简短神经心理学测试对预测多发性硬化症功能结果的增量有效性。

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology-Adult Pub Date : 2025-03-01 Epub Date: 2023-02-11 DOI:10.1080/23279095.2023.2176766
Jeremy G Grant, Lisa J Rapport, Rachel Darling, Brigid Waldron-Perrine, Eva Bernitsas
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引用次数: 0

摘要

目的本研究探讨了多发性硬化症(MS)的功能结果与标准长度和简短认知筛查测量结果之间的关系:72名成年多发性硬化症患者接受了神经系统检查和认知筛查。方法:72 名多发性硬化症成人患者接受了神经系统检查和认知筛查,并完成了多发性硬化症认知功能最低评估(MACFIMS)标准版和简略版测试、简略版 aMACFIMS 和多发性硬化症国际认知评估简表(BICAMS)。功能结果包括神经系统残疾、生理和心理功能障碍以及就业状况:使用逻辑回归和 ROC 曲线分析法检验了标准长度测试和简略测试之间损伤分类的一致性。总体而言,简略测试版本与使用全长测试进行的损伤分类具有广泛的一致性。处理速度是神经残疾和就业状况的最强相关因素;即时回忆是主观身体功能障碍的最强预测因素。测试成绩对预测神经系统残疾和就业状况有独特价值,但对预测身体和心理功能障碍没有价值:这些研究结果在一定程度上支持在多发性硬化症评估中使用缩略测试,但仍需注意缩略测试带来的有效性损失。这些研究结果扩展了之前的研究,表明处理速度和即时回忆的简短测试可以提供有关客观功能结果的独特预测信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incremental validity of brief and abbreviated neuropsychological tests toward predicting functional outcomes in multiple sclerosis.

Objective: This study examined the relationships among functional outcomes and performance on standard-length and abbreviated cognitive screening measures for multiple sclerosis (MS).

Method: 72 adults with MS underwent neurological examination and cognitive screening. They completed standard-length and abbreviated versions of tests from the Minimal Assessment of Cognitive Function in MS (MACFIMS), the abbreviated aMACFIMS, and the Brief International Cognitive Assessment for MS (BICAMS). Functional outcomes included neurological disability, physical and psychological dysfunction, and employment status.

Results: Concordance of impairment classifications was examined between standard-length and abbreviated tests using logistic regression and ROC curve analyses. Overall, the abbreviated test versions showed a broad range of concordance with impairment classifications made using the full-length tests. Processing speed was the strongest correlate of neurological disability and employment status; immediate recall was the strongest predictor of subjective physical dysfunction. Test performance provided unique value toward predicting neurological disability and employment status, but not physical and psychological dysfunction.

Conclusions: The findings replicate some support for abbreviated tests in MS assessment, although caveats regarding loss of validity associated with abbreviation remain. The findings extend prior research showing that abbreviated tests of processing speed and immediate recall can provide unique predictive information regarding objective functional outcomes.

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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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