Psychometric properties of the NIH Toolbox Cognition and Emotion Batteries among children and adolescents with congenital heart defects.

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Julia Wallace, Rafael Ceschin, Vince K Lee, Nancy H Beluk, Cheryl Burns, Sue Beers, Cecilia Lo, Ashok Panigrahy, Daryaneh Badaly
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Abstract

The NIH Toolbox offers brief, computerized measures of cognitive and psychosocial functioning. However, its psychometric properties were established among typically developing children and adolescents. The current study provides the first comprehensive assessment of its psychometric properties among young patients with congenital heart defects (CHD). We prospectively recruited 58 patients with CHD and 80 healthy controls between the ages of 6 and 17. Participants completed the NIH Toolbox Cognition and Emotion Batteries, a battery of clinician-administered neuropsychological tests, and ratings of their quality of life. Their parents also completed ratings of their functioning. On the Cognition Battery, we found expectable group differences and developmentally expected gains across ages. For the most part, composites and subtests were significantly correlated with neuropsychological measures of similar constructs. Higher scores were generally associated with ratings of better day-to-day functioning among children with CHD. On the Emotion Battery, we found no significant group differences, echoing prior research. For the most part, scales showed acceptable internal consistency among both groups. There was adequate construct coherence for most of questionnaires among healthy control but not participants with CHD. Correlations with a comparison tool were largely within expectable directions. The NIH Toolbox may provide a valid and useful assessment of cognitive functioning among youths with CHD. While it may offer reliable and valid scales of psychosocial functioning, further research is needed to understand the meaningfulness of the scales for participants with CHD.

美国国立卫生研究院工具箱认知和情绪测验在先天性心脏病儿童和青少年中的心理测量特性。
美国国立卫生研究院工具箱对认知和社会心理功能进行了简短的计算机化测量。不过,该工具箱的心理测量特性是在发育正常的儿童和青少年中建立的。本研究首次对先天性心脏缺陷(CHD)年轻患者的心理测量特性进行了全面评估。我们前瞻性地招募了 58 名先天性心脏病患者和 80 名健康对照者,他们的年龄在 6 到 17 岁之间。受试者完成了 NIH 工具箱认知和情感测试、临床医生主持的神经心理学测试和生活质量评分。他们的父母也对他们的功能进行了评分。在认知能力测验中,我们发现各年龄组之间存在可预期的组间差异和发展预期收益。在大多数情况下,综合测试和分项测试与神经心理学对类似结构的测量结果有明显的相关性。在患有先天性心脏病的儿童中,较高的分数通常与较好的日常功能评价相关。在情绪测验中,我们没有发现明显的群体差异,这与之前的研究结果一致。在大多数情况下,两个群体的量表显示出可接受的内部一致性。在健康对照组中,大部分问卷都有足够的结构一致性,但在患有先天性心脏病的参与者中则没有。与对比工具的相关性基本在预期范围内。NIH 工具箱可为患有慢性阻塞性肺病的青少年提供有效且有用的认知功能评估。虽然它可以提供可靠有效的社会心理功能量表,但还需要进一步研究,以了解这些量表对患有先天性心脏病的参与者是否有意义。
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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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