文献类型：期刊文献

中文题名：局限性脑外伤患者的心理推理能力和执行功能缺陷

英文题名：Deficients of theory of mind and executive function in local area brain traumatic injury patients

作者：张登科[1];苏巧荣[1];张宏卫[1];葛建荣[1];石富娟[1];张剑[1]

机构：[1]绍兴文理学院司法鉴定所

年份：2011

卷号：25

期号：7

起止页码：549

中文期刊名：中国心理卫生杂志

外文期刊名：Chinese Mental Health Journal

收录：CSTPCD、、CSSCI_E2010_2011、CSCD2011_2012、北大核心2008、北大核心、CSSCI、CSCD

基金：教育部人文社会科学研究青年基金资助(09YJCXLX019);国家自然科学基金资助(30800360)

语种：中文

中文关键词：脑外伤;心理推理能力;执行功能;相关性;横断面研究

外文关键词：Traumatic brain injury; Theory of mind; Executive function; Correlative relationship

中文摘要：目的:观察额叶、颞叶、额颞叶脑外伤患者的心理推理能力和执行功能的缺陷,并分析两者之间的相关性。方法:本研究为横断面研究。研究组为110名在本所进行司法鉴定的局限性颅脑外伤患者,包括额叶损伤组29例,颞叶损伤组33例,额颞叶损伤组48例。选取正常对照50例。所有被试接受3个心理推理能力测试(错误信念、解释性任务、失言任务),以及3个执行功能测试(河内塔测验、Stroop测验和威斯康星卡片分类测验)。比较各组间的心理推理能力和执行功能差异,并对心理推理能力和执行功能进行相关性分析和多元逐步回归分析。结果:3个研究组心理推理能力和执行功能的成绩均差于正常对照组,其中额叶组的错误信念和Stroop卡B正确数最低;颞叶组的失言任务得分最低,河内塔测验步数最多;额颞叶组的解释性任务和威斯康星完成分类数最低(均P<0.01)。研究组的错误信念与河内塔步数(r=-0.30)、Stroop测验卡B耗时(r=-0.43)和威斯康星完成首次分类所用卡数(r=-0.30)均呈负相关(均P<0.01);解释性任务与河内塔耗时(r=-0.36)和Stroop卡AB时差(r=-0.36)呈负相关,与威斯康星测验完成分类数呈正相关(r=0.66);失言任务与河内塔耗时(r=-0.69)、Stroop卡B耗时(r=-0.46)和威斯康星完成首次分类所用卡数(r=-0.52)均呈负相关(均P<0.01)。对照组各项心理推理能力任务和执行功能之间无明显线性相关。多元逐步回归分析显示,三组脑外伤患者各个心理推理能力的相关因素基本相似,其中,Stroop卡B耗时越少,其错误信念得分越高;威斯康星完成首次分类越快,其解释性任务得分越高;河内塔测验耗时越少,其失言任务得分越高。结论:脑外伤患者存在心理推理能力的下降,这种下降与其同时存在的执行功能低下存在正相关,其中,错误信念成绩与Stroop测验成绩、解释性任务与威斯康星卡片测验、失言任务与河内塔测验的相关关系较为突出。

外文摘要：Objective： To investigate the deficients of theory of mind （ToM） and executive function （EF） and to explore their relationship in patients with traumatic brain injury at frontal lobe, temporal lobe, or frontal-temporal regions. Methods： It was a cross-sectional study. The research group was 110 local brain injury patients who had been forensic identified, including 29 frontal lobe injury patients, 33 temporal lobe injury patients, and 48 frontaltemporal region injury patients. Fifty normal adults were as the controls. All subjects were assessed in three ToM tasks （False Believe Task, Interpretation Task and faux pas Task） and three EF tasks （ Tower of Hanoi, Stroop test and Wisconsin Card Sorting Test, WCST）. Results： In all of the ToM and EF tasks, the patients scored lower than control group. Among these patients, the scores of false believe （2. 21 ± 0. 94） and the correct number of Stroop card B （83.79 ±3.66） of frontal lobe patients was lowest, the scores of faux pas Task （6. 76 ± 1. 64） was lowest and the step numbers of Hanoi Tower （ 18.36 ± 6. 04） were highest in temporal patients, the Interpretation Task （2. 63 ±0. 57） and the clarified number of WCST （4. 83 ± 1.06） were lowest in frontal-temporal patients, the difference were all significant （Ps 〈 0.01）. In research group, the false believe scores was negatively correlated with the step number of Hanoi Tower （r = -0. 30）, the time consumption on Stroop card B （r = -0.43） and the card number needed to finish the first WCST categorization （r = -0. 30）. The Interpretation Task scores was negatively correlated with the time consumption of Hanoi Tower （r = - 0. 36）, the time difference between Stroop card A and B （ r = - 0. 36） and positively correlated with the clarified number of WCST. The faux pas Task scores was nega- tively correlated with the time consumption of Hanoi Tower （r = -0. 69）, the time consumption on Stroop card B （r = -0. 46） and the card number needed to finish the first WCST categorization （r = -0. 52）. In control group, there was no significant correlation. The multiple linear regression analysis showed that the related factors of each ToM tasks were similar between three research group, in special, the less the time consumption of Stroop card B, the higher the scores of False Believe; the faster the first first WCST categorization finished, the higher the Interpretation Task scores; the less the time consumption of Hanoi Tower, the higher the faux pas Task scores. Conclusions： There are significant deficient in theory of mind in traumatic brain injury patients, which is positively correlated with the concurrent executive function deficient. There are significant correlations between false believe and Stroop, the interpretation task and WCST, fanx pas Task and Hanoi Tower.