中的选定语句,并预测每个伙伴在一周后会记住什么。一周后,参与者完成了一项关于谁说出了所选语句的后测,这允许与他们的预测进行直接比较。

结果

我们成功地从所有 10 对参与者中收集了对话记忆数据,表明该方案适用于未来的研究。在这个初步样本中,TBI 患者及其对话伙伴在发生大约 20 分钟后的对话回忆准确性上没有差异。当被要求预测他们的伙伴的延迟记忆时,对话伙伴的准确性低于 TBI 患者,因为他们低估了他们的 TBI 伙伴会记住多少。

结论

在 TBI 中测量对话记忆是可行的,并且可能有助于在日常环境中描述 TBI 的认知-交流损伤及其异质性。

补充材料

https://doi.org/10.23641/asha.25927513.

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