儿童脑瘤幸存者的认知灵活性表现和适应性行为结果之间的关系
Kylie A Szymanski1, Jordan E Pincus1, Tricia Z King1,2
1Department of Psychology, Georgia State University, Atlanta, GA, USA.
The Clinical neuropsychologist
|July 1, 2024
概括
儿童脑瘤幸存者在认知灵活性和适应性行为之间显示出强烈的联系. 幸存者的增强认知灵活性预测了更好的社会和日常生活技能.
科学领域:
- 神经科学是一个神经科学.
- 儿科瘤学 儿科瘤学
- 心理学 心理学 心理学
背景情况:
- 儿童大脑瘤的幸存者面临更高的执行功能 (EF) 和适应性行为缺陷的风险.
- 之前的研究表明,执行功能障碍影响了适应性结果,但特定的EF组件尚不清楚.
研究的目的:
- 与健康对照人群相比,研究儿童脑瘤幸存者的认知灵活性和适应性行为之间的关系.
- 确定特定的执行功能因素,影响该人群的适应性结果.
主要方法:
- 86名幸存者和86名对照人完成了德利斯-卡普兰执行功能系统追踪测试 (TMT) 和口头流利测试 (VFT).
- 认知灵活性使用字母-数字序列 (LNS) 和类别切换 (CS) 条件进行评估.
- 根据信息人报告,使用独立行为修订量表 (SIB-R) 评价适应性行为. 线性回归分析了这些关系.
主要成果:
- 在幸存者和对照者之间观察到认知灵活性-适应性行为关系的显著差异,这些差异涉及社会沟通,社区生活和个人生活技能.
- 在幸存者中,在LNS和CS (认知灵活性测量) 上的更好的表现预测了这些领域的更高的适应性行为得分.
- 这些关系在幸存者中仍然显著,即使在调整工作记忆和抑制控制之后.
结论:
- 认知灵活性在儿童脑瘤幸存者的适应性行为中表现出强有力的,积极的关联.
- 这突出了认知灵活性作为影响幸存者的日常功能和独立性的关键因素.
- 结果表明,针对认知灵活性的有针对性的干预措施可能会改善幸存者的适应性结果.
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