执行功能测试:美国讲西班牙语成年人的标准数据。

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY
Daniela Ramos Usuga, Diego Rivera, Bridget Xia, Carmen I Carrión, Gloria M Morel Valdés, Oswaldo Moreno, Miriam J Rodriguez, Denise Krch, Wongthipa Wongserbchart, Christin I Drago, Patricia García, Patricia M Rivera, Laiene Olabarrieta-Landa, Paul B Perrin, Juan Carlos Arango-Lasprilla
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引用次数: 0

摘要

背景:针对西班牙语人群,尤其是美国的西班牙裔人群的标准数据非常稀少:本研究旨在为美国讲西班牙语的西班牙裔人群建立执行功能测试(改良威斯康星卡片分类测试和 Stroop 色彩与文字测试)的标准数据:我们对来自美国八个州(加利福尼亚州、康涅狄格州、佛罗里达州、印第安纳州、新泽西州、俄勒冈州、弗吉尼亚州和威斯康星州)的 245 名年龄在 18-80 岁之间的人进行了评估,并采用贝叶斯回归法估计了常模,同时考虑了影响成绩的各种社会人口因素:后验分布表明,年龄影响 SCWT 成绩的可能性很大,老年人的成绩下降幅度可能更大,尤其是在西班牙语水平较高的人群中。后验分布表明,在美国居住时间较长的人中,年龄对 M-WCST 成绩的影响更大。受教育程度对 M-WCST 结果有显著的积极影响,受教育程度越低,错误增加的概率越高。教育程度与西班牙语水平之间存在相互作用,对不同水平的 SCWT 分数产生不同的影响。性别和文化适应水平相互作用,影响 SCWT 的成绩,男性和女性之间存在不同的模式。这表明,文化适应对认知测试成绩的影响可能因性别而异:结论:建立对文化敏感的常模数据可以提高对执行功能障碍的准确识别,减少误诊风险。这项研究强调了在神经心理学评估中考虑社会文化因素(包括文化适应性和语言能力)的重要性,以便更好地服务于不同人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Executive function tests: Normative data for Spanish-speaking adults in the United States.

Background: Normative data for Spanish-speaking populations, particularly Hispanics in the U.S., is notably scarce.

Objective: This study aims to establish normative data for executive function tests (Modified Wisconsin Card Sorting Test and Stroop Color and Word Test) among Spanish-speaking Hispanics in the U.S.

Methods: We assessed 245 individuals aged 18-80 from eight U.S. states (California, Connecticut, Florida, Indiana, New Jersey, Oregon, Virginia, and Wisconsin) and employed Bayesian regression to estimate norms, considering various sociodemographic factors influencing performance.

Results: The posterior distribution suggests a high probability that age impacts SCWT performance, with older adults likely to show greater declines, particularly among those with high proficiency in Spanish. The posterior distribution suggests a stronger effect of age on M-WCST performance among individuals with longer U.S. residency. Educational attainment demonstrates a robust positive impact on M-WCST outcomes, with lower levels of education associated with a higher probability of increased errors. An interaction between education and Spanish proficiency was observed, influencing SCWT scores differently across proficiency levels. Sex and acculturation levels interact to affect SCWT performance, with distinct patterns observed between men and women. This suggests that the impact of acculturation on cognitive test performance may vary by gender.

Conclusion: Establishing culturally sensitive normative data can enhance accurate identification of executive dysfunction and reduce misdiagnosis risks. This study underscores the importance of considering sociocultural factors including acculturation and language proficiency in neuropsychological assessments to better serve diverse populations.

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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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