测量后天性脑损伤后自我意识的日常生活基础和工具活动认知意识量表:其有效性的初步证据。

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-07-01 Epub Date: 2023-11-08 DOI:10.1080/13854046.2023.2278822
Daniel Salazar-Frías, María Rodríguez-Bailón, Giorgia Ricchetti, Alba Navarro-Egido, María Jesús Funes
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引用次数: 0

摘要

目的:迫切需要可靠的工具来测量获得性脑损伤(ABI)患者跨认知功能领域的自我意识受损(ISA)。本研究的目的是评估Cog Awareness ADL量表的心理测量特性,这是一种新的自我代理差异方法,用于测量日常生活的基本活动和工具活动中的ISA。方法:这项多中心研究包括54名患者(无低ISA n = 33;严重ISA,n = 21)来自西班牙格拉纳达马拉加的四个门诊康复单位,以及51名健康对照。参与者和代理评分者完成了Cog意识ADL量表和患者能力评定量表(PCRS)。两个量表之间的一致性使用斯皮尔曼相关性和布兰德-奥特曼图进行评估。对SA、认知能力和人口统计学变量进行了分组比较。ROC曲线分析敏感性和特异性。结果:聚合有效性得到了与PCRS及其分量表的强相关性的支持(ρ在0.51至0.80之间,p 结论:Cog Awareness ADL量表被证明是一种可行、有效和临床的工具,可以评估西班牙ABI患者不同认知功能领域的ISA。
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The Cognitive Awareness Scale for Basic and Instrumental activities of daily living to measure self-awareness after acquired brain injury: Preliminary evidence of its validity.

Objective: There is a crucial need for reliable tools to measure impaired self-awareness (ISA) in patients with acquired brain injury (ABI) across cognitive-functional domains. The aim of this study was to assess the psychometric properties of the Cog-Awareness ADL Scale, which is a novel self-proxy discrepancy method for measuring ISA in both basic and instrumental activities of daily living. Methods: This multicenter study included 54 patients (no-low ISA n = 33; severe ISA, n = 21) from four outpatient rehabilitation units in Málaga-Granada, Spain, and 51 healthy controls. The participants and proxy raters completed the Cog-Awareness ADL Scale and the Patient Competency Rating Scale (PCRS). Agreement between both scales was assessed using Spearman's correlations and the Bland-Altman plot. Group comparisons were made on measures of SA, cognitive abilities and demographic variables. Sensitivity and specificity were analysed by ROC curve analysis. Results: Convergent validity was supported by strong correlations with the PCRS and its subscales (rho's ranging from 0.51 to 0.80, p < 0.01 for all). The Bland-Altman plot confirmed measurement agreement (only 3.70% of the scores were outside the 95% limits). External validity was demonstrated by effectively discriminating between healthy controls and ABI patients with no-low and severe ISA on each discrepancy index while controlling for cognitive/demographic variables. The Cog-Awareness ADL Scale showed optimal diagnostic accuracy (AUC = 0.95, sensitivity = 0.90, specificity = 0.90). Conclusions: The Cog-Awareness ADL Scale proved to be a feasible, valid, and clinical tool to assess ISA across different cognitive-functional domains, in Spanish ABI-patients.

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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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