1. Executive function predictors of delayed memory deficits after mild traumatic brain injury.
- Author
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Broadway JM, Rieger RE, Campbell RA, Quinn DK, Mayer AR, Yeo RA, Wilson JK, Gill D, Fratzke V, and Cavanagh JF
- Subjects
- Adolescent, Adult, Brain Concussion complications, Cluster Analysis, Cognition physiology, Educational Status, Female, Humans, Male, Memory Disorders etiology, Mental Recall, Middle Aged, Neuropsychological Tests, Predictive Value of Tests, Psychomotor Performance, Verbal Learning, Young Adult, Brain Concussion psychology, Executive Function, Memory Disorders psychology, Repression, Psychology
- Abstract
Delayed memory deficits are common for patients with mild traumatic brain injury (mTBI), according to a recent systematic review of meta-analyses (Karr et al., 2014). However, there has been little work to identify different cognitive processes that may be underpinning these delayed memory deficits for mTBI. Frontal cortex is important for delayed memory, and is implicated in the pathophysiology of mTBI; moreover, frontal lobes are typically considered the locus of executive abilities. To further explore these relationships, we sought to partly explain delayed memory deficits after mTBI by examining behavioral indicators of executive function. Results showed that sub-acute as well as chronic mTBI patients performed worse than controls on the delayed memory trial of the Hopkins Verbal Learning Test-Revised (Brandt & Benedict, 2001), recalling approximately 18% and 15% fewer words, respectively. Furthermore, worse delayed memory performance was associated with less use of the cognitive strategy of semantic clustering, and with lower scores for the executive function composite from a standardized neuropsychological battery (NIH EXAMINER; Kramer et al., 2014). In contrast, serial clustering, a memory organizational strategy thought to be less dependent on executive function, did not show strong relationships to clinical status or delayed memory performance. This exploratory work suggests novel hypotheses to be tested in future, confirmatory studies, including that general executive functions and/or semantic clustering will mediate delayed memory deficits following mTBI., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
- Published
- 2019
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