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亨廷顿舞蹈症的智力缺陷模式

Patterns of intellectual deficit in Huntington's disease.

作者信息

Josiassen R C, Curry L, Roemer R A, DeBease C, Mancall E L

出版信息

J Clin Neuropsychol. 1982 Jul;4(2):173-83. doi: 10.1080/01688638208401127.

DOI:10.1080/01688638208401127
PMID:6213679
Abstract

The study investigated patterns of intellectual deficit in 13 patients with recently diagnosed Huntington's disease (mean duration of 2.3 years) and 46 offspring "at risk" for the illness using the Wechsler Adult Intelligence Scale (WAIS). The results support the idea that certain cognitive skills remain relatively intact at early stages of the disease while other skills are impaired. A consistent pattern of impairment was observed in the patient group which included the Arithmetic, Digit Span, Digit Symbol, and Picture Arrangement subtests. The most striking result was a demonstration of significantly increased variability among the "at risk" population of the Digit Span and Picture Arrangement subtests. These findings suggest that the WAIS may be a useful adjunct to neurological diagnosis for longitudinal monitoring of intellectual changes even at very early stages of the illness.

摘要

该研究使用韦氏成人智力量表(WAIS),对13例近期诊断为亨廷顿舞蹈症(平均病程2.3年)的患者以及46名有患病“风险”的后代的智力缺陷模式进行了调查。结果支持了这样一种观点,即疾病早期某些认知技能相对保持完好,而其他技能则受损。在患者组中观察到一种一致的损伤模式,其中包括算术、数字广度、数字符号和图片排列分测验。最显著的结果是,在数字广度和图片排列分测验的“有风险”人群中,变异性显著增加。这些发现表明,即使在疾病的极早期阶段,WAIS对于纵向监测智力变化可能是神经学诊断的一种有用辅助工具。

相似文献

1
Patterns of intellectual deficit in Huntington's disease.亨廷顿舞蹈症的智力缺陷模式
J Clin Neuropsychol. 1982 Jul;4(2):173-83. doi: 10.1080/01688638208401127.
2
Is there increased WAIS pattern variability in Huntington's disease?亨廷顿舞蹈症患者的韦氏成人智力量表(WAIS)模式变异性是否增加?
J Clin Exp Neuropsychol. 1985 Feb;7(1):122-6. doi: 10.1080/01688638508401246.
3
Attempt at preclinical identification of Huntington's disease using the WAIS.使用韦氏成人智力量表对亨廷顿舞蹈症进行临床前鉴定的尝试。
J Clin Exp Neuropsychol. 1986 Jun;8(3):210-8. doi: 10.1080/01688638608401313.
4
Cognitive scores in carriers of Huntington's disease gene compared to noncarriers.与非携带者相比,亨廷顿舞蹈症基因携带者的认知得分情况。
Ann Neurol. 1995 May;37(5):657-64. doi: 10.1002/ana.410370516.
5
Subtle changes among presymptomatic carriers of the Huntington's disease gene.亨廷顿舞蹈症基因的无症状携带者之间的细微变化。
J Neurol Neurosurg Psychiatry. 2000 Dec;69(6):773-9. doi: 10.1136/jnnp.69.6.773.
6
Variability in Wechsler Adult Intelligence Scale-IV subtest performance across age.韦氏成人智力量表第四版子测验表现随年龄变化的差异。
Arch Clin Neuropsychol. 2012 Jun;27(4):389-97. doi: 10.1093/arclin/acs041. Epub 2012 Apr 17.
7
Specificity of the WAIS-R subtests with psychiatric inpatients.韦氏成人智力量表修订版(WAIS-R)分测验对精神科住院患者的特异性
Assessment. 1998 Jun;5(2):123-6. doi: 10.1177/107319119800500203.
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Factor structure of the Wechsler Adult Intelligence Scale-revised (WAIS-R): a clinical sample.韦氏成人智力量表修订版(WAIS-R)的因素结构:一个临床样本。
Br J Clin Psychol. 1992 Sep;31(3):336-8. doi: 10.1111/j.2044-8260.1992.tb01002.x.
9
Assessment of intellectual function in dementing disorders: validity of WAIS-R short forms for patients with Alzheimer's, Huntington's, and Parkinson's disease.痴呆症患者智力功能评估:韦氏成人智力量表修订版简式量表对阿尔茨海默病、亨廷顿病和帕金森病患者的有效性
J Clin Exp Neuropsychol. 1993 Sep;15(5):743-53. doi: 10.1080/01688639308402593.
10
WAIS-R features of preclinical Huntington's disease: implications for early detection.韦氏智力量表 - 临床前期亨廷顿病的特征:对早期检测的启示。
Dement Geriatr Cogn Disord. 2010;29(4):342-50. doi: 10.1159/000288775. Epub 2010 Apr 14.

引用本文的文献

1
Implicit and explicit aspects of sequence learning in pre-symptomatic Huntington's disease.症状前亨廷顿舞蹈症序列学习中的内隐和外显方面
Parkinsonism Relat Disord. 2008 Aug;14(6):457-64. doi: 10.1016/j.parkreldis.2007.11.009. Epub 2008 Mar 3.
2
Neural bases of dysphoria in early Huntington's disease.早期亨廷顿舞蹈症中烦躁不安的神经基础
Psychiatry Res. 2008 Jan 15;162(1):73-87. doi: 10.1016/j.pscychresns.2007.04.001.
3
Are cognitive changes the first symptoms of Huntington's disease? A study of gene carriers.认知变化是亨廷顿舞蹈症的首发症状吗?一项针对基因携带者的研究。
J Neurol Neurosurg Psychiatry. 1998 Feb;64(2):172-7. doi: 10.1136/jnnp.64.2.172.
4
Huntington's disease: pathogenesis, diagnosis and treatment.亨廷顿舞蹈症:发病机制、诊断与治疗
J Psychiatry Neurosci. 1994 Nov;19(5):359-67.
5
Neuropsychological characteristics of Huntington's disease carriers: a double blind study.亨廷顿舞蹈症携带者的神经心理学特征:一项双盲研究。
J Med Genet. 1995 Aug;32(8):600-4. doi: 10.1136/jmg.32.8.600.
6
Differential impairment of semantic and episodic memory in Alzheimer's and Huntington's diseases: a controlled prospective study.阿尔茨海默病和亨廷顿病中语义记忆和情景记忆的差异损伤:一项对照前瞻性研究。
J Neurol Neurosurg Psychiatry. 1990 Dec;53(12):1089-95. doi: 10.1136/jnnp.53.12.1089.