Vilkki J, Ahola K, Holst P, Ohman J, Servo A, Heiskanen O
Department of Neurosurgery, University Central Hospital, Helsinki, Finland.
J Clin Exp Neuropsychol. 1994 Jun;16(3):325-38. doi: 10.1080/01688639408402643.
A series of 53 patients was studied using a battery of tests and a neurobehavioral rating scale on average 4 months after closed-head injury (CHI). Social outcome was assessed 1 year after injury by interviewing a family member. The results supported the hypothesis that tests of flexibility and programming rather than tests of cognitive skills predict psychosocial recovery after CHI. Spatial Learning with Self-Set Goals and Sorting were measures of flexibility and programming. Contrary to expectation, word fluency performance was unrelated to these measures, but was associated with conventional intelligence tests, which did not predict psychosocial recovery. Cognition/Energy deficit on the Neurobehavioral Rating Scale and increased age were useful predictors of poor psychosocial outcome, whereas computed tomography findings or the Glasgow Coma Score were weakly related to the outcome indices. Evidently, cognitive flexibility and mental programming are very important psychological prerequisites of social recovery after CHI.
对53例患者进行了研究，在闭合性颅脑损伤（CHI）后平均4个月时使用了一系列测试和神经行为评定量表。在受伤1年后通过采访一名家庭成员来评估社会结局。结果支持了这样的假设，即灵活性和计划性测试而非认知技能测试能够预测CHI后的心理社会恢复情况。自我设定目标的空间学习和分类是灵活性和计划性的测量指标。与预期相反，词语流畅性表现与这些指标无关，但与传统智力测试相关，而传统智力测试并不能预测心理社会恢复情况。神经行为评定量表上的认知/能量缺陷以及年龄增长是心理社会结局不良的有效预测指标，而计算机断层扫描结果或格拉斯哥昏迷评分与结局指标的相关性较弱。显然，认知灵活性和心理计划性是CHI后社会恢复非常重要的心理前提条件。
