儿童半球切除术的成年人每日执行功能
Cory E Kowalski1, Warren S Brown2, Anne A T Nolty3
1Fuller Graduate School of Psychology, Travis Research Institute, Pasadena, CA 91101, United States; VA Loma Linda Healthcare System, Loma Linda, CA 92357, United States.
Epilepsy research
|January 16, 2025
概括
经过儿科半球切除手术 (pHS) 的成年人通常表现出典型的日常执行功能. 然而,他们可能会高估自己的启动技巧,并比同龄人更关注自我监控.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 儿科半球切除手术 (pHS) 是儿童难治性的关键干预措施.
- 虽然运动和感觉结果是可以预测的,但pHS的长期认知和功能影响各不相同.
- 这项研究调查了后PHS成年人的执行功能和自我意识,并保留了一般认知.
研究的目的:
- 确定后PHS干预的潜在目标.
- 检查患有pHS的成年人的日常执行功能和自我意识.
- 为了评估pHS和平均或以上智力测试成年人的表现.
主要方法:
- 使用执行功能,成人版本 (BRIEF-A) 的行为评级库存进行自我和告密者评级.
- 评估了16名pHS和全尺度智商≥77.7的成年人的适应性行为.
- 将参与者和告密者报告与规范数据进行了比较,并分析了差异得分.
主要成果:
- 自我报告和告密报告都表明,执行职能通常与年龄相匹配的规范保持一致.
- 患有pHS的参与者报告比同龄人更好地自我监测,这可能表明对感觉运动缺陷的补偿.
- 在启动过程中观察到一个显著的差异,参与者认为自己不像告密者那样受损.
结论:
- 在pHS后具有平均一般认知能力的成年人,在很大程度上表现出典型的日常执行功能.
- 潜在的干预领域包括自我监测和启动,在这些领域,自我认知可能与告密者观察有所不同.
- 研究结果表明,虽然整体认知能力得到保护,但特定的执行功能可能需要有针对性的支持.
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