Theory driven rehabilitation of executive functioning: Improving planning skills in people with traumatic brain injury through the use of an autobiographical episodic memory cueing procedure
Theory driven rehabilitation of executive functioning: Improving planning skills in people with traumatic brain injury through the use of an autobiographical episodic memory cueing procedure
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理论驱动的执行功能康复：通过使用自传式情景记忆提示程序提高创伤性脑损伤患者的计划技能
DOI：
10.1016/j.neuropsychologia.2005.11.016
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发表时间：
2006
期刊：
影响因子：
2.6
通讯作者：
B. Dritschel
中科院分区：
文献类型：
--
作者：
J. Hewitt;Jonathan Evans;B. Dritschel
创伤性脑损伤（TBI）经常导致“执行障碍综合征”的发展。与问题解决相关的困难（包括计划、启动/计划实施和自我监测方面的特定障碍）是脑损伤后功能恢复和适应的主要挑战，也是康复的重要目标。先前的研究表明，TBI患者在日常计划方面表现不佳的一个原因是他们无法自发地使用特定的自传体记忆来支持非结构化情况下的计划。在这项研究中，我们研究了是否自我指导技术，包括自我线索回忆特定的自传体经验，将提高性能的规划任务。两组15名患有闭合性创伤性脑损伤的参与者进行了日常描述任务（Dritschel，B。（1991年）。自传体记忆在描述日常活动中的作用。在欧洲认知学会会议上发表的论文。），其中，他们被要求描述他们将如何计划八种常见的非结构化活动，即可以通过多种方式解决的活动。然后，第一组被要求描述如何计划第二组的八个非结构化活动。在完成第二组八项活动之前，第二组接受了一项旨在促进特定记忆检索以支持计划的程序的培训。结果表明，干预措施可以有效地增加回忆起的特定记忆的数量，相应地增加了计划的有效性和计划中相关步骤的数量。该技术的潜在应用进行了讨论。
Traumatic brain injury (TBI) frequently leads to the development of a ‘dysexecutive syndrome’. The associated difficulties with problem solving (including specific impairments in planning, initiation/plan-implementation and self-monitoring) represent a major challenge to functional recovery and adaptation following brain injury and serve as an important target for rehabilitation. Previous research suggests that one reason people with TBI are poor at everyday planning is that they fail to spontaneously use specific autobiographical memories to support planning in unstructured situations. In this study, we examined whether a self-instructional technique involving self-cueing to recall specific autobiographical experiences would improve performance on a planning task. Two groups of 15 participants who had suffered a closed traumatic brain injury carried out the Everyday Descriptions Task (Dritschel, B. (1991). The role of autobiographical memory in describing how to perform everyday activities. In Paper presented at the European Cognitive Society Conference.), in which they were asked to describe how they would plan eight common unstructured activities, i.e. activities that could be solved in a variety of ways. Group 1 was then asked to describe how to plan a second set of eight unstructured activities. Prior to completing their second set of eight activities, Group 2 underwent training in a procedure aimed at prompting the retrieval of specific memories to support planning. The results suggested that the intervention was effective at increasing the number of specific memories recalled, with a corresponding increase in the effectiveness of the plan and number of relevant steps in the plan. Potential applications of the technique are discussed.