مقایسه عملکرد بیماران (MTBI)، در استروپ پیچیده، با تاکید بر گذشت یکسال از آسیب مغزی تروماتیک خفیف با افراد سالم

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، دانشگاه الزهرا تهران، تهران، ایران.

2 دانشیار گروه روانشناسی دانشکده علوم تربیتی و روانشناسی دانشگاه الزهرا تهران. ایران

چکیده

مقدمه
تحقیقات پیشین نتایج متناقضی را در مورد تداوم آثار تخریب شناختی ناشی ازMBTI  ارائه داده­اند. این تحقیق با هدف مقایسه وضعیت شناختی از منظر  قدرت توجه در افراد سالم و بیمارانMTBI  که یک سال از آسیب آنها گذشته طراحی و اجرا شده است.
روش کار
در این مطالعه علی- مقایسه­ای،که در فاصله زمانی بهمن 1396 تا مهر 1397 انجام گرفت.48 بیمار مرد MTBI با دامنه سنی 30 تا 55 سال که طی یکسال گذشته در بخش ICU بیمارستان شهدا­ی هفتم تیر شهر­ری بستری بودند، بعنوان گروه آزمایشی و 64 مرد سالم با دامنه سنی همتا بعنوان گروه کنترل بصورت تصادفی انتخاب شدند. دو گروه که کلیه معیار­های ورود به پژوهش را داشتند، با آزمون استروپ پیچیده مورد سنجش و ارزیابی قرار گرفتند.
نتایج
نتایج مطالعه نشان داد، تفاوت میان دو گروه در آزمون استروپ در زیر مقیاسهای زمان آزمایش همخوان و زمان آزمایش ناهمخوان در سطح خطای 5 درصد از نظر آماری معنادار است(05/0>p). همچنین، تفاوت میان دو گروه در زیر مقیاسهای بدون پاسخ همخوان، بدون پاسخ ناهمخوان، تعداد صحیح همخوان ، تعداد صحیح ناهمخوان، نمره تداخل، جمع بدون پاسخ و جمع پاسخهای صحیح در سطح خطای 1 درصد از نظر آماری معنا دار است (01/0>p). نتایج گویای عملکرد ضعیفتر گروه MTBI در کلیه زیر مقیاسهای آزمون استروپ نسبت به افراد سالم می باشد.
نتیجه گیری
آسیب مغزی تروماتیک خفیف پس از گذشت یکسال می­تواند، در کارکرد عملکرد­های اجرایی لوب پیشانی مغز ایجاد اختلال نماید.بنابراین، پیشنهاد می­گردد این موضوع در ارزیابی­های بالینی و قانونی مورد توجه قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Compare Performance Of Patients(MTBI) ,in Complex Stroop, Emphasizing The Passing Of One Year Of mild Traumatic Brain Injury With Healthy People

نویسندگان [English]

  • Mohadeseh Mozafari 1
  • Seyed Abolghasem Mehrinejad 2
1 PHD in psychology, Faculty of Education and Psychology Alzhra University, Tehran, Iran .
2 Associate Professor, Department of Psychology, Tehran Alzhra University, Tehran, Iran.
چکیده [English]

Abstract
Introduction: Previous researches have yield contradictory results in the studies of cognitive dysfunction following MTBI. This research was designed and conducted to compare the cognitive condition of two groups of healthy people and MTBI patients one year after their injury in terms of attention strength.
Materials and Methods: In this causal-comparative study, which was conducted from February 2017 to October 2018, two groups of individuals, 48 (MTBI) male Patients from 30 to 55 years old who were admitted to the ICU in Shohadaye Haftome Tir Hospital and 64 healthy men that had all the criteria for entering the research were chosen . Both groups were tested with scale Stroop.
Results: The results of the study showed that the two groups had significantly difference (p < 0/05), in the Congruent  experiment time and incongruent  experiment time. The two groups had significantly difference (p < 0/01), in the congruent non- responses, incongruent non- responses,congruent correct number, incongruent correct number, interference score, non-response sum and correct responses sum . The results showed that Patients with  MTBI have overall poorer results for all the scale of stroop test than healthy people.
Conclusion: According to the findings of this research, mild traumatic brain injury can disturb executive functions of the brain's prefrontal lobes after one year. Hence, it is suggested that in clinical and legal evaluations of the patients, this issue to be considered.

کلیدواژه‌ها [English]

  • Mild traumatic brain injury
  • Cognitive function
  • Attention

مراجع

  1. Muelbl MJ, Slaker ML, Shah AS, Nawarawong NN, Gerndt CH, Budde MD, Stemper BD, Olsen CM. Effects of
    mild blast traumatic brain injury on cognitive-and addiction-related behaviors. Scientific reports. 2018 Jul
    2;8(1):1-4.
    2. Arnould A, Rochat L, Dromer E, Azouvi P, Van der Linden M. Does multitasking mediate the relationships
    between episodic memory, attention, executive functions and apathetic manifestations in traumatic brain
    injury?. Journal of neuropsychology. 2018 Mar;12(1):101-19.
    3. Owens JA, Spitz G, Ponsford JL, Dymowski AR, Willmott C. An investigation of white matter integrity and
    attention deficits following traumatic brain injury. Brain injury. 2018 May 12;32(6):776-83.
    4. Mangia AL. Cognitive Assessment and Rehabilitation of subjects with Traumatic Brain Injury (Doctoral
    dissertation, alma).
  2. 5. Wang W, Wang Y, Wu H, Lei L, Xu S, Shen X, Guo X, Shen R, Xia X, Liu Y, Wang F. Postoperative
    cognitive dysfunction: current developments in mechanism and prevention. Medical science monitor:
    international medical journal of experimental and clinical research. 2014;20:1908.
    6. Wickens CD, McCarley JS. Applied attention theory. CRC press; 2019 Mar 4.
    7. Kozak KM. Mild Traumatic Brain Injuries and Their Implications on Changes in Event Related Potentials: A
    look into Visual Gating (P50).
    8. Shultz SR, McDonald SJ, Haar CV, Meconi A, Vink R, van Donkelaar P, Taneja C, Iverson GL, Christie BR.
    The potential for animal models to provide insight into mild traumatic brain injury: translational challenges
    and strategies. Neuroscience & Biobehavioral Reviews. 2017 May 1;76:396-414.
    9. Sharp DJ, Jenkins PO. Concussion is confusing us all. Practical neurology. 2015 Jun 1;15(3):172-86.
    10. Marschner L, Schreurs A, Lechat B, Mogensen J, Roebroek A, Ahmed T, Balschun D. Single mild traumatic
    brain injury results in transiently impaired spatial long-term memory and altered search strategies. Behavioural
    brain research. 2019 Jun 3;365:222-30.
    11. McCrory P, Meeuwisse WH, Aubry M, Cantu RC, Dvorak J, Echemendia RJ, Engebretsen L, Johnston KM,
    Kutcher JS, Raftery M, Sills A. Consensus statement on concussion in sport—the 4th International Conference
    on Concussion in Sport held in Zurich, November 2012. PM&R. 2013 Apr;5(4):255-79.
    12. Panwar N, Purohit D, Sinha VD, Joshi M. Evaluation of extent and pattern of neurocognitive functions in mild
    and moderate traumatic brain injury patients by using Montreal Cognitive Assessment (MoCA) score as a
    screening tool: An observational study from India. Asian journal of psychiatry. 2019 Mar 1;41:60-5.
    13. Losoi H, Silverberg ND, Wäljas M, Turunen S, Rosti-Otajärvi E, Helminen M, Luoto TM, Julkunen J, Öhman
    J, Iverson GL. Recovery from mild traumatic brain injury in previously healthy adults. Journal of neurotrauma.
    2016 Apr 15;33(8):766-76.
    14. Theadom A, Starkey N, Barker-Collo S, Jones K, Ameratunga S, Feigin V, BIONIC4you Research Group.
    Population-based cohort study of the impacts of mild traumatic brain injury in adults four years post-injury.
    PloS one. 2018;13(1).
    15. Grandhi R, Tavakoli S, Ortega C, Simmonds MJ. A review of chronic pain and cognitive, mood, and motor
    dysfunction following mild traumatic brain injury: complex, comorbid, and/or overlapping conditions?. Brain
    sciences. 2017 Dec;7(12):160.
    16. Lansdell G, Saunders B, Eriksson A, Bunn R, Baidawi S. ‘I am not drunk, I have an ABI’: findings from a
    qualitative study into systematic challenges in responding to people with acquired brain injuries in the justice
    system. Psychiatry, psychology and law. 2018 Sep 3;25(5):737-58.
    17. Vasquez BP, Tomaszczyk JC, Sharma B, Colella B, Green RE. Longitudinal recovery of executive control
    functions after moderate-severe traumatic brain injury: examining trajectories of variability and ex-Gaussian
    parameters. Neurorehabilitation and neural repair. 2018 Mar;32(3):191-9.
    18. Erdodi LA, Sagar S, Seke K, Zuccato BG, Schwartz ES, Roth RM. The Stroop test as a measure of
    performance validity in adults clinically referred for neuropsychological assessment. Psychological
    assessment. 2018 Jun;30(6):755.
    19. Skurvydas A, Valančiene D, Šatas A, Mickevičiene D, Vadopalas K, Karanauskienė D. Are motor and
    cognitive control, impulsivity and risk-taking behaviour as well as moral decision making determined by the
    activity of prefrontal cortex during stroop test?. Baltic Journal of Sport and Health Sciences. 2018;1(108).
    20. Kapoula, Z., Lê, T. T., Bonnet, A., Bourtoire, P., Demule, E., Fauvel, C., ... & Yang, Q. Poor Stroop
    performances in 15-year-old dyslexic teenagers. Experimental brain research, 2010.203(2), 419-425.
    21. Schmidt RA, Lee TD, Winstein C, Wulf G, Zelaznik HN. Motor control and learning: A behavioral emphasis.
    Human kinetics; 2018 Oct 30.
    22. Kimura T, Matsuura R. Additional effects of a cognitive task on dual-task training to reduce dual-task
    interference. Psychology of Sport and Exercise. 2020 Jan 1;46:101588.
    23. Welford AT. The psychological refractory period and the timing of high-speed performance-a review and a
    theory. British Journal of Psychology. 1952 Feb 1;43(1):2.
    24. Kleiner AF, Pagnussat AS, Di Prisco G, Vagnini A, Stocchi F, De Pandis MF, Galli M. Analyzing gait
    variability and dual-task interference in patients with Parkinson’s disease and freezing by means of the wordcolor Stroop test. Aging clinical and experimental research. 2018 Sep 1;30(9):1137-42.
    25. Woytowicz EJ, Sours C, Gullapalli RP, Rosenberg J, Westlake KP. Modulation of working memory load
    distinguishes individuals with and without balance impairments following mild traumatic brain injury. Brain
    injury. 2018 Jan 28;32(2):191-9.
    26. Sours C, Kinnison J, Padmala S, Gullapalli RP, Pessoa L. Altered segregation between task-positive and tasknegative regions in mild traumatic brain injury. Brain imaging and behavior. 2018 Jun 1;12(3):697-709.
  3. 27. Sekely A, Zakzanis KK. Predictive validity of the neuropsychological assessment battery-screening module for
    assessing real-world disability in patients with mild traumatic brain injury. Psychological Injury and Law.
    2018 Sep 1;11(3):233-43.
    28. Schwab K, Terrio HP, Brenner LA, Pazdan RM, McMillan HP, MacDonald M, Hinds SR, Scher AI.
    Epidemiology and prognosis of mild traumatic brain injury in returning soldiers: a cohort study. Neurology.
    2017 Apr 18;88(16):1571-9.
    29. Pervichko S. Cognitive functions recovery after traumatic brain injury of mild severity in adolescents.
    European Psychiatry. 2017 Apr 1;41:S636.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 3
مرداد و شهریور 1399
صفحه 2254-2267

فایل ها

هم رسانی

ارجاع به این مقاله

آمار