临床医生评定的功能状态访谈与执行功能的关系。

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology-Adult Pub Date : 2024-09-01 Epub Date: 2022-06-11 DOI:10.1080/23279095.2022.2084619
Timothy J Arentsen, Whitney J Stubbs, Suzanne H Lease, Marcy C Adler, Elin Ovrebo, Jennifer L Jacobson
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引用次数: 0

摘要

自我报告和基于绩效的工具通常用于测量日常生活活动(ADL)和工具性日常生活活动。很少关注临床医生评定的指标。执行功能(EF)对功能独立性有显著贡献,功能状态测量的有效性已通过其与EF评分的关系进行了检验。目前的研究使用了一个美国老年退伍军人的临床样本,他们完成了神经认知评估(n = 266)。探讨了一种新的临床医生评定的功能状态访谈(FSI)的心理测量特性及其与EF测量的关系,包括正面评估组(FAB)和追踪测试(TMT-a和TMT-B)。两个FSI因素(IADL和ADL)出现,所有项目都像预测的那样强烈地加载到分量表上。EF与IADL呈强相关,但与ADL呈中小相关。在控制社会人口统计学变量的回归模型中,所有EF测量都对IADL模型有独特的贡献,但只有FAB和TMT-A对ADL模型有贡献。值得注意的是,TMT-B的显著地板效应可能限制了结果。总的来说,FSI是一个很有前途的措施,具有证明的内容有效性。因此,临床医生使用FSI结合多种信息来源对功能状态进行评分是初步支持的。
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The relationship of the clinician-rated Functional Status Interview with executive functioning.

Self/informant-report and performance-based instruments are typically used to measure activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Minimal attention has focused on clinician-rated measures. Executive functioning (EF) contributes significantly to functional independence, and the validity of functional status measures has been examined through its relationship to EF scores. The current study used a clinical sample of older U.S. Veterans who completed a neurocognitive evaluation (n = 266). The psychometric properties of a novel, clinician-rated Functional Status Interview (FSI) and its relationship to EF measures, including the Frontal Assessment Battery (FAB) and Trail Making Test (TMT-A and TMT-B), were explored. Two FSI factors (IADL and ADL) emerged with all items loading strongly onto the subscales as predicted. EF correlated strongly with IADL but had small to medium correlations with ADL. In regression models that controlled for sociodemographic variables, all EF measures uniquely contributed to the IADL model, but only FAB and TMT-A contributed to the model for ADL. Notably, results may have been limited by prominent floor effects on TMT-B. Overall, the FSI is a promising measure with demonstrated content validity. Thus, there is preliminary support for clinicians to incorporate multiple sources of information to rate functional status using the FSI.

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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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