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Titre : | Education Attenuates the Negative Impact of Traumatic Brain Injury on Cognitive Status (2013) |
Auteurs : | James F. Sumowski ; Nancy Chiaravalloti ; Denise Krch ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/12, 2013) |
Article en page(s) : | pp. 2562-2564 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Délires ; Démence ; Neuropsychologie ; Rééducation et réadaptation |
Mots-clés: | Brain injuries ; Lésions encéphaliques ; Delirium ; Dementia ; Amnestic ; Cognitive Disorders ; troubles mnésiques et cognitifs ; Cognitive reserve ; Réserve cognitive ; Neuropsychology |
Résumé : |
Objective To investigate whether the cognitive reserve hypothesis helps to explain differential cognitive impairment among survivors of traumatic brain injury (TBI), whereby survivors with greater intellectual enrichment (estimated with education) are less vulnerable to cognitive impairment. Design Cross-sectional study. Setting Medical rehabilitation research center. Participants Survivors of moderate or severe TBI (n=44) and healthy controls (n=36). Interventions Not applicable. Main Outcome Measures Intellectual enrichment was estimated with educational attainment. Group was defined as TBI or healthy control. Current cognitive status (processing speed, working memory, episodic memory) was evaluated with neuropsychological tasks. Results TBI survivors exhibited worse cognitive status than healthy persons (P<.001 and education was positively correlated with cognitive status in tbi survivors p most importantly regression analysis revealed an interaction between group change=".036," whereas higher attenuated the negative impact of on status. lower performed much worse than matched healthy persons but this tbi-related performance discrepancy at levels education.> Conclusions Higher intellectual enrichment (estimated with education) reduces the negative effect of TBI on cognitive outcomes, thereby supporting the cognitive reserve hypothesis in persons with TBI. Future work is necessary to investigate whether intellectual enrichment can build cognitive reserve as a rehabilitative intervention in survivors of TBI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |