Changes of cognitive functioning following mild traumatic brain injury over a 3-month period

被引:48
作者
Kwok, Florence Y. [1 ]
Lee, Tatia M. C. [1 ,2 ]
Leung, Clarence H. S. [3 ]
Poon, Wai S. [3 ]
机构
[1] Univ Hong Kong, Neuropsychol Lab, Hong Kong, Hong Kong, Peoples R China
[2] MacLehose Med Rehabil Ctr, Inst Clin Neuropsychol, Hong Kong, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Prince Wales Hosp, Div Neurosurg, Hong Kong, Hong Kong, Peoples R China
关键词
traumatic brain injury; attention; cognitive functions; mild TBI; neuropsychology;
D O I
10.1080/02699050802336989
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Primary objective: To examine the cognitive functioning in patients with complicated mild traumatic brain injury immediately post-injury and at 1 and 3 months post-injury. Research design, methods, and procedures: Between-group comparisons were adopted for this study. Specifically, both patients and healthy controls were administered neuropsychological assessments measuring attention, memory and executive functions at three time points. Results: Findings indicate that patients performed significantly more poorly in information processing and divided attention, sustained attention, verbal recognition and verbal fluency immediately post-injury. While the information processing and divided attention of mild TBI patients improved at 1 month and returned to normal at 3 months post-injury, their sustained attention remained significantly poorer over the 3-month period. Conclusions: Findings suggest that attention dysfunction is noticeable immediately following a mild TBI. Different attention functions appear to recover at a different pace over time, suggesting that the condition may have a differential impact on the different sub-types of attention.
引用
收藏
页码:740 / 751
页数:12
相关论文
共 45 条
[1]   MILD TRAUMATIC BRAIN INJURY - PATHOPHYSIOLOGY, NATURAL-HISTORY, AND CLINICAL MANAGEMENT [J].
ALEXANDER, MP .
NEUROLOGY, 1995, 45 (07) :1253-1260
[2]  
Beck A.T., 1996, Manual for the Beck depression inventory-II
[3]   Factors moderating neuropsychological outcomes following mild traumatic brain injury: A meta-analysis [J].
Belanger, HG ;
Curtiss, G ;
Demery, JA ;
Lebowitz, BK ;
Vanderploeg, RD .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2005, 11 (03) :215-227
[4]  
Benton A., 1974, The revised visual retention test
[5]  
Benton A.L., 1994, Contributions to neuropsychological assessment, V2nd
[6]  
Bigler ED, 2001, ARCH CLIN NEUROPSYCH, V16, P95
[7]   A review of mild head trauma .1. Meta-analytic review of neuropsychological studies [J].
Binder, LM ;
Rohling, ML ;
Larrabee, GJ .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1997, 19 (03) :421-431
[8]   Cognitive and affective sequelae in complicated and uncomplicated mild traumatic brain injury [J].
Borgaro, SR ;
Prigatano, GP ;
Kwasnica, C ;
Rexer, JL .
BRAIN INJURY, 2003, 17 (03) :189-198
[9]   Assessment of executive function in patients with mild traumatic brain injury [J].
Brooks, J ;
Fos, LA ;
Greve, KW ;
Hammond, JS .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1999, 46 (01) :159-163
[10]  
Brown L., 1997, TEST NONVERBAL INTEL