智力和执行功能与侮辱时的年龄,侮辱后的时间和慢性儿科获得性脑损伤后的残疾有关
Anne Elisabeth Brandt1,2, Torstein B Rø1,2, Torun G Finnanger2
1Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Frontiers in neurology
|January 22, 2024
概括
儿童早期获得的脑损伤 (pABI) 与更糟糕的长期认知结果有关. 晚些时候的侮辱和更短的恢复时间与pABI儿童的更好的执行功能和智商相关.
科学领域:
- 神经科学是一个神经科学.
- 儿科神经学 儿科神经学
- 认知心理学 认知心理学
背景情况:
- 儿科获得性脑损伤 (pABI) 显著影响认知功能,包括智商和执行功能 (EFs).
- 伤害开始时的年龄较小可能会导致持续的,使人衰弱的缺陷,影响日常功能.
- 这项研究研究了侮辱时的年龄和侮辱后的时间对慢性pABI认知结果的影响.
研究的目的:
- 调查慢性pABI儿童的IQ和EF与侮辱时的年龄 (早期与晚期) 和侮辱后的时间之间的关联.
- 探索儿童获得性脑损伤的全球功能不同水平的认知表现.
- 了解儿科获得性脑损伤的长期认知后果.
主要方法:
- 利用来自多中心RCT的数据,包括对76名参与者 (10-17岁) 的医学和神经心理评估.
- 研究了侮辱时的年龄 (≤7y vs. >7y) 和侮辱后的时间与智商和EF (更新,转移,抑制,执行注意力) 之间的关联.
- 通过使用儿科格拉斯哥结果量-扩展的全球功能水平评估认知表现.
主要成果:
- 与早期侮辱 (EI) 组相比,晚期侮辱 (LI) 的参与者表现出明显更好的智商,执行注意力和转移.
- 侮辱后的延长时间与智商,更新,转移和执行注意力的表现下降有关.
- 全球功能表现出与智商和执行功能结果的强烈相关性.
结论:
- 早期的侮辱和长时间的恢复期会对慢性pABI的认知功能产生负面影响.
- 调查结果强调了需要量身定制的康复策略来解决pABI幸存者的认知缺陷.
- 消除完全康复的神话,倡导公平,长期支持和pABI护理中的残疾查.
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