Attention Remediation Following Traumatic Brain Injury in Childhood and Adolescence

作者：Galbiati Susanna; Recla Monica; Pastore Valentina; Liscio Mariarosaria; Bardoni Alessandra; Castelli Enrico; Strazzer Sandra^*

来源：Neuropsychology, 2009, 23(1): 40-49.

DOI：10.1037/a0013409

• traumatic brain injury
• attention components
• cognitive deficit
• neuropsychological treatment
• ecological context

Traumatic brain injury (TBI) frequently affects both the basic and the superordinate components of attention; deficits vary according to patient age. This study evaluated the efficacy of a specific remediation intervention for attention. Sixty-five TBI patients (aged 6-18 years) with attention deficit were assessed at baseline and at I-year follow-up: 40 patients received attention-specific neuropsychological training for 6 months, and the control group comprised 25 patients. Cognitive assessment included a Wechsler Intelligence Scale (e.g., A. Orsini, 1993) and the Continuous Performance Test II (CPT II; C. K. Conners, 2000). The Vineland Adaptive Behavior Scales (VABS; S. Sparrow, D. Balla & D. V. Cicchetti, 1984) was administered to assess the treatment's ecological validity. At baseline, all patients presented with a mild intellectual disability and pathological scores on the CPT II. At follow-up, significant differences were found between the 2 groups on the CPT 11 and VABS: The clinical group improved more than the control group. Specific remediation training for attention, including a combination of a process-specific approach and metacognitive strategies, significantly improved attention performance. Improvement in attention skills also affected adaptive skills positively.

• 出版日期2009-1