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首页> 外文学位 >Attention Functioning in Children Following Mild Closed Head Injury: The Importance of Prospective Sampling.
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Attention Functioning in Children Following Mild Closed Head Injury: The Importance of Prospective Sampling.

机译：轻度闭合性颅脑损伤后儿童的注意功能：前瞻性采样的重要性。

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摘要

Attention is commonly disrupted in children after traumatic brain injury (TBI), yet there is continued debate regarding the presence of attention difficulties in mild TBI. The present study sought to investigate acute mild TBI via virtual reality (VR)-based testing. We hypothesized that mTBI would lead to increased commission and omission error relative to controls. 11 children ages 8–14 admitted to the Emergency Room for a mild closed head injury were assessed within 9 months of injury on a Virtual Reality-Continuous Performance Task (Virtual Classroom). Performance was compared with 8 age-matched, non-injured children in separate conditions based on the presence or absence of typical classroom distractions. Results revealed that the mild TBI and control groups committed similar rates of omission (F = .12, p = ns) and commission (F = .42, p = ns) error on the VR-CPT overall and by distraction condition. This was not likely a function of sample size, as younger controls committed significantly more commission errors than younger TBI participants. The fact that Virtual Classroom performance was comparable in mTBI and control groups suggests that children are not likely to experience sustained attention problems after mTBI. This was somewhat surprising yet consistent with other prospective (vs. clinic-referred) studies of mTBI. This study underscores the importance of sampling prospectively when seeking to generalize findings to all mild injury cases. It is crucial to recognize, however, that a subset of children experience more complicated recovery after mTBI, a fact that should guide ongoing understanding of risk following mTBI.
机译：创伤性脑损伤（TBI）后，儿童的注意力通常受到干扰，但轻度TBI中存在注意力障碍的争论仍在继续。本研究试图通过基于虚拟现实（VR）的测试来调查急性轻度TBI。我们假设相对于对照，mTBI会导致增加的佣金和遗漏错误。通过虚拟现实连续表现任务（虚拟教室）对受伤后9个月内入院的11例8-14岁的轻度闭合性头部受伤儿童进行了评估。根据是否存在典型的教室干扰因素，将8名与年龄匹配的未受伤儿童在不同情况下的表现进行了比较。结果显示，轻度TBI组和对照组在VR-CPT整体上和分心情况下的遗漏率（F = .12，p = ns）和佣金（F = .42，p = ns）相似。这不太可能是样本量的函数，因为年轻的控件比年轻的TBI参与者犯下的佣金错误明显更多。虚拟教室在mTBI和对照组中的表现相当，这一事实表明，在mTBI之后，儿童不太可能遇到持续的注意力问题。这有些令人惊讶，但与mTBI的其他前瞻性研究（相对于临床参考）一致。这项研究强调了在寻求对所有轻度伤害病例进行归纳总结时，进行前瞻性抽样的重要性。然而，至关重要的是要认识到，一部分儿童在mTBI后经历了更复杂的康复，这一事实应指导对mTBI后风险的持续理解。

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  • 作者

    Lee, Joseph.;

  • 作者单位

    Fuller Theological Seminary, School of Psychology.;

  • 授予单位 Fuller Theological Seminary, School of Psychology.;
  • 学科 Psychology Clinical.
  • 学位 Psy.D.
  • 年度 2010
  • 页码 51 p.
  • 总页数 51
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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