"Cinderella was attacked by the big bad wolf, but the police saved her": intrusions and confabulations on story recall in Korsakoff's syndrome and alcohol-related cognitive impairments.

IF 1.5 4区医学 Q3 PSYCHIATRY Cognitive Neuropsychiatry Pub Date : 2023-03-01 DOI:10.1080/13546805.2022.2153658

Yvonne C M Rensen, Joukje M Oosterman, Paul A T M Eling, Roy P C Kessels

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Abstract

Background: The relation between confabulations and intrusions in patients with Korsakoff's syndrome (KS) and patients with alcohol-related cognitive impairments (ARCI) remains under debate. This study examines (1) differences in the production of confabulations and intrusions between patients with KS and ARCI, (2) whether an altered fairy tale induces more intrusions, and (3) whether different types of intrusions were significantly related to confabulations.

Methods: Twenty-three patients with KS and twenty-two patients with ARCI recalled three different types of stories: a novel story, a fairy tale, and a modified fairy tale. Different types of intrusions were correlated with confabulation measures.

Results: Patients with KS produced more intrusions in the modified fairy tale condition than patients with ARCI, but these were unrelated to confabulations. Only unrelated intrusions were related to provoked confabulations.

Conclusions: The results of this study indicate that researchers and clinicians must be aware that in general, intrusions on memory tests should not be interpreted as confabulations. Especially spontaneous confabulations appear to be something completely different from intrusions on any type of story recall. When measuring confabulations it is crucial to use validated instruments.

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“灰姑娘被大灰狼袭击了，但警察救了她”:关于科尔萨科夫综合症和酒精相关认知障碍的故事回忆的侵入和虚构。

背景:Korsakoff综合征(KS)患者和酒精相关认知障碍(ARCI)患者的虚构和侵入之间的关系仍在争论中。本研究探讨了(1)KS和ARCI患者虚构和侵入的产生差异，(2)一个改变的童话是否会诱发更多的侵入，以及(3)不同类型的侵入是否与虚构有显著关系。方法:23例KS患者和22例ARCI患者回忆三种不同类型的故事:小说故事、童话故事和修改童话故事。不同类型的入侵与虚构措施相关。结果:在改良童话条件下，KS患者比ARCI患者产生更多的侵入，但这与虚构无关。只有不相关的入侵与挑起的虚构有关。结论:这项研究的结果表明，研究人员和临床医生必须意识到，在一般情况下，入侵记忆测试不应该被解释为虚构。特别是自发的虚构似乎与任何类型的故事回忆的侵入完全不同。当测量虚构时，使用经过验证的仪器是至关重要的。

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来源期刊

Cognitive Neuropsychiatry PSYCHIATRY-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： Cognitive Neuropsychiatry (CNP) publishes high quality empirical and theoretical papers in the multi-disciplinary field of cognitive neuropsychiatry. Specifically the journal promotes the study of cognitive processes underlying psychological and behavioural abnormalities, including psychotic symptoms, with and without organic brain disease. Since 1996, CNP has published original papers, short reports, case studies and theoretical and empirical reviews in fields of clinical and cognitive neuropsychiatry, which have a bearing on the understanding of normal cognitive processes. Relevant research from cognitive neuroscience, cognitive neuropsychology and clinical populations will also be considered. There are no page charges and we are able to offer free color printing where color is necessary.

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