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List learning and paragraph recall in lateralized cerebral disease
Abstracts of l 5th Annual Meeting
367
Batchelor, E. S. Success Rates in Recovery from Mild and Moderate Brain Injury Using a Community Re-lntegration Model. A prospective study was designed and implemented, comparing success rates of functional outcomes for individuals with mild and moderate brain injury who completed a comprehensive community re-entry day treatment rehabilitation program versus those who did not. Adults with mild and moderate brain injury were referred for community re-entry programming. Fifty-six of these patients completed the program. Thirty-six of these patients never entered the program. Outcomes were assessed 12 months after treatment ended for those who completed the program. Outcomes for these never entering the program were measured 12 months after referral was made. Successful outcome was defined by return to school, work, and workshop placement. Comparison of success rates using Chi Square analysis revealed a significant difference between groups. The treatment group maintained a success rate of 93% at the 12-month period, as compared to non-treatment group whose success rate was 42%. Forty-six percent of the treatment group were back at their original job. Twenty percent of the treatment group were in school. Eighteen percent were placed in a new job. Five percent were in a volunteer position or sheltered workshop setting. Nine percent of the group showed no functional improvement based on treatment criterion. Results suggest that day treatment community reintegration programs for adults with mild and moderate brain injury are beneficial in maximizing functional outcomes.
Bayless, J. D., & Meyers, J. E. List Learning and Paragraph Recall in Lateralized Cerebral Disease. The current study investigated prose recall and list learning in 30 patients with unilateral cerebrovascular disease using the WMS-Revised Logical Memory Subtest (LM) and the Rey Auditory Verbal Learning Test (AVLT). Previous study found a surprisingly weak correlation (.41) and only 18% concordance of deficit rating between the original WMS LM Task and the AVLT in patients with closed head injury. Subjects were consecutive acute rehabilitation admissions who were administered the tests as part of a brief neuropsychological screening battery. Seventeen patients had left hemisphere disease (LBD Group), and 13 patients had right hemisphere disease (RBD Group). Using norms from the WMS-R Manual (1987) and from Geffen et al. (1990), standard scores (SS) were calculated to allow comparability; the lowest possible SS was limited to -3.0 SD to prevent an unwanted "floor effect" in AVLT performances. Correlation between these two verbal memory tests was remarkably low in the LBD Group (-.162), and only modest in the RBD Group (.475). However, the LBD Group obtainedsignificantly lower scores than the RBD Group in both the LM and AVLT, with somewhat lower mean scores in the list learning task for both groups. In contrast to findings in head injured patients, concordance of deficit rating (using a 10th percentile cut-off), was much greater, with 77% agreement overall (82% for LBD and 69% for RBD Groups). It was concluded that the two memory tests (a) appear to be useful in demonstrating laterality effects (b) similar in capacity to detect impairment, yet (c) probably reflect different aspects of verbal mnestic functioning. Beers, S. R. Childhood Systemic Lupus Erythematosus: Cognitive Changes Associated With Corticosteroid Therapy in an Adolescent Female. Systemic lupus erythematosus (SLE) is a multi-system, chronic inflammatory disease. Once considered rare in childhood, SLE is more frequently seen in children. Although few studies have investigated the cognitive functioning in these children, central nervous system (CNS)
367
Batchelor, E. S. Success Rates in Recovery from Mild and Moderate Brain Injury Using a Community Re-lntegration Model. A prospective study was designed and implemented, comparing success rates of functional outcomes for individuals with mild and moderate brain injury who completed a comprehensive community re-entry day treatment rehabilitation program versus those who did not. Adults with mild and moderate brain injury were referred for community re-entry programming. Fifty-six of these patients completed the program. Thirty-six of these patients never entered the program. Outcomes were assessed 12 months after treatment ended for those who completed the program. Outcomes for these never entering the program were measured 12 months after referral was made. Successful outcome was defined by return to school, work, and workshop placement. Comparison of success rates using Chi Square analysis revealed a significant difference between groups. The treatment group maintained a success rate of 93% at the 12-month period, as compared to non-treatment group whose success rate was 42%. Forty-six percent of the treatment group were back at their original job. Twenty percent of the treatment group were in school. Eighteen percent were placed in a new job. Five percent were in a volunteer position or sheltered workshop setting. Nine percent of the group showed no functional improvement based on treatment criterion. Results suggest that day treatment community reintegration programs for adults with mild and moderate brain injury are beneficial in maximizing functional outcomes.
Bayless, J. D., & Meyers, J. E. List Learning and Paragraph Recall in Lateralized Cerebral Disease. The current study investigated prose recall and list learning in 30 patients with unilateral cerebrovascular disease using the WMS-Revised Logical Memory Subtest (LM) and the Rey Auditory Verbal Learning Test (AVLT). Previous study found a surprisingly weak correlation (.41) and only 18% concordance of deficit rating between the original WMS LM Task and the AVLT in patients with closed head injury. Subjects were consecutive acute rehabilitation admissions who were administered the tests as part of a brief neuropsychological screening battery. Seventeen patients had left hemisphere disease (LBD Group), and 13 patients had right hemisphere disease (RBD Group). Using norms from the WMS-R Manual (1987) and from Geffen et al. (1990), standard scores (SS) were calculated to allow comparability; the lowest possible SS was limited to -3.0 SD to prevent an unwanted "floor effect" in AVLT performances. Correlation between these two verbal memory tests was remarkably low in the LBD Group (-.162), and only modest in the RBD Group (.475). However, the LBD Group obtainedsignificantly lower scores than the RBD Group in both the LM and AVLT, with somewhat lower mean scores in the list learning task for both groups. In contrast to findings in head injured patients, concordance of deficit rating (using a 10th percentile cut-off), was much greater, with 77% agreement overall (82% for LBD and 69% for RBD Groups). It was concluded that the two memory tests (a) appear to be useful in demonstrating laterality effects (b) similar in capacity to detect impairment, yet (c) probably reflect different aspects of verbal mnestic functioning. Beers, S. R. Childhood Systemic Lupus Erythematosus: Cognitive Changes Associated With Corticosteroid Therapy in an Adolescent Female. Systemic lupus erythematosus (SLE) is a multi-system, chronic inflammatory disease. Once considered rare in childhood, SLE is more frequently seen in children. Although few studies have investigated the cognitive functioning in these children, central nervous system (CNS)