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The contribution of retrospective memory, attention and executive functions to the prospective and retrospective components of prospective memory following TBI.

机译:回顾性记忆,注意力和执行功能对TBI后前瞻性记忆的前瞻性和回顾性成分的贡献。

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PRIMARY OBJECTIVE: Despite the prevalence of prospective memory (PM) problems, relatively little is known about the processes underlying impairment following TBI. This study sought to examine PM performance, using a multiple-task, multiple-response video-based paradigm in which initial encoding of the cue-action associations was ensured (Video-Assessment of Prospective Memory; VAPM). RESEARCH DESIGN: VAPM was designed to allow easy identification of reasons for failure (i.e. cue detection and/or specific action retrieval). Patients with moderate/severe TBI (n = 32) and matched controls (n = 16) also completed standardized neuropsychological assessment including evaluation of episodic retrospective memory (RM), attention, information processing, executive functions and mood. MAIN OUTCOMES AND RESULTS: As a group, those with TBI were impaired on PM tasks with 50% failing to complete at least 2/6 required tasks despite near perfect performance by controls. Individual profile analyses revealed different reasons for impairment, with RM contributing significantly to both the prospective and retrospective components. This was supported by correlational analyses illustrating a significant relationship between cue detection and RM measures, in addition to measures of executive functions and attention. CONCLUSIONS: The contribution of RM to both components of PM, along with the finding of heterogeneity in performance among participants have important implications for theoretical understanding and clinical practice.
机译:主要目标:尽管普遍存在前瞻性记忆(PM)问题,但对TBI之后损伤的潜在过程所知甚少。这项研究试图使用多任务,多响应基于视频的范例来检查PM性能,在这种范例中,确保了提示-动作关联的初始编码(预期记忆的视频评估; VAPM)。研究设计:VAPM旨在轻松识别失败原因(即提示检测和/或特定动作检索)。患有中度/重度TBI(n = 32)和相匹配的对照组(n = 16)的患者还完成了标准化的神经心理学评估,包括评估发作性回顾性记忆(RM),注意力,信息处理,执行功能和情绪。主要结果和结果:作为一个小组,患有TBI的患者在PM任务方面受损,尽管控制水平接近完美,但50%的患者未能完成至少2/6所需的任务。个体资料分析显示了造成损伤的不同原因,RM显着地影响了预期和回顾性因素。这得到了相关分析的支持,该分析说明了提示检测和RM措施之间的重要关系,此外还有执行功能和注意力的措施。结论:RM对PM的两个组成部分的贡献以及参与者之间表现的异质性对理论理解和临床实践具有重要意义。

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