Effects of Cognitive-Behavior Therapy on situational judgment in inferior hemisphere-damaged patients

认知行为疗法对下半球损伤患者情境判断的影响

基本信息

批准号：
09610133
负责人：
SASAKI Kazuyoshi
金额：
$ 1.02万
依托单位：
Kobe City College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1998
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09610133/
关键词：
damage of cerebral inferior hemisphere situational judgment attention disorder self instructional training arranging strip cartoons picture arrangement behavioral checklists structure of behaviors 左片マヒ社会的状況判断 4コマ漫画の再配列成人リハビリテーショ

项目摘要

(1) WAIS data of 94 inferior hemisphere-damaged subjects were tested. PIQ and scores of subtests of "attention/memory" factor of subjects with unilateral spatial neglect (USN) was significantly lower than PIQ of subjects without USN. Analyzing the data with factor analysis, the fourth factor ("situational judgment") highly loaded by picture arrangement was obtained. Scores of by picture arrangement of inferior hemisphere-damaged subjects were significantly lower them of normal subjects.(2) One inferior hemisphere-damaged subject with attention lisorder and USN was trained to perform carefully tasks by means of External Self-Instructional Training. The subject progressed in both trained tasks and test tasks, became to act carefully in daily living, and accomplished reinstatement.(3) 20 normal subjects and four inferior hemisphere-damaged subjects with disorder of situational judgment were instructed to rearrange correctly four pieces of each of 25 strip cartoons. Although 20 normal subjects showed the mean rate of correct responses of 0.96, four inferior hemisphere-damaged Subjects not only showed low rate of 0.47, 0.24, 0.41, 0.18 each, but misunderstood the intention of the appearance person.(4) Four inferior hemisphere-damaged subjects with disorder of situational judgment were trained to rearrange correctly four pieces of half of strip cartoons that they had failed. Three subjects became to showed the high rate of correct responses not only in trained tasks but also in test tasks.(5) Behavior checklists of inferior hemisphere-damaged subjects were made. 32 rehabilitation staffs were instructed to rate validity of 78 items, and according to analyzing 32 items with factor analysis four factors ("bias", "rough", "acting easily", and "low introspection") were obtained.

(1)测试了94名下半球受损受试者的WAIS数据。有单侧空间忽视（USN）的受试者的PIQ和“注意力/记忆”因素分项测试的分数显着低于没有USN的受试者的PIQ。对数据进行因子分析，得出图片排列负载较高的第四个因子（“情境判断”）。下半球损伤受试者的按图排列得分显着低于正常受试者。(2)通过外部自指导训练，训练一名具有注意力障碍和USN的下半球损伤受试者仔细执行任务。受试者在训练任务和测试任务中都取得了进步，在日常生活中变得小心行事，并完成了恢复。（3）20名正常受试者和4名下半球受损且情境判断障碍的受试者被指示正确地重新排列每组四块。共 25 张漫画。虽然20名正常受试者的平均正确反应率为0.96，但四名下半球受损受试者不仅表现出分别为0.47、0.24、0.41、0.18的低正确率，而且误解了出现者的意图。(4)四下半球- 情境判断障碍的受损受试者接受训练，正确重新排列他们失败的连环漫画中的四幅或一半。三名受试者不仅在训练任务中而且在测试任务中都表现出较高的正确反应率。(5)制作了下半球受损受试者的行为检查表。指导32名康复人员对78个项目的效度进行评分，根据因子分析对32个项目进行分析，得出“偏见”、“粗鲁”、“容易行事”、“低自省”4个因素。