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Evaluating the Equivalency of Teletesting and the Impact of the COVID-19 Pandemic on Measures of Reading Achievement in a Clinically Referred Sample. 评估远程测试的等效性以及COVID-19大流行对临床参考样本阅读成绩测量的影响
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2025-01-09 DOI: 10.1093/arclin/acae120
Rebecca W Lieb, Lisa A Jacobson, Luther G Kalb, Alison E Pritchard, Shelley M McDermott, Natasha N Ludwig, Rachel K Peterson, Rowena Ng, Danielle Wexler

Objective: The COVID-19 pandemic highlighted the need to build an evidence base to support teletesting as an equivalent modality for standardized neuropsychological assessment. As such, the purpose of this study was twofold. First, this study evaluated teletesting equivalency of standardized reading achievement measures during COVID-19 in children ages 6-16. Further, to examine the impact of COVID-19 on reading, achievement scores were compared in two samples of children assessed before and during COVID-19.

Methods: Participants were referred for testing at an outpatient neuropsychology clinic at an urban, academic medical center. Aim one compared assessments administered in-person (n = 1039) versus teletesting (n = 283). A two one-sided test (TOST) was used to determine equivalency. Aim two compared children seen pre-COVID-19 (n = 2125) and during COVID-19 (n = 1322) including a subsample of elementary school-aged children. One-way analyses of covariance were employed, with insurance type and Wechsler Intelligence Scale for Children, Fifth Edition Matrix Reasoning (as a proxy for nonverbal IQ) included as covariates.

Results: Results showed equivalence in reading achievement scores administered via teletesting compared to in-person during COVID-19. For aim two, Nonsense Word Decoding scores were significantly higher for the COVID-19 group compared to the pre-COVID-19 group (p = 0.03). No other significant differences in reading scores were found between groups, including no differences among a subsample of elementary school-aged children (ages 6-10; all ps > 0.05).

Conclusions: This provides additional support for teletesting equivalency and suggests the negative impact of COVID-19 on foundational reading skills is less than predicted in a clinically referred sample.

目的:2019冠状病毒病大流行凸显了建立证据基础的必要性,以支持远程测试作为标准化神经心理评估的等效方式。因此,这项研究的目的是双重的。首先,本研究评估了6-16岁儿童在COVID-19期间标准化阅读成就措施的远程测试等效性。此外,为了研究COVID-19对阅读的影响,研究人员比较了在COVID-19之前和期间评估的两个儿童样本的成绩得分。方法:参与者被转介到城市学术医疗中心的门诊神经心理学诊所进行测试。目的一比较了亲自进行的评估(n = 1039)和远程测试(n = 283)。采用双单侧检验(TOST)来确定等效性。目标二比较了COVID-19前(n = 2125)和COVID-19期间(n = 1322)的儿童,其中包括小学学龄儿童的子样本。采用单向协方差分析,协变量包括保险类型和韦氏儿童智力量表,第五版矩阵推理(作为非语言智商的代理)。结果:结果显示,在COVID-19期间,远程测试的阅读成绩得分与现场测试相当。对于目标二,与COVID-19前组相比,COVID-19组的无意义单词解码得分显着更高(p = 0.03)。各组之间在阅读成绩上没有发现其他显著差异,包括小学学龄儿童(6-10岁;p < 0.05)。结论:这为远程测试等效性提供了额外的支持,并表明COVID-19对基础阅读技能的负面影响低于临床参考样本的预测。
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引用次数: 0
Social Determinants of Health and Cross-Sectional Cognitive Intra-Individual Variability in Adults from the Deep South Living with HIV. 健康的社会决定因素和横断面认知个体内变异从深南方生活的成年人艾滋病毒。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2025-01-08 DOI: 10.1093/arclin/acae126
Victor A Del Bene, Pariya L Fazeli, Jason A Blake, Wei Li, Christopher Collette, Kristen L Triebel, Jun Y Byun, Alexandra E Jacob, Vidyulata Kamath, David E Vance

Cognitive intra-individual variability (IIV) is a sensitive marker of neuropathology and is increased in people with HIV (PWH). In a sample of PWH from the United States Deep South, we examined the relationship of cognitive IIV with cognitive impairment and social determinants of health (SDoH). This secondary analysis included 131 PWH from a larger cognitive training protocol. Our primary outcome measure was the coefficient of variation (CoV). We also included the individual standard deviation (iSD), with both calculated from demographically adjusted T-scores and unadjusted sample-based scores. Mixed-effects models investigated the relationship between IIV and cognitive impairment severity (i.e., Global Rating Score), SDoH, and clinical variables. Bivariate correlations were used to further explore these relationships. Greater cognitive IIV was associated with greater cognitive impairment in PWH, when accounting for demographic factors. When IIV is calculated from the sample, then IIV is no longer associated with cognitive impairment, but is associated with race (>IIV in Black and African American participants). Demographically adjusted IIV is associated with global cognition, Wide Range Achievement Test-Fourth Edition reading score, and viral load (iSD only). No correlations were significant when using the unadjusted sample-based IIV metrics. In PWH from the Deep South, greater cognitive variability is seen in those with greater cognitive impairment, in Black participants, and in those with lower reading scores. Further research on the psychometric properties of IIV in HIV and other populations is needed, as results varied depending on the normative adjustments.

认知个体内变异性(IIV)是神经病理学的敏感标志物,在HIV (PWH)患者中增加。在一个来自美国南部腹地的PWH样本中,我们研究了认知iv与认知障碍和健康的社会决定因素(SDoH)的关系。这一次要分析包括来自更大的认知训练方案的131 PWH。我们的主要结局指标是变异系数(CoV)。我们还纳入了个体标准偏差(iSD),两者都是通过人口统计学调整后的t分数和未调整的样本分数计算得出的。混合效应模型研究了IIV与认知障碍严重程度(即Global Rating Score)、SDoH和临床变量之间的关系。双变量相关性用于进一步探讨这些关系。当考虑到人口因素时,PWH患者的认知IIV越高,认知障碍越严重。当从样本中计算出IIV时,那么IIV不再与认知障碍有关,而是与种族有关(黑人和非裔美国人参与者的IIV为100)。人口统计学调整后的IIV与全球认知、广域成就测试第四版阅读分数和病毒载量(仅限iSD)有关。当使用未调整的基于样本的IIV指标时,相关性不显著。在来自南方腹地的PWH中,认知障碍更严重的人、黑人参与者和阅读分数较低的人的认知差异更大。需要进一步研究艾滋病毒和其他人群中艾滋病毒的心理测量特性,因为结果因规范调整而异。
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引用次数: 0
Replicating the Expected and the Unexpected: Neuropsychological and Symptom Profiles in a Neurotypical Romanian-English Bilingual Sample. 复制预期和意外:神经典型罗马尼亚-英语双语样本的神经心理学和症状概况。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2025-01-08 DOI: 10.1093/arclin/acae125
Iulia Crișan, Cătălina Bunghez, Luisa Avram, Alexandru Pîrciu, Laszlo A Erdodi

Establishing the effect of limited English proficiency (LEP) on cognitive performance within linguistically diverse populations is central to cross-cultural neuropsychological assessments. The present study was designed to replicate previous research on cognitive profiles in Romanian-English bilinguals. Seventy-six participants (54 women, MAge = 23.16, SDAge = 5.91; MEducation = 14.49, SDEducation = 1.57) completed a neuropsychological battery in English. The Digit Span, Animal and Emotion Fluency, and several symptom-report scales were also administered in Romanian. Performance patterns were similar to previous findings: verbal fluency, auditory verbal learning, and picture and speeded color naming were highly sensitive to LEP. In contrast, visuomotor processing speed and mental flexibility were robust to LEP. Participants performed better when ability tests were administered in their native language; there was no difference on symptom inventories. Test performance was related to the degree of LEP, operationalized as performance on the Boston Naming Test-Short Form. Level of verbal mediation and LEP are independent predictors of cognitive performance. Administering tests in the native language may provide a more accurate measure of cognitive functioning in examinees with LEP (especially at the low end of English proficiency). Developing population-specific norms is a necessary safeguard against the multiple confounding factors in the neuropsychological assessment of individuals with LEP.

建立有限英语熟练程度(LEP)对不同语言人群认知表现的影响是跨文化神经心理学评估的核心。本研究旨在重复先前对罗马尼亚语-英语双语者认知概况的研究。76名参与者(女性54名,MAge = 23.16, SDAge = 5.91;教育程度= 14.49,教育程度= 1.57)用英语完成了神经心理学测试。数字广度、动物和情绪流畅性以及一些症状报告量表也用罗马尼亚语进行了管理。表现模式与先前的发现相似:语言流畅性、听觉语言学习、图片和快速颜色命名对LEP高度敏感。相比之下,视觉运动加工速度和心理灵活性对LEP具有鲁棒性。当用母语进行能力测试时,参与者表现更好;两组在症状量表上无差异。测试表现与LEP的程度有关,并以Boston Naming Test- short Form的表现进行操作。言语中介水平和LEP水平是认知表现的独立预测因子。用母语进行测试可以更准确地衡量LEP考生的认知功能(尤其是英语水平较低的考生)。在LEP患者的神经心理评估中,制定人群特异性规范是防止多重混杂因素的必要保障。
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引用次数: 0
Facial Emotion Recognition and its Associations With Psychological Well-Being Across Four Schizotypal Dimensions: a Cross-Sectional Study. 面部情绪识别及其与四个分裂型维度的心理健康的关联:一项横断面研究。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2025-01-02 DOI: 10.1093/arclin/acae123
Penny Karamaouna, Chrysoula Zouraraki, Elias Economou, Panos Bitsios, Stella G Giakoumaki

Objective: The present study aimed to examine facial emotion recognition in a sample from the general population with elevated schizotypal traits, as defined by the four-factor model of schizotypy, and the association of facial emotion recognition and the schizotypal dimensions with psychological well-being.

Method: Two hundred and thirty-eight participants were allocated into four schizotypal groups and one control group. Following a cross-sectional study design, facial emotion recognition was assessed with a computerized task that included images from the Radboud Faces Database, schizotypal traits were measured with the Schizotypal Personality Questionnaire, and psychological well-being was evaluated with the Flourishing scale.

Results: The results revealed distinct patterns of performance across the schizotypal groups and the application of a dimensional approach that included all participants as one group indicated specific associations between the four schizotypal dimensions and psychological well-being. Specifically, (a) negative schizotypes showed poor identification of sadness and fear potentially due to the activation of coping mechanisms, (b) disorganized schizotypes inaccurately recognized surprise, possibly reflecting the effects of disorganized thought on distinguishing this ambiguous emotion, and (c) psychological well-being was predicted by high cognitive-perceptual along with low negative and disorganized schizotypy as well as the accurate recognition of specific emotional states that are common in daily social interactions.

Conclusions: In conclusion, the study findings further advance the identification of emotion-processing difficulties in schizophrenia-vulnerable individuals and further highlight the need for highly personalized early intervention strategies.

研究目的本研究旨在对精神分裂症四因素模型所定义的精神分裂症患者的面部情绪识别能力进行研究,并探讨面部情绪识别能力和精神分裂症维度与心理健康之间的关系:方法:238 名参与者被分为四个精神分裂症组和一个对照组。按照横断面研究设计,面部情绪识别通过计算机化任务进行评估,该任务包括来自拉德布德面孔数据库的图像,精神分裂症型人格问卷测量了精神分裂症型特征,幸福量表评估了心理幸福感:结果显示,各精神分裂型人格群体的表现模式各不相同,而将所有参与者作为一个群体的维度方法的应用表明,精神分裂型人格的四个维度与心理健康之间存在着特定的联系。具体来说,(a) 阴性精神分裂症患者对悲伤和恐惧的识别能力较差,这可能是由于应对机制的激活;(b) 无组织精神分裂症患者对惊讶的识别不准确,这可能反映了无组织思维对区分这种模糊情绪的影响;(c) 认知知觉能力强、阴性精神分裂症和无组织精神分裂症程度低,以及能准确识别日常社会交往中常见的特定情绪状态,这些都预示着心理健康:总之,研究结果进一步推动了对精神分裂症易感人群情绪加工困难的识别,并进一步强调了高度个性化早期干预策略的必要性。
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引用次数: 0
Rates and Predictors of Performance Validity Test Failure in Adults Treated for Post-COVID-19 Condition: a Brief Report. 成人covid -19后病情治疗的效能效度测试失败率和预测因素:简要报告
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2025-01-02 DOI: 10.1093/arclin/acae122
Phoebe A Clark, Samantha Horn, Natalie Wang, Constantine G Lyketsos, Ann M Parker, Esther S Oh, Tracy D Vannorsdall

>objective: Cognitive dysfunction is a common symptom of post-COVID-19 condition (PCC). Few studies have examined rates and predictors of cognitive performance validity test (PVT) failure in patients seeking treatment for PCC.

>methods: We report the rates of PVT failure in 323 patients who received care in a long-COVID-19 clinic for any post-COVID-19 health concern and underwent routine telephone cognitive testing that included two embedded PVTs. Binary logistic regressions examined the demographic, illness, and psychological variables associated with PVT failure.

>results: The prevalence of single PVT failure ranged from 4.7% to 26.1% whereas failure on both PVTs occurred in just 6.3%. Illness characteristics, subjective cognitive dysfunction, and most demographic and psychological variables were unrelated to single PVT failure. Males and those with anxiety were more likely to fail both PVTs.

>conclusion: Failure across multiple PVTs was not common and was unrelated to COVID-19 severity or cognitive complaints.

目的:认知功能障碍是covid -19后疾病(PCC)的常见症状。很少有研究调查了寻求PCC治疗的患者认知表现效度测试(PVT)失败的比率和预测因素。>方法:我们报告了323名长期在covid -19诊所接受治疗的患者的PVT失败率,这些患者有任何covid -19后的健康问题,并接受了常规的电话认知测试,其中包括两个嵌入式PVT。二元逻辑回归检查了与PVT失败相关的人口统计学、疾病和心理变量。>研究结果:单次PVT衰竭的发生率从4.7%到26.1%不等,而双次PVT的发生率仅为6.3%。疾病特征、主观认知功能障碍以及大多数人口统计学和心理变量与单次PVT衰竭无关。男性和焦虑患者两项pvt测试都不及格的可能性更大。>结论:多次pvt失败并不常见,与COVID-19严重程度或认知障碍无关。
{"title":"Rates and Predictors of Performance Validity Test Failure in Adults Treated for Post-COVID-19 Condition: a Brief Report.","authors":"Phoebe A Clark, Samantha Horn, Natalie Wang, Constantine G Lyketsos, Ann M Parker, Esther S Oh, Tracy D Vannorsdall","doi":"10.1093/arclin/acae122","DOIUrl":"https://doi.org/10.1093/arclin/acae122","url":null,"abstract":"<p><strong>>objective: </strong>Cognitive dysfunction is a common symptom of post-COVID-19 condition (PCC). Few studies have examined rates and predictors of cognitive performance validity test (PVT) failure in patients seeking treatment for PCC.</p><p><strong>>methods: </strong>We report the rates of PVT failure in 323 patients who received care in a long-COVID-19 clinic for any post-COVID-19 health concern and underwent routine telephone cognitive testing that included two embedded PVTs. Binary logistic regressions examined the demographic, illness, and psychological variables associated with PVT failure.</p><p><strong>>results: </strong>The prevalence of single PVT failure ranged from 4.7% to 26.1% whereas failure on both PVTs occurred in just 6.3%. Illness characteristics, subjective cognitive dysfunction, and most demographic and psychological variables were unrelated to single PVT failure. Males and those with anxiety were more likely to fail both PVTs.</p><p><strong>>conclusion: </strong>Failure across multiple PVTs was not common and was unrelated to COVID-19 severity or cognitive complaints.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the Arabic Version of the Multiple Sclerosis Impact Scale (MSIS-29): a Rasch Analysis Study. 阿拉伯版多发性硬化影响量表(MSIS-29)的验证:一项Rasch分析研究。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2024-12-27 DOI: 10.1093/arclin/acae121
Walid Al-Qerem, Dunia Basem, Sawsan Khdair, Anan Jarab, Judith Eberhardt

Background: Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord. This cross-sectional study aimed to validate the Arabic version of the Multiple Sclerosis Impact Scale-29 (MSIS-29) using Rasch analysis to assess quality of life in Jordanian MS patients.

Method: Rasch analysis was conducted to evaluate the suitability of the model for the present study. Model fit was assessed by computing item/person separation reliability, infit and outfit mean square (MSQ) values, Cronbach's alpha, and the Akaike Information Criterion.

Results: A total of 301 MS patients were enrolled in the study. Significant likelihood ratios for all three scales (MSIS-29-PHYSICAL, MSIS-29-PSYCHOLOGICAL, and MSIS-29-TOTAL) supported the use of a partial credit Rasch model. An issue with disordered thresholds was resolved by collapsing adjacent response categories. Item reliability scores for MSIS-29-PHYS and MSIS-29-PSYCH were 0.95 and 0.89, respectively, while person reliability scores were 0.92 and 0.84, respectively. Infit and outfit MSQ were within the acceptable range for all items on the MSIS-29-PSYCH scale. However, for the MSIS-29-PHYS scale, item MSIS-29_17 exceeded the acceptable range in both infit (1.93) and outfit (1.82) MSQs, and item MSIS-29_20 exceeded the acceptable range in infit (1.81). The Wright map also indicated that most items were considered relatively easy by the respondents, exhibiting various difficulty levels on the latent scale.

Conclusion: The Arabic version of the MSIS-29 is a valid and reliable tool for evaluating quality of life in Jordanian MS patients.

背景:多发性硬化症(MS)是一种潜在的脑和脊髓致残疾病。本横断面研究旨在验证阿拉伯版本的多发性硬化症影响量表-29 (MSIS-29),使用Rasch分析来评估约旦多发性硬化症患者的生活质量。方法:采用Rasch分析法评价模型对本研究的适用性。模型拟合通过计算项目/人分离信度、内嵌和内嵌均方(MSQ)值、Cronbach’s alpha和赤池信息准则来评估。结果:共有301例MS患者入组研究。所有三个量表(MSIS-29-PHYSICAL, MSIS-29-PSYCHOLOGICAL和MSIS-29-TOTAL)的显著似然比支持部分信用Rasch模型的使用。通过折叠相邻的响应类别来解决阈值无序的问题。MSIS-29-PHYS和MSIS-29-PSYCH的项目信度得分分别为0.95和0.89,个人信度得分分别为0.92和0.84。在MSIS-29-PSYCH量表的所有项目中,Infit和outfit的MSQ都在可接受范围内。然而,对于MSIS-29-PHYS量表,项目MSIS-29_17在infit(1.93)和outfit(1.82)的MSQs中都超过了可接受范围,项目MSIS-29_20在infit(1.81)上超过了可接受范围。Wright地图还显示,大多数项目被受访者认为相对容易,在潜在量表上表现出不同的难度水平。结论:阿拉伯语版MSIS-29是评估约旦多发性硬化症患者生活质量的有效和可靠的工具。
{"title":"Validation of the Arabic Version of the Multiple Sclerosis Impact Scale (MSIS-29): a Rasch Analysis Study.","authors":"Walid Al-Qerem, Dunia Basem, Sawsan Khdair, Anan Jarab, Judith Eberhardt","doi":"10.1093/arclin/acae121","DOIUrl":"https://doi.org/10.1093/arclin/acae121","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord. This cross-sectional study aimed to validate the Arabic version of the Multiple Sclerosis Impact Scale-29 (MSIS-29) using Rasch analysis to assess quality of life in Jordanian MS patients.</p><p><strong>Method: </strong>Rasch analysis was conducted to evaluate the suitability of the model for the present study. Model fit was assessed by computing item/person separation reliability, infit and outfit mean square (MSQ) values, Cronbach's alpha, and the Akaike Information Criterion.</p><p><strong>Results: </strong>A total of 301 MS patients were enrolled in the study. Significant likelihood ratios for all three scales (MSIS-29-PHYSICAL, MSIS-29-PSYCHOLOGICAL, and MSIS-29-TOTAL) supported the use of a partial credit Rasch model. An issue with disordered thresholds was resolved by collapsing adjacent response categories. Item reliability scores for MSIS-29-PHYS and MSIS-29-PSYCH were 0.95 and 0.89, respectively, while person reliability scores were 0.92 and 0.84, respectively. Infit and outfit MSQ were within the acceptable range for all items on the MSIS-29-PSYCH scale. However, for the MSIS-29-PHYS scale, item MSIS-29_17 exceeded the acceptable range in both infit (1.93) and outfit (1.82) MSQs, and item MSIS-29_20 exceeded the acceptable range in infit (1.81). The Wright map also indicated that most items were considered relatively easy by the respondents, exhibiting various difficulty levels on the latent scale.</p><p><strong>Conclusion: </strong>The Arabic version of the MSIS-29 is a valid and reliable tool for evaluating quality of life in Jordanian MS patients.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuropsychological Functioning in Cognitively Normal, Older American Indians of the Southwestern United States. 认知正常的美国西南部老年印第安人的神经心理功能。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2024-12-26 DOI: 10.1093/arclin/acae116
Brittany Cerbone, Krista D Hanson, Vicky T Lomay, Meredith Wicklund, David A Weidman

Objective: There is a dearth of research on neuropsychological functioning and the validity of assessment measures in American Indian (AI) older adults. The present study sought to comprehensively examine neuropsychological functioning in cognitively normal AI older adults in the southwestern USA (i.e., Arizona).

Participants and methods: Ninety predominantly female participants (45 AIs and 45 non-Hispanic Whites) aged 44 years and older (mean age of mid-60s) were matched on age, decade, gender, and assessment battery. Participants were enrolled in the Arizona Alzheimer's Disease Center database. Data obtained included demographics, medical history, psychiatric variables, and raw neuropsychological scores. Analyses included ANCOVAs, chi-square, and stepwise multiple regression.

Results: AIs generally had lower performance across all neuropsychological measures compared with matched Whites, even after controlling for demographic variables. Performance between groups was most discrepant on several measures of global cognition, attention, executive functioning, and language, while performance was statistically comparable on measures of memory and visuospatial abilities. The AI group had higher proportions of diabetes and obesity, but results showed that higher cardiovascular risk was not predictive of lower cognitive performance with the exception of the Clinical Dementia Rating Scale-Sum of Boxes.

Conclusions: Findings suggest that older AIs perform lower on many neuropsychological measures compared with non-Hispanic Whites, even after controlling for demographic variables. This suggests that other factors, including language, culture, educational quality, overall health, socioeconomic status, and level of acculturation may be impacting test scores and need to be considered when assessing and diagnosing older AIs.

目的:目前缺乏对美国印第安老年人神经心理功能和评估方法有效性的研究。本研究旨在全面检查美国西南部(即亚利桑那州)认知正常的AI老年人的神经心理功能。参与者和方法:90名年龄在44岁及以上(平均年龄60岁左右)的主要女性参与者(45名ai和45名非西班牙裔白人)在年龄、年龄、性别和评估方式上进行匹配。参与者被登记在亚利桑那州阿尔茨海默病中心的数据库中。获得的数据包括人口统计、病史、精神变量和原始神经心理学评分。分析包括方差分析、卡方分析和逐步多元回归。结果:与匹配的白人相比,人工智能在所有神经心理学测量中的表现普遍较低,即使在控制了人口统计学变量之后也是如此。两组之间在整体认知、注意力、执行功能和语言方面的表现差异最大,而在记忆力和视觉空间能力方面的表现在统计上是可比的。人工智能组患有糖尿病和肥胖的比例更高,但结果显示,除了临床痴呆评定量表-方框总和外,心血管风险较高并不能预测认知表现较低。结论:研究结果表明,与非西班牙裔白人相比,老年人工智能在许多神经心理学指标上的表现较低,即使在控制了人口统计学变量之后也是如此。这表明其他因素,包括语言、文化、教育质量、整体健康、社会经济地位和文化适应水平可能会影响测试成绩,在评估和诊断老年人工智能时需要考虑这些因素。
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引用次数: 0
Adaptation and Validation of Version B of the Edinburgh Cognitive and Behavioural ALS Screen for the Portuguese Population. 爱丁堡认知与行为渐冻症筛查B版对葡萄牙人群的适应与验证。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2024-12-26 DOI: 10.1093/arclin/acae118
Sara Simão, Lucas L Naumann, Mamede de Carvalho, Miguel Oliveira Santos, Isabel Pavão Martins

Objective: This study aims to adapt and provide psychometric support for the validation of version B of the Edinburgh Cognitive and Behavioural ALS Screen (ECAS) for the Portuguese population, addressing the need for consistent cognitive evaluations in amyotrophic lateral sclerosis (ALS). A second culturally adapted ECAS screen facilitates the accurate characterization of ALS progression, mitigates learning effects, and supports tailored care management.

Methods: The adaptation process included forward-backward translation, cultural adaptation, and cognitive debriefing on a prospective sample of 193 ALS patients and 106 controls. A multiple regression analysis identified predictors relevant for establishing ECAS cut-off scores. Psychometric evaluations, including reliability assessments and tests of convergent, construct, and criterion validity, were conducted. Additionally, version A's psychometric properties were reevaluated with complementary analyses and a larger sample.

Results: Version B demonstrated good internal consistency with Cronbach's alpha of 0.802, comparable to the previously established version A. Moderate inter-item correlations further supported reliability, reflecting internal coherence. Equivalence testing between the Portuguese versions supported convergent validity, confirming version B's alignment with version A's theoretical framework. Exploratory factor analysis provided preliminary support for construct validity, and receiver operating characteristic analyses established cut-off values for both versions, revealing moderate sensitivity with a tendency toward false negatives, and higher specificity.

Conclusions: This study provided evidence for the cultural suitability, reliability, and validity of the Portuguese ECAS B. As evidence supports the equivalence of the Portuguese ECAS versions, they can be used for flexible screenings and applied with the calculated cut-off values to enhance diagnostic accuracy.

目的:本研究旨在为葡萄牙人群的爱丁堡认知和行为ALS筛查(ECAS) B版的验证提供心理测量学支持,解决肌萎缩侧索硬化症(ALS)一致认知评估的需求。第二个适应文化的ECAS筛查有助于准确表征ALS进展,减轻学习影响,并支持量身定制的护理管理。方法:对193例ALS患者和106例对照者进行前瞻性研究,适应过程包括正向向后翻译、文化适应和认知汇报。多元回归分析确定了与建立ECAS截止分数相关的预测因子。进行了心理测量评估,包括信度评估和趋同效度、结构效度和标准效度测试。此外,通过补充分析和更大的样本,对版本A的心理测量特性进行了重新评估。结果:B版本具有良好的内部一致性,Cronbach's alpha值为0.802,与先前建立的a版本相当。葡萄牙语版本之间的等效检验支持趋同效度,证实了B版本与A版本理论框架的一致性。探索性因子分析为构念效度提供了初步支持,接受者工作特征分析为两种版本建立了截断值,显示出中等敏感性,有假阴性倾向,特异性较高。结论:本研究为葡萄牙语ECAS b的文化适应性、可靠性和有效性提供了证据。由于证据支持葡萄牙语ECAS版本的等效性,它们可以用于灵活的筛查,并与计算的截止值一起应用,以提高诊断准确性。
{"title":"Adaptation and Validation of Version B of the Edinburgh Cognitive and Behavioural ALS Screen for the Portuguese Population.","authors":"Sara Simão, Lucas L Naumann, Mamede de Carvalho, Miguel Oliveira Santos, Isabel Pavão Martins","doi":"10.1093/arclin/acae118","DOIUrl":"https://doi.org/10.1093/arclin/acae118","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to adapt and provide psychometric support for the validation of version B of the Edinburgh Cognitive and Behavioural ALS Screen (ECAS) for the Portuguese population, addressing the need for consistent cognitive evaluations in amyotrophic lateral sclerosis (ALS). A second culturally adapted ECAS screen facilitates the accurate characterization of ALS progression, mitigates learning effects, and supports tailored care management.</p><p><strong>Methods: </strong>The adaptation process included forward-backward translation, cultural adaptation, and cognitive debriefing on a prospective sample of 193 ALS patients and 106 controls. A multiple regression analysis identified predictors relevant for establishing ECAS cut-off scores. Psychometric evaluations, including reliability assessments and tests of convergent, construct, and criterion validity, were conducted. Additionally, version A's psychometric properties were reevaluated with complementary analyses and a larger sample.</p><p><strong>Results: </strong>Version B demonstrated good internal consistency with Cronbach's alpha of 0.802, comparable to the previously established version A. Moderate inter-item correlations further supported reliability, reflecting internal coherence. Equivalence testing between the Portuguese versions supported convergent validity, confirming version B's alignment with version A's theoretical framework. Exploratory factor analysis provided preliminary support for construct validity, and receiver operating characteristic analyses established cut-off values for both versions, revealing moderate sensitivity with a tendency toward false negatives, and higher specificity.</p><p><strong>Conclusions: </strong>This study provided evidence for the cultural suitability, reliability, and validity of the Portuguese ECAS B. As evidence supports the equivalence of the Portuguese ECAS versions, they can be used for flexible screenings and applied with the calculated cut-off values to enhance diagnostic accuracy.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Just the Tip of the Iceberg: a Brief Report of the Tip-of-the-Tongue Score as an Embedded Validity Indicator for the Children's Auditory and Visual Naming Tests. 只是冰山一角:舌尖得分作为儿童听觉和视觉命名测试的嵌入效度指标的简要报告。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2024-12-22 DOI: 10.1093/arclin/acae117
Jared B Hammond, Jonathan D Lichtenstein

Objective: Explore the tip-of-the-tongue (TOT) scores from the Children's Auditory and Visual Naming Tests (cANT, cVNT) as embedded validity indicators (EVIs).

Method: A retrospective design of 98 consecutively referred youth aged 6-15 years (M = 11.28, SD = 2.80) that completed neuropsychological evaluation at a tertiary-care academic medical center.

Results: Invalid performance (i.e., ≥2 failed PVTs) occurred in 12.2% of the sample, with base rates of failure on individual PVTs ranging from 1.0% to 30.6%. Area under the curve (AUC) showed statistical significance for the auditory (AUC = 0.811, p = .004) but not the visual TOT. Logistic regression indicated the combination of both TOT scores with other PVTs increased correct identification of invalid performance to 85.7% versus 75% without TOT scores.

Conclusion: The utility of the TOT as a language-based EVI is one of many potential advantages of the cANT and cVNT compared to other confrontation naming tests. To confirm this, future studies with more diverse populations are warranted.

目的:探讨儿童听觉和视觉命名测验(can, cVNT)的舌尖(TOT)分数作为嵌入效度指标(EVIs)。方法:采用回顾性设计,对在某三级医疗学术中心完成神经心理评估的98例6 ~ 15岁青少年(M = 11.28, SD = 2.80)进行连续随访。结果:12.2%的样本中出现了无效的性能(即≥2个失败的pvt),单个pvt的基本失败率从1.0%到30.6%不等。曲线下面积(AUC)对听觉TOT有统计学意义(AUC = 0.811, p = 0.004),而对视觉TOT无统计学意义。逻辑回归表明,TOT分数与其他pvt的结合将无效表现的正确识别提高到85.7%,而没有TOT分数的只有75%。结论:与其他对抗命名测试相比,TOT作为基于语言的EVI的效用是can和cVNT的众多潜在优势之一。为了证实这一点,未来有必要对更多样化的人群进行研究。
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引用次数: 0
Case Reports in the Integration of Technology with Cognitive Rehabilitation for Individuals with Memory Concerns and Their Care Partners. 技术与认知康复对记忆问题个体及其护理伙伴的整合案例报告。
IF 2.1 4区 心理学 Q2 PSYCHOLOGY Pub Date : 2024-12-22 DOI: 10.1093/arclin/acae115
Karl S Grewal, Eric S Grewal, Allison Cammer, Lachlan A McWilliams, Raymond J Spiteri, Megan E O'Connell

Objective: Technology can be combined with psychological interventions to support older adults with memory concerns. Using a bi-phasic design, cognitive rehabilitation (CR) was integrated with off-the-shelf technology and delivered to two people with cognitive impairment, and one care partner.

Method: Pre- and post-intervention assessments were completed for all participants. Individuals with memory problems received pre- and post-intervention remote neuropsychological assessment (i.e., Rey auditory verbal learning test; mental alternations test; animal fluency), and the hospital anxiety and depression scale (HADS). The care partner completed the HADS, Zarit burden interview, and neuropsychiatric inventory questionnaire. Change metrics incorporated reliable change indices where possible. Goals were tracked using the Canadian occupation performance measure; these data were analyzed through visual inspection. A research journal (used to document intervention process) was analyzed thematically.

Results: Results cautiously suggested our integration was feasible and acceptable across several technologies and varying goals. Across participants, significant changes in goal progress suggested the integration of technology with CR successfully facilitated goal performance and satisfaction. The research journal underscored the importance of a visual component, intervention flexibility, and a strong therapeutic alliance in integrating technology and CR.

Conclusions: CR and technology present a promising avenue for supporting people living with cognitive impairment. Further exploration of technology and CR with a range of etiologies and target goals is warranted.

目的:技术可以与心理干预相结合来支持有记忆问题的老年人。采用双阶段设计,认知康复(CR)与现成的技术相结合,并提供给两名认知障碍患者和一名护理伙伴。方法:对所有受试者进行干预前和干预后的评估。有记忆问题的个体在干预前和干预后接受远程神经心理学评估(即Rey听觉语言学习测试;智力交替测验;动物流畅性)和医院焦虑抑郁量表(HADS)。护理伙伴完成HADS、Zarit负担访谈和神经精神量表问卷。变更度量在可能的情况下包含可靠的变更指数。使用加拿大职业绩效量表跟踪目标;这些数据是通过目测来分析的。对一份研究期刊(用于记录干预过程)进行了专题分析。结果:结果谨慎地表明我们的集成是可行的和可接受的,跨几种技术和不同的目标。在参与者中,目标进展的显著变化表明技术与企业责任的整合成功地促进了目标绩效和满意度。该研究杂志强调了视觉成分、干预灵活性以及技术和CR结合的强大治疗联盟的重要性。结论:CR和技术为支持认知障碍患者提供了一条有希望的途径。进一步探索技术和CR的一系列病因和目标是必要的。
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Archives of Clinical Neuropsychology
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