Factors affecting cognition and emotion in patients with traumatic brain injury
| Autor: | Soonil Pyo, Sung Rae Cho, Soohyun Wi, Eun Hee Kwak, KyungHun， Han, Yong Wook Kim, Kyung Ja Oh, Mingi Kim, Yoon Kyum Shin |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Time Factors Traumatic brain injury Emotions emotion Physical Therapy Sports Therapy and Rehabilitation Unconsciousness Audiology behavioral disciplines and activities Lateralization of brain function Lesion memory 03 medical and health sciences 0302 clinical medicine Mental Processes Wisconsin Card Sorting Test Risk Factors Brain Injuries Traumatic medicine Humans Cognitive rehabilitation therapy Psychological Tests business.industry Rehabilitation Neuropsychology Cognition medicine.disease Frontal lobe executive function Neurology (clinical) medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Neurorehabilitation |
| ISSN: | 1878-6448 1053-8135 |
| Popis: | Background Cognitive and emotional disturbances are common serious issues in patients with traumatic brain injury (TBI). However, predictors associated with neuropsychological functions were not consistent. Objective To investigate factors affecting cognition and emotion in patients with TBI, we evaluated executive function, memory, and emotion based on injury severity and lesion location. Methods Neuropsychological outcomes of 80 TBI patients were evaluated via Wisconsin Card Sorting Test (WCST), Color Trail Test (CTT), Controlled Oral Word Association Test (COWAT), Everyday Memory Questionnaire (EMQ), Geriatric Depression Scale (GDS), State-Trait Anxiety Inventory (STAI), and Agitated Behavior Scale (ABS). WCST, CTT, and COWAT assessed executive function; EMQ assessed everyday memory; and GDS, STAI, and ABS assessed emotion. Patients were categorized according to lateralization of lesion and existence of frontal lobe injury. Results Patients with longer duration of loss of consciousness (LOC) showed more severe deficits in everyday memory and agitated behaviors. The frontal lesion group showed poorer performance in executive function and higher agitation than the non-frontal lesion group. Patients with bilateral frontal lesion showed greater deficits in executive function and were more depressed than unilateral frontal lesion groups. Especially in those unilateral frontal lesion groups, right side frontal lesion group was worse on executive function than left side frontal lesion group. Conclusions Duration of LOC and lesion location are main parameters affecting executive function, everyday memory, and emotion in neuropsychological outcomes following TBI, suggesting that these parameters need to be considered for cognitive rehabilitation interventions. |
| Databáze: | OpenAIRE |
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