NEUROPSYCHOLOGICAL OUTCOME AT 1-YEAR POST HEAD-INJURY
NEUROPSYCHOLOGICAL OUTCOME AT 1-YEAR POST HEAD-INJURY
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DOI：
10.1037/0894-4105.9.1.80
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发表时间：
1995-01-01
期刊：
影响因子：
2.4
通讯作者：
TEMKIN, NR
中科院分区：
文献类型：
--
作者：
DIKMEN, SS;MACHAMER, JE;TEMKIN, NR
在436名成年头部损伤参与者和121名普通创伤对照组参与者的代表性组中，前瞻性地检查了损伤后1年的神经心理结果。进行了一系列综合的神经心理学测量。头部损伤组在大多数指标上的表现明显差于创伤对照组（p < 0.01）。然而，损伤的大小和普遍性取决于头部损伤的严重程度。这项研究提供了有关损伤预期范围的信息，作为不同严重程度的函数和适当的比较值。这些发现提出了关于临床持有的神经心理学测量差异敏感性信念的重要问题。此外，观察到的结果的实质性变化强调了检查似乎加重或减轻脑损伤影响的因素的重要性。
Neuropsychological outcome at 1 year postinjury was examined prospectively in representative groups of 436 adult head-injured participants and 121 general-trauma control participants. A comprehensive battery of neuropsychological measures was administered. The head-injured group performed significantly worse than the trauma controls on most measures (p < .01). However, the magnitude and pervasiveness of the impairments depended on the severity of the head injury. This study provides information about expected ranges of impairment as a function of different severity levels and appropriate comparison values. The findings raise important questions about clinically held beliefs of differential sensitivity of neuropsychological measures. Furthermore, the substantial variability in outcome observed underscores the importance of examining factors that seem to exacerbate or mitigate the effects of brain damage.