Treatment of Metaphor Interpretation Deficits Subsequent to Traumatic Brain Injury
Treatment of Metaphor Interpretation Deficits Subsequent to Traumatic Brain Injury
复制标题
DOI：
10.1097/htr.0b013e31825b5e85
复制
发表时间：
2013-11-01
影响因子：
2.4
通讯作者：
Kearns, Kevin
中科院分区：
文献类型：
--
作者：
Brownell, Hiram;Lundgren, Kristine;Kearns, Kevin
目的：提高创伤性脑损伤（TBI）患者隐喻的口语理解能力。设计：单受试实验设计，分组分析.地点：患者家中。参与者：8例中度至重度创伤性脑损伤的成年患者在测试前持续3至20年。干预措施：隐喻训练计划通常包括10个基线课程，3至9个1小时的结构化干预课程，以及10个训练后基线课程。培训使用简单的图形显示来说明语义关联的广泛实践。主要结局指标：质量的口头产生的隐喻解释和准确性的线方向判断作为依赖措施，在基线，培训，培训后，并在3至4个月的随访。未经训练的线方向的判断提供了一个控制措施。结果：实验组的隐喻理解能力有显著提高，但线条定向能力没有显著提高。8例患者中有6例在隐喻理解方面有明显改善。在3至4个月随访时，6例患者中有3例持续获益。结论：隐喻训练计划可以改善中度至重度创伤性脑损伤患者的认知沟通表现。结果支持治疗患者残余认知语言缺陷的潜力。
Objective: To improve oral interpretation of metaphors by patients with traumatic brain injury (TBI). Design: Both single subject experimental design and group analysis. Setting: Patients' homes. Participants: Eight adult patients with moderate to severe traumatic brain injury sustained 3 to 20 years before testing. Intervention: The Metaphor Training Program consisted typically of 10 baseline sessions, 3 to 9 1-hour sessions of structured intervention, and 10 posttraining baseline sessions. Training used extensive practice with simple graphic displays to illustrate semantic associations. Main Outcome Measures: Quality of orally produced metaphor interpretation and accuracy of line orientation judgments served as dependent measures obtained during baseline, training, posttraining, and at a 3- to 4-month follow-up. Untrained line orientation judgments provided a control measure. Results: Group data showed significant improvement in metaphor interpretation but not in line orientation. Six of 8 patients individually demonstrated significant improvement in metaphor interpretation. Gains persisted for 3 of the 6 patients at the 3- to 4-month follow-up. Conclusion: The Metaphor Training Program can improve cognitive-communication performance for individuals with moderate to severe traumatic brain injury. Results support the potential for treating patients' residual cognitive-linguistic deficits.