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Rehabilitation Practice and Science

Translated Title

合併前瞻記憶歷程訓練於神經心理復健在創傷性腦傷後重度失憶病患：病例報告

Abstract

Patients with severe amnesia frequently experience difficulty in storing and retrieving new information, resulting in prospective memory impairment, one of the main reasons for sustained loss of functioning in daily life. Currently, little literature on the neuropsychological interventions for severe amnesia patients has been published. The present study applied prospective memory process training (PROMPT) in neuropsychological intervention to a patient with severe amnesia caused by traumatic brain injury, and investigated the efficacy of this method. The intervention was administered for 12 months long to a 23-year-old male participant with severe amnesia caused by traumatic brain injury. The intervention was administered at 26 months after the trauma. The psychological assessments used were the Mini-Mental Status Examination (MMSE), Luria-Nebraska Neuropsychological Battery-Screening Test (LNNB-S), and Word Sequence Learning Test, and the pretest and posttest performance was compared. The observations of caregivers and therapists concerning the participant's daily performance were also considered. The participant's performance on the MMSE, LNNB-S, and Word Sequence Learning Test improved 6 months after treatment, particularly in the aspects of orientation, immediate recall, and working memory; the performance of cued recall was improved after 12 months of the intervention. However, delayed recall and recognition remained significantly impaired. The caregiver reported that the daily life functioning of the participant improved. He could complete some daily tasks independently, and he has got a full-time job. Although the intervention was administered 26 months after the trauma, through PROMPT in memory rehabilitation, the participant was able to restore immediate recall and working memory. By improving self-awareness, the participant exhibited increased frequency of encoding the keyword of conversation and other compensatory strategies.

Language

Traditional Chinese

First Page

127

Last Page

137

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