Patterns of neuropsychological impairment after severe blunt head injury
Autor: | Michael Hunter, B. Fenelon, R. L. Tate, M. L. Manning |
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Rok vydání: | 1991 |
Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Adolescent Poison control Audiology Neuropsychological Tests Wounds Nonpenetrating Personality changes medicine Craniocerebral Trauma Humans Memory disorder Psychiatry Memory Disorders medicine.diagnostic_test Learning Disabilities Incidence Head injury Cognitive disorder Neuropsychology Neuropsychological test Middle Aged Verbal Learning medicine.disease Psychiatry and Mental health Female Psychomotor Disorders Psychology Cognition Disorders Psychomotor Performance Follow-Up Studies Personality |
Zdroj: | The Journal of nervous and mental disease. 179(3) |
ISSN: | 0022-3018 |
Popis: | A consecutive series of 100 subjects with severe blunt head injuries was followed up 6 years after trauma. Neuropsychological test performances of 82 subjects and of a noninjured control group were analyzed by two principal components analyses (PCAs). Each PCA extracted 15 factors relating to a range of cognitive impairments, as well as neuropsychological features consistent with posttraumatic personality changes. Measures identified by the PCAs were applied to 85 head-injured subjects in the series to examine the incidence of impairment in four neuropsychological areas: disorders of learning and memory, neuropsychological features consistent with posttraumatic personality change, slowness in rate of information processing, and a range of basic neuropsychological skills. Overall, impairments occurred in 70% of the series. Disorders of learning and memory were the most common type of deficit (56.5%), with disturbances in basic neuropsychological skills the least frequent (16.5%). Variability among subjects with respect to the types and combinations of neuropsychological impairments was a characteristic feature of this clinical group, but the largest proportion (one-third) demonstrated isolated impairments. The implications of the incidence and selectivity of neuropsychological impairments are discussed. Language: en |
Databáze: | OpenAIRE |
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