认知表现与1年参与和生活满意度相关:创伤性脑损伤模型系统研究
Natalie Gilmore1, Thomas F Bergquist, Jennifer Bogner
1Author Affiliations: Department of Neurology (Drs Gilmore, Healy, Edlow and Bodien), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; Center for Neurotechnology and Neurorecovery (Drs Gilmore, Edlow, and Bodien), Biostatistics Center (Dr Healy), Massachusetts General Hospital, Boston, Massachusetts; Mayo Clinic College of Medicine and Science (Dr Bergquist), Departments of Physical Medicine and Rehabilitation and Psychiatry and Psychology (Dr Bergquist), Mayo Clinic, Rochester, Minnesota; Department of Physical Medicine and Rehabilitation (Drs Bogner and Corrigan), College of Medicine, The Ohio State University, Columbus, Ohio; Department of Rehabilitation and Human Performance (Drs Dams-O'Connor and Kumar), Department of Neurology (Dr Dams-O'Connor), Icahn School of Medicine at Mount Sinai, New York, New York; Department of Ophthalmology and Visual Sciences & Physical Medicine and Rehabilitation (Dr Dreer), Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Brain Injury Research Center (Dr Juengst), TIRR Memorial Hermann, Houston, Texas; Department of Physical Medicine and Rehabilitation (Dr Juengst), UT Health Sciences Center at Houston, Houston, Texas; Department of Physical Medicine and Rehabilitation (Drs O'Neil-Pirozzi, Giacino, and Bodien), Spaulding Rehabilitation Hospital and Harvard Medical School, Charlestown, Massachusetts; Department of Communication Sciences and Disorders (Dr O'Neil-Pirozzi), Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts; Departments of Physical Medicine & Rehabilitation and Neuroscience (Dr Wagner), Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; and Athinoula A. Martinos Center for Biomedical Imaging (Dr Edlow), Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
在创伤性脑损伤 (TBI) 后,执行功能 (EF) 的认知改善与更好的社会参与相关. 插曲性记忆 (EM) 的增长与TBI后一年的生活满意度的提高有关.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 创伤性脑损伤 (TBI) 通常导致认知缺陷,影响长期结果.
- 了解认知恢复和康复后生活质量之间的关系对于有效的TBI护理至关重要.
研究的目的:
- 调查TBI患者在住院康复后认知变化与1年参与和生活满意度之间的关联.
主要方法:
- 对前性收集的TBI模型系统 (TBIMS) 数据进行了二次分析.
- 包括499名TBI患者,他们在出院时完成认知评估,并在受伤后一年完成认知评估.
- 认知功能使用电话成人认知简要测试 (BTACT) 进行评估,而参与度和生活满意度则分别通过PART-O和SWLS进行测量.
主要成果:
- 经过TBI的一年后,执行功能 (EF) 的改善与社会和社区参与 (PART-O子域) 的增强有关.
- 在1年的随访中,情节性记忆 (EM) 的增长与更高的生活满意度 (SWLS) 有显著的联系.
- 虽然EF和参与的初始关联被观察到,但在共变量调整和多重比较校正后,只有EM与生活满意度的联系仍然显著.
结论:
- 专注于执行功能的认知康复可以改善TBI后的社会参与.
- 增强情节性记忆可能是改善TBI后生活满意度的目标.
- 这些发现强调了定制认知干预措施的重要性,以优化TBI住院康复后的功能结果和幸福感.
相关概念视频
Cognitive Development During Adulthood
Traumatic Brain Injury l: Introduction


