Development of Methods for Assessing Cognitive-Communicative Functions Following Brain Injury

脑损伤后认知交流功能评估方法的开发

基本信息

批准号：
11835033
负责人：
FUJITA Ikuyo
金额：
$ 1.41万
依托单位：
International University of Health and Welfare
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

项目摘要

The purpose of this research was to investigate methods assessing cognitive-communicative functions following traumatic brain injury. In first part of present research, nature of cognitive-communicative disorders and their contribution to psychosocial outcome were examined. Patients with diffuse brain injury as well as those with focal brain injury showed narrative discourse dysfunction as communication problems. They failed to establish logical links between events in a story, resulting in a narrative which was disjointed and inconclusive. Significant correlations were found between performance scores of narrative discourses and measures of attention, memory and executive functioning. Psychosocial outcome was related to the discourse dysfunction severity. A Narrative Discourse Test of Brain Injury was designed based on these results. In second part of present research, cognitive functions following brain injury were examined. Most patients with diffuse brain injury demonstrated cognitive-communicative disorders. Memory disorder was most common cognitive consequences in those patients. Patients with memory disorders as well as disorders of executive functioning achieved lower level of psychosocial outcome and demonstrated longer duration of post-traumatic amnesia than those with memory disorder only. A Uniform Data Set of Cognitive-Communicative Functions After Brain Injury and a Cognitive-Communicative Function Screening Test of Brain Injury were designed based on results through present research.

这项研究的目的是调查创伤性脑损伤后评估认知交通功能的方法。在目前的研究的第一部分中，检查了认知传说性疾病的性质及其对社会心理结局的贡献。患有弥漫性脑损伤的患者以及局灶性脑损伤的患者表现出叙事性话语功能障碍作为沟通问题。他们未能在故事中的事件之间建立逻辑联系，从而导致叙事是脱节和不确定的。在叙事话语的表现评分与注意力，记忆和执行功能的度量之间发现了显着的相关性。社会心理结果与话语功能障碍严重程度有关。基于这些结果设计了脑损伤的叙事话语测试。在当前研究的第二部分中，检查了脑损伤后的认知功能。大多数弥漫性脑损伤患者表现出认知传播性疾病。记忆障碍是这些患者最常见的认知后果。记忆障碍和执行功能的患者的心理社会结局水平较低，并且比仅患有记忆障碍的患者表现出更长的创伤后失忆症持续时间。脑损伤后的认知界功能和脑损伤的认知交流功能筛查测试的统一数据集根据当前研究的结果设计。