SELF-RATING VERSUS NEUROPSYCHOLOGICAL PERFORMANCE OF MODERATE VERSUS SEVERE HEAD-INJURED PATIENTS
SELF-RATING VERSUS NEUROPSYCHOLOGICAL PERFORMANCE OF MODERATE VERSUS SEVERE HEAD-INJURED PATIENTS
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DOI：
10.3109/02699059009026143
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发表时间：
1990-01-01
期刊：
影响因子：
1.9
通讯作者：
RUFF R M
中科院分区：
文献类型：
--
作者：
ALLEN C C;RUFF R M
头部受伤的病人在判断他们的认知功能时经常出现不准确。为了检验这种临床印象，自我评价与神经心理学测试表现进行了比较。样本由28名重度和28名轻度-中度头部损伤的患者组成，这两组患者根据慢性程度进一步细分，即≤1年与> 1年之间的损伤日期和评价。对照组为31名成年人，根据年龄和教育程度进行匹配。头部受伤的患者对自己的评价低于正常人，无论受伤的严重程度如何。慢性只影响学习和记忆的自我评价。严重头部受伤的人在比较自我评价和测试表现时一般不太准确。然而，这在认知领域并不统一。讨论了神经心理学中自我评估的建议。
Head-injured patients frequently appear to be inaccurate in judging their cognitive functioning. To examine this clinical impression, self-ratings were compared with neuropsychological test performances. The sample was comprised of 28 patients with severe and 28 with mild-moderate head injuries, and these two groups were further subdivided according to chronicity, i.e. .ltoreq. 1 year versus > 1 year between the date of injury and the evaluation. The control group of 31 adults was matched according to age and education. Head-injured patients rated themselves lower than normals regardless of severity of injury. Chronicity affected only the self-rating of learning and memory. The severely head-injured were gnerally less accurate when comparing self-ratings to test performance. However, this was not uniform across cognitive domains. Recommedations of self-assessment in neuropsychology are discussed.