| Measurement of problem-solving deficits in adults with acquired brain damage. | |
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MedLine Citation:
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PMID: 10745187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the relative utility of conventional neuropsychological and social problem-solving approaches to measuring functional problem solving deficits in individuals with acquired brain damage (ABD). DESIGN: In Study I, scores for individuals with ABD were compared to scores for control and normative samples. In Study II, pre- and posttest scores were compared for individuals with ABD who completed a program of outpatient cognitive rehabilitation. PARTICIPANTS: In Study I, individuals with ABD were compared to healthy controls. In Study II, pre- and posttreatment assessments were obtained for 34 individuals with ABD. MAIN OUTCOME MEASURES: Two approaches were used, conventional neuropsychological (WAIS-R/II Comprehension subtest and Wisconsin Card Sorting Test) and social problem solving (Problem Solving Inventory and Rusk Problem Solving Role Play Test). RESULTS: In Study I, the ABD group demonstrated significant deficits on both social problem solving measures; however, neither conventional neuropsychological measure detected significant deficits in the ABD group, relative to control and normative groups. In Study II, significant treatment gains were demonstrated on both social problem-solving measures, however neither conventional neuropsychological measure was sensitive to improvements in functional problem-solving ability. CONCLUSIONS: In higher-level cognitive rehabilitation settings, the evaluation of functional problem-solving deficits in individuals with ABD can be facilitated by augmenting neuropsychological test data with results from social problem-solving measures. |
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Authors:
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J F Rath; D Simon; D M Langenbahn; R L Sherr; L Diller |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Journal of head trauma rehabilitation Volume: 15 ISSN: 0885-9701 ISO Abbreviation: J Head Trauma Rehabil Publication Date: 2000 Feb |
Date Detail:
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Created Date: 2000-04-26 Completed Date: 2000-04-26 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8702552 Medline TA: J Head Trauma Rehabil Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 724-33 Citation Subset: IM |
Affiliation:
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Rusk Institute of Rehabilitation Medicine, New York University Medical Center, New York, New York, USA. rathj01@endeavor.med.nyu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Brain Injuries / complications, rehabilitation* Cerebrovascular Disorders / complications, rehabilitation* Female Humans Injury Severity Score Learning Disorders / diagnosis*, etiology, rehabilitation* Male Middle Aged Neuropsychological Tests* Problem Solving* Prognosis Reference Values Treatment Outcome Wechsler Scales |
| Grant Support | |
ID/Acronym/Agency:
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5R01HD32943/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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