scholarly journals Prospektív Emlékezet és Traumás Agysérülés: Szakirodalmi Áttekintés

2021 ◽  
Vol 75 (4) ◽  
pp. 639-666
Author(s):  
Lencsés Anita ◽  
Demeter Gyula

Jelen tanulmány tudomásunk szerint az első magyar nyelvű áttekintés a prospektív emlékezet (prospective memory, PM) témájában, melynek kettős célja van. Egyrészt összefoglalja a PM legfontosabb fogalmait, elméleteit, kísérleti és idegtudományi eredményeit, ismertetve a kutatások klinikai relevanciáját. A PM a jövőbeli szándékokra irányuló emlékezet, egy olyan összetett kognitív képesség, amely alapvető a mindennapi feladataink ellátása során. Működése a prefrontális kéreghez és kapcsolataihoz köthető, így számos, a frontostriatális rendszert érintő kórkép esetén sérülést mutat. Áttekintésünk fókuszában egy gyakori neurológiai kórkép, a traumás agysérülés áll. E személyek hétköznapjait a leginkább megnehezítő, gyakori és tartós kognitív zavar a PM sérülése. Ennek ellenére kevés kutatás foglalkozott a csökkent PM-működést meghatározó tényezőkkel ebben a betegcsoportban, az eredmények pedig ellentmondásosak.Tanulmányunk további célja, hogy összefoglalja a traumás agysérült személyek PM-teljesítményével kapcsolatos empirikus kutatásokat. Szakirodalmi áttekintésünkben 25 empirikus tanulmányt azonosítottunk, amelyekben traumás agysérült felnőtt személyek PM-teljesítményét hasonlították össze egészséges kontrollszemélyekével. Az eredmények alapján megállapítható, hogy traumás agysérülést követően jellemző a PM diszfunkciója. Azonban számtalan tényező befolyásolhatja a PM-teljesítményt ebben a populációban: a sérülés súlyossága, lokalizációja, a kómában és a poszttraumás amnéziában töltött idő, a sérülés óta eltelt idő, a hangulatzavarok és a komorbid kognitív zavarok; valamint az olyan feladatjellemzők, mint a mérőeszköz típusa, a PM összetevői, illetve a prospektív kulcsinger és a folyamatban lévő feladat jellegzetességei. Elgondolásunk szerint e kutatási eredmények nemcsak a PM működésének megértésével kapcsolatban szolgálnak fontos következtetésekkel, hanem támpontokat adhatnak a rehabilitációs, terápiás munkára nézve is, megteremtve egy jövőbeli hatékony, a PM-funkciókra fókuszáló kognitív tréning kidolgozását traumás agysérült személyek számára.To the best of our knowledge, the present paper is the fi rst review in Hungarian on the topic of prospective memory (PM), and it has a dual objective. On the one hand, it summarizes the most important concepts, theories, experimental and neuroscientifi c results of PM, describing the clinical relevance of the research. PM refers to the memory for future intentions, and it is a complex cognitive ability that is essential in performing our day-to-day tasks. PM function is related to the prefrontal cortex and its connections, and its dysfunction is well-documented in several diseases affecting the frontostriatal system. This review focuses on traumatic brain injury, a common neurological disorder. Patients with traumatic brain injury experience PM dysfunction, which is a common and persistent cognitive disorder making their everyday life the most diffi cult. Nevertheless, little research has investigated the factors contributing to decreased PM performance in this patient population, and the results are contradictory.Another goal of our study is to summarize empirical research on PM performance after traumatic brain injury. In this literature review, we identifi ed 25 empirical studies comparing the PM performance of adults with traumatic brain injury with those of healthy controls. Based on these empirical results, PM dysfunction is a common fi nding after traumatic brain injury. However, a number of factors can affect PM performance in this population: the severity and localization of injury, time spent in coma, length of posttraumatic amnesia, time since injury, mood disorders and comorbid cognitive disorders, and task characteristics, such as the type of measurement, the components of the PM task, and features of the PM cue and the ongoing task. In our opinion, these fi ndings not only provide essential conclusions about understanding the functioning of PM, but they can also establish the foundation for rehabilitation and therapeutic work, and contribute to the creation of an effective cognitive training focused on PM for traumatic brain injury patients.

2016 ◽  
Vol 31 (6) ◽  
pp. 626.1-626
Author(s):  
K Robertson ◽  
S Kelly ◽  
M Schmitter-Edgecombe

2019 ◽  
Vol 34 (6) ◽  
pp. 999-999
Author(s):  
S Sorg ◽  
M Walsh ◽  
M Werhane ◽  
K Holiday ◽  
A Clark ◽  
...  

Abstract Objective We investigated whether clock-checking frequency during a prospective memory (PM) task differed between Veterans with reported histories of blast-related mild traumatic brain injury (mTBI) and Veteran Controls (VCs) without a history mTBI. We hypothesized that, compared to controls, the mTBI group would less frequently clock check. Additionally, we expected that reduced clock-checking would contribute to poorer time-based PM performance in the mTBI group. Method Twenty-seven Veterans (9 mTBI and 18 VC) with sufficient effort testing completed a structured TBI history interview, the Post-Traumatic Stress Disorder Checklist (PCL) and the Memory for Intentions Test (MIST) as a PM task. During MIST administration, examiners recorded clock-checking behavior each time a participant physically turned a digital clock to observe the current time. Results Compared to VCs, the mTBI group performed worse on the Time subscale of the MIST [Mean (SD) VC = 6.7 (1.1), mTBI = 5.7 (1.1), p < .05], and demonstrated significantly fewer clock-checks over the duration of the test [VC = 14.2(4.7), mTBI = 10.2 (3.4), p < .05]. Clock-checking significantly correlated with MIST Time subscale performance (r = .38, p < .05). Groups did not significantly differ in PCL scores, and PCL scores did not significantly correlate with clock-checking counts. Conclusion Our preliminary results are the first to show that clock-checking behavior may contribute to reduced performance on time-based PM tasks in Veterans with histories of mTBI. Specifically, our findings demonstrate that participants with mTBI employ an inefficient time monitoring strategy wherein infrequent clock checking contributes to poorer test performance. These findings suggest that strategies to improve clock checking may improve PM performance.


2015 ◽  
Vol 29 (3) ◽  
pp. 361-370 ◽  
Author(s):  
Anand Sharma ◽  
Akhilesh Jain ◽  
Achal Sharma ◽  
R.S. Mittal ◽  
I.D. Gupta

Abstract Introduction: Traumatic brain injury (TBI) is a major cause of disability. Assessment and treatment of TBI typically focus on physical and cognitive impairments, yet psychological impairments represent significant causes of disability. Depression may be the most common and disabling psychiatric condition in individuals with TBI. Objective: This cross-sectional study was design to investigate prevalence and risk factors of depression in Traumatic brain injury (TBI). Material and method: The Group studied consists of 204 patients of mild and moderate TBI between 14-days to one-year post injury. Demographic characteristics of the participants were assessed on a self-designed semi structured performa. Interviews focused on assessment of severity of TBI, depression and quality of life (Qol) using GCS, PHQ-9 and WHOBREF-QOL respectively. Results: Total 204 patients were included. 42.15% participants were found to have depression. None of the demographic variables were associated with depression except female sex, severity and time since injury. Moderate TBI patient (55.80%) had significantly higher occurrence of depression than the mild cases (44.2%). Patients with lesser duration (time since injury) of TBI had high incidence (50.2%) of depression compare to longer duration of TBI. Depressed patients also had poor Qol than those without depression in all domains except physical health domain. Neuroanatomical localization was also correlated with depression. Cerebral contusions were the most common (44.24%) lesions associated with depression. Conclusion: Depression is commonly associated, yet under diagnosed clinical entities in head injury and have tremendous impact in overall outcome measures. Every patient of head injury warrants psychiatric evaluation and concomitant treatment if required to ensure the attainment of not only neuroanatomical intact but overall productive and qualitative life vindicating the holistic and multidisciplinary treatment approach.


2007 ◽  
Vol 29 (5) ◽  
pp. 457-466 ◽  
Author(s):  
Julie D. Henry ◽  
Louise H. Phillips ◽  
John R. Crawford ◽  
Matthias Kliegel ◽  
Georgia Theodorou ◽  
...  

2005 ◽  
Vol 15 ◽  
pp. S226 ◽  
Author(s):  
T.N. Savateeva ◽  
A.D. Tsivinsky ◽  
A.N. Petrov ◽  
A.V. Afanasiev ◽  
A.L. Kovalenko

2012 ◽  
Vol 26 (1) ◽  
pp. 91-101 ◽  
Author(s):  
Shital P. Pavawalla ◽  
Maureen Schmitter-Edgecombe ◽  
Rebekah E. Smith

2015 ◽  
Vol 96 (4) ◽  
pp. 581-587 ◽  
Author(s):  
S A Valiullina ◽  
E A Sharova

Aim. To define epidemiological features of traumatic brain injury in children and to assess economic losses caused by this condition. Methods. The prevalence of traumatic brain injury in children for the period of 2003-2012 in Russia according to State Statistical Database. Direct and indirect economic losses (overall and per patient) were calculated for 2012. Results. The study revealed an increase of traumatic brain injury prevalence in children for the analyzed period, with the domestic traumatism prevailing among all brain trauma injuries, especially in girls. The amount of economic losses due to traumatic brain injury in children of Russian Federation in 2012 was about 4 milliard roubles. However, this figure is considerably underestimated, because the amount of expenses per one patient with traumatic brain injury is a quarter less compared to the standard sum per one case traumatic brain injury according to the standards of obligatory health insurance. On the one hand, it may be explained by high admission rate in children with minor head injury. On the other hand, it may be a result of insufficient healthcare funding as well as unaccounted expenses for medical care and drug coverage, especially in children with severe traumatic brain injury. Conclusion. The reduction of economic losses due to pediatric traumatic brain injury is possible not only by preventing new cases of traumatic brain injury but also by optimizing medical care.


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