Efecto de un programa de rehabilitación neuropsicológica en memoria de trabajo y su impacto en el funcionamiento adaptativo de una adulta con discapacidad intelectual leve.

This study evaluated the effectiveness of a neuropsychological rehabilitation program targeting working memory and its impact on adaptive behavior in a 20-year-old woman with mild intellectual disability (ID) and a history of craniopharyngioma. Using a single case A-B quasi-experimental design, the 26-session intervention combined cognitive training with ecological strategies (e.g., cooking tasks). Primary outcomes were measured using the BRIEF-A (adaptive behavior) and BANFE-2 (working memory). Results showed clinically significant improvements: working memory scores increased by 19 points on the BANFE-2, while BRIEF-A ratings decreased from 76 to 64, indicating better adaptive functioning. The program particularly enhanced instruction-following, task organization, and daily initiative. However, limited progress was observed in self-monitoring and organizational skills. The findings highlight: 1) the crucial relationship between working memory and adaptive behavior in ID, 2) the effectiveness of ecologically-grounded interventions, and 3) the BRIEF-A's sensitivity to detect clinically relevant changes. Key limitations include the single-case design, potential institutionalization bias, and unmeasured long-term effects. This study provides evidence that targeted cognitive rehabilitation can improve real-world functioning in ID populations, though future research should incorporate control groups and longitudinal follow-ups to strengthen causal inferences and assess effect durability. The results support the development of integrated interventions combining cognitive training with psychosocial support for this clinical population.

• Autores: Posada Calderón, Sebastián
• Fecha de publicación: 2025
• Institución: Universidad de San Buenaventura
• Repositorio: Repositorio USB
• Idioma: spa
• OAI Identifier: oai:bibliotecadigital.usb.edu.co:10819/26683
• Acceso en línea: https://hdl.handle.net/10819/26683
• Palabra clave: 150 - Psicología::153 - Procesos mentales conscientes e inteligencia; Trastornos Mentales; Discapacidad; Factores socioculturales; Memoria de trabajo; Discapacidad intelectual leve; Rehabilitación neuropsicológica; Conducta adaptativa; Caso único; Craneofaringioma adamantinomatoso; Working memory; Mild intellectual disability; Neuropsychological rehabilitation; Adaptive behavior; Adamantinomatous craniopharyngioma; Single case
• Rights: openAccess
• License: http://purl.org/coar/access_right/c_abf2