외상성 뇌손상 환자들의 K-WAIS와 K-MAS 수행 패턴 비교

Abstract

Objective: The purpose of the present study was to examine the clinical characteristic of cognitive deficit in traumatic brain injury(TBI) patients, using the Korean version of Memory Assessment Scale(K-MAS) and Korean version of Wechsler Adult Intelligence Scale(K-WAIS). Method: Subjects were divided into three group; a) traumatic brain injury patients with amnestic disorder(AD : N=16), b) traumatic brain injury patients without amnestic disorder(NAD : N=14), c) as clinical control group, patients with traumatic experience, no brain injury(NBL : N=16). Result: Three groups showed no difference in age and education level. Three groups showed no significant differences in FSIQ, VIQ, PIQ, subtests scores in K-WAIS, and all groups showed lower PIQ than VIQ. AD group showed less total MQ, verbal memory and visual memory than NAD and NBL groups, no significant differences between NAD and NBL groups in K-MAS. Three groups showed no significant differences in immediate memory scale. The other hand, AD group showed less word learning, recall(word, sentence), facial immediate recognition, visual recall and visual delayed recognition than NAD and NBL groups, but no significant differences between NAD and NBL groups. AD group showed less facial delayed recognition, visual immediate recognition than NAD groups, but no significant differences between AD and NBL groups. Conclusion: Patients with traumatic experience not depending on brain injury had attention problem. Traumatic brain injury patients regardless of amnestic disorder(AD, NAD groups) showed less delayed memory than immediate memory. These results suggest that significant differences between immediate memory and delayed memory are sensitive to detect brain injury.