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在脑下出血后持续存在的社会认知和行为问题:纵向队列研究

Lieke S Jorna¹, Sara Khosdelazad¹, Sandra E Rakers¹

¹Department of Neurology, unit Neuropsychology, University Medical Center Groningen, Hanzeplein 1, Groningen 9713 GZ, The Netherlands.

Annals of physical and rehabilitation medicine

|August 22, 2025

概括

在动脉瘤下关节出血 (aSAH) 后,社会认知缺陷持续长期. 在血管学上阴性下关节出血 (anSAH) 后,行为问题可能会恶化,并影响社会参与.

科学领域:

神经科学
神经学
心理学

背景情况:

脑下下出血 (SAH),包括动脉瘤 (aSAH) 和血管学阴性 (anSAH) 类型,可能导致社会认知和行为缺陷.
这些缺陷可能会影响个人参与社会活动的能力.

研究的目的:

在aSAH和anSAH之后调查社会认知和行为的长期进展.
确定这些变化对慢性阶段社会参与的影响.

主要方法:

一项长度前性队列研究,涉及81名SAH患者和60名健康对照.
对社会认知 (情绪识别,思维理论) 和行为 (失能问卷,冷漠评价表) 的神经心理评估是在SAH后的两个时间点 (3-6个月和2-4年) 进行的.
使用角色恢复清单来衡量社会参与.

主要成果:

与对照组相比,aSAH患者在情绪识别和思维理论方面表现出持续的缺陷.
在SAH组中没有观察到社会认知缺陷,但他们的社会行为问题随着时间的推移而增加.
在2至4年的随访中,行为问题与社会参与减少有关,而不是社会认知.

结论:

在aSAH之后的社会认知障碍是持久的.
在SAH发生后,行为问题可能出现或恶化,并与社会参与减少有关.
这些发现凸显了针对SAH后社会和行为缺陷的有针对性的干预措施的需要.

关键词:

行为问题社会认知社会参与脑中风,下关节出血思想理论

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