减少脑损伤患者的决策障碍:慢节奏呼吸的效果。

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology-Adult Pub Date : 2025-03-01 Epub Date: 2023-01-16 DOI:10.1080/23279095.2023.2166838
Séphora Minjoz, Elena Ottaviani, Valérian Phalempin, Gilles Barathon, Sonia Pellissier, Pascal Hot
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引用次数: 0

摘要

据报道,脑损伤(中风/脑外伤)患者的决策能力会受到不同部位的影响。在此,我们提出,患者在复杂的顺序决策(DM)任务中的表现可以用他们的负性情绪来解释,负性情绪会导致与DM表现不佳相关的慎重处理。我们假设,慢节奏呼吸(SPB)训练可以通过减少负性情绪来提高复杂决策任务中的表现。在为期24天的时间里,34名脑损伤患者(16名男性和18名女性;12名出血性中风患者、17名缺血性中风患者和5名创伤性脑损伤患者)每天进行5分钟的SPB或假训练,每天三次。在训练前后,我们评估了他们的迷走神经张力(心电图-ECG)、情绪(积极和消极情绪表-PANAS)和确定性水平(维度评分问卷-DRQ)以及他们在爱荷华州赌博任务中的表现。所有参与者最初的表现都较弱,只有 SPB 训练条件下的患者表现有所改善。这些结果表明,脑损伤患者的DM障碍可能是其信息处理策略不当的结果,而非DM能力受损。其次,我们发现 SPB 可以有效地使脑损伤患者的 DM 过程恢复正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reducing decision-making deficits in patients with brain injury: effect of slow-paced breathing.

Impairments in decision-making have been reported in brain-damaged (stroke/traumatic brain injury) patients with a wide range of lesion sites. Here, we propose that the performances of patients in complex sequential decision-making (DM) tasks can be explained by their negative affectivity, leading to deliberative processing associated with poor DM performances. We assumed that a slow-paced breathing (SPB) training, by reducing negative affectivity would improve performances in a complex DM task. For 24 days, 34 brain-damaged patients (16 males and 18 females; 12 had a hemorrhagic stroke, 17 with an ischemic stroke and 5 with a TBI), practiced either daily SPB or sham trainings for five min, three times a day. Before and after training, we assessed their vagal tone (electrocardiogram-ECG), affectivity (Positive and Negative Affect Schedule-PANAS) and certainty level (Dimensional Ratings Questionnaire-DRQ) and their performance on the Iowa Gambling Task. All participants showed initial weak performance, which improved only for patients in the SPB training condition. These results suggest that DM disorders in brain-damaged patients can be the consequence of their poor information processing strategy rather than an impairment in their DM abilities. Second, we showed that SPB could be efficient to normalize DM processes in brain injury patients.

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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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