外伤性脑损伤心理理论选择性训练:一系列单受试者训练研究

K. Lundgren, H. Brownell
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引用次数: 3

摘要

主要目的:研究治疗心理理论(ToM)缺陷的潜力,即使用一个人的信念来理解和预测行为,并验证ToM的改善可以与其他领域的表现(如判断线条方向和执行功能)区分开来的假设。材料和方法:在研究1中,两名TBI患者参与了针对ToM的方案,并使用卡通解读任务对其进行评估。作为对照,参与者还进行了一项简短的本顿判断线朝向任务。在研究2中,第三名TBI患者参加了注意过程训练(APT-1),遵循ToM协议。执行功能评估采用节奏听觉串行加法任务(PASAT)。结果:在研究1中,ToM训练对ToM的表现有反应,但对线的方向判断没有反应。在研究2中,APT-1对执行功能有明显改善,而对ToM没有明显改善。相比之下,训练后的认知功能有显著改善,而执行功能无显著改善。结论:ToM是很好的干预对象。对于三名TBI患者,ToM治疗后表现出选择性改善,这表明将ToM与执行功能区分开来具有实践和理论价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Selective Training of Theory of Mind in Traumatic Brain Injury: A Series of Single Subject Training Studies
Primary Objective: To examine the potential for treating deficits in Theory of Mind (ToM), i.e., using a person's beliefs to understand and predict behaviour, and to test the hypothesis that improvements in ToM can be distinguished from performance in other domains such as judging line orientation and executive function. Materials and Methodology: In Study 1, two individuals with TBI participated in a protocol targeting ToM, which was assessed using a cartoon interpretation task. Participants also performed on a short form of the Benton Judgment of Line Orientation Task as a control. In Study 2, a third person with TBI participated in Attention Process Training (APT-1) followed by the ToM protocol. Executive function was assessed using the Paced Auditory Serial Addition Task (PASAT). Results: In Study 1, ToM performance but not judgments of line orientation responded to the ToM training. In Study 2, executive function, but not ToM, showed strong improvement with APT-1. In contrast, ToM but not executive function showed significant improvement with ToM training. Conclusion: ToM is a good candidate for intervention. For three persons with TBI, ToM performance showed selective improvement associated with ToM treatment, which suggests a practical as well as theoretical value for distinguishing ToM from executive function.
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