Are self-reported symptoms of executive dysfunction associated with objective executive function performance following mild to moderate traumatic brain injury?
Are self-reported symptoms of executive dysfunction associated with objective executive function performance following mild to moderate traumatic brain injury?
复制标题
DOI：
10.1080/13803395.2011.553587
复制
发表时间：
2011-07
影响因子：
2.2
通讯作者：
Bondi MW
中科院分区：
文献类型：
--
作者：
Schiehser DM;Delis DC;Filoteo JV;Delano-Wood L;Han SD;Jak AJ;Drake AI;Bondi MW
我们研究了在轻度至中度创伤性脑损伤（TBI）恢复的早期阶段，执行功能障碍、冷漠、去抑制和抑郁的自我报告的损伤前和损伤后变化与执行功能、注意力/处理速度和记忆力的神经心理学测试表现之间的关系。参与者是71名非战斗军事人员，他们处于轻度至中度TBI的半急性恢复阶段（受伤后<3个月）。TBI前和后的行为进行了评估与额叶系统行为量表（FrSBe）和相关的抑郁症状，努力测试的性能，并在客观的措施，注意力，执行功能和记忆的性能水平。自我报告的执行功能障碍的症状通常无法预测执行功能和记忆的客观措施的性能，虽然他们预测的注意力/处理速度的措施较差的性能。相反，更高水平的抑郁症最好预测执行功能和记忆的措施较差的性能。然而，记忆性能和TBI症状之间的关系不再显着时，努力的性能控制。我们的研究结果表明，在轻度至中度TBI早期恢复的个体中，自我报告的抑郁症状，而不是患者的认知抱怨，与客观执行功能相关。然而，自我报告的认知抱怨可能与客观测量的注意力不集中和处理速度慢有关。
We examined the relationship between self-reported pre- and post-injury changes in executive dysfunction, apathy, disinhibition, and depression, and performance on neuropsychological tests of executive function, attention/processing speed, and memory in relation to mood levels and effort test performance in individuals in the early stages of recovery from mild to moderate traumatic brain injury (TBI). Participants were 71 noncombat military personnel who were in a semiacute stage of recovery (<3 months post injury) from mild to moderate TBI. Pre- and post-TBI behaviors were assessed with the Frontal Systems Behavior Scale (FrSBe) and correlated with levels of depressive symptoms, effort test performance, and performance on objective measures of attention, executive function, and memory. Self-reported symptoms of executive dysfunction generally failed to predict performance on objective measures of executive function and memory, although they predicted poorer performance on measures of attention/processing speed. Instead, higher levels of depressive symptomatology best predicted poorer performance on measures of executive function and memory. However, the relationship between memory performance and TBI symptoms was no longer significant when effort performance was controlled. Our findings suggest that, among individuals in early recovery from mild to moderate TBI, self-reported depressive symptoms, rather than patients’ cognitive complaints, are associated with objective executive function. However, self-reported cognitive complaints may be associated with objectively measured inattention and slow processing speed.
登录
查看更多内容
影响因子：
1.9
作者：
ALLEN C C;RUFF R M
通讯作者：
RUFF R M
影响因子：
2
作者：
Arciniegas, David B.;Held, Kerri;Wagner, Peter
通讯作者：
Wagner, Peter
DOI：
10.1097/01.wnn.0000026596.88167.8e
发表时间：
2002-09-01
期刊：
NEUROPSYCHIATRY NEUROPSYCHOLOGY AND BEHAVIORAL NEUROLOGY
影响因子：
--
作者：
Andersson, S;Bergedalen, AM
通讯作者：
Bergedalen, AM
影响因子：
--
作者：
Jorge, RE;Robinson, RG;Arndt, S
通讯作者：
Arndt, S
影响因子：
2.4
作者：
Brenner, Lisa A.;Terrio, Heidi;Warden, Deborah
通讯作者：
Warden, Deborah