西班牙文版前额叶评估测验（FAB-E）的心理测量特性和具有代表性的成人样本的标准值。

Neurologia Pub Date : 2024-10-01 DOI:10.1016/j.nrleng.2022.09.004

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引用次数: 0

摘要

背景介绍额叶评估测试（Frontal Assessment Battery）是一种用于评估执行功能（EF）的简短床边测试。本研究的目的首先是评估西班牙版前额叶评估测验（FAB-E）在代表性样本中的心理测量学特性，其次是根据年龄和教育水平确定执行功能受损的临界点：方法：798 名年龄在 19 至 91 岁之间的西班牙健康成年受试者参与了这项研究。我们使用 FAB-E、迷你精神状态检查（MMSE）和寻迹测验（TMT）对受试者进行了神经心理学评估。我们考察了内部一致性、类内相关性、重测可靠性、并发效度和发散效度。此外，我们还根据不同年龄组和教育程度的第 5 百分位数确定了检测执行功能障碍的临界点：FAB-E的心理测量学特性分析表明，TMT（r = -0.523）、MMSE（r = 0.426）和FAB-E之间具有良好的内部一致性（Cronbach's α = 0.60）、类内相关性（0.72）、测试-再测信度（0.70）以及并发和发散效度。各年龄组的分界点分别为：≤29 岁组 16 分，30-39 岁组 15 分，40-49 岁组和 50-59 岁组 14 分，60-69 岁组 12 分，≥70 岁组 10 分：心理测量分析表明，FAB-E 具有良好的有效性和可靠性。因此，FAB-E 可作为评估西班牙健康人群 EF 的有用工具。此外，这项研究还提供了参考数据信息，对临床医生和研究人员非常有价值。

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Psychometric properties of the Spanish version of the Frontal Assessment Battery (FAB-E) and normative values in a representative adult population sample

Background

The Frontal Assessment Battery is a short bedside test used to assess executive functions (EF). The aims of the present study were, first, to evaluate the psychometric proprieties of the Spanish version of the FAB (FAB-E) in a representative sample, and second, to establish cut-off points for impairment in executive function according to age and education level.

Methods

A sample of 798 healthy Spanish adult subjects aged 19 to 91 participated in this study. Neuropsychological assessment of participants was conducted using the FAB-E, Mini-Mental State Examination (MMSE) and Trail Making Test (TMT). We examined internal consistency, intraclass correlation, test-retest reliability, and concurrent and divergent validity. In addition, we established a cut-off point for detecting executive function impairment based on the 5th percentile by age group and education level.

Results

The analysis of the psychometric properties of the FAB-E showed good internal consistency (Cronbach’s α = 0.60), intraclass correlation (0.72), test-retest reliability (0.70) and concurrent and divergent validity between the TMT (r = −0.523), MMSE (r = 0.426) and the FAB-E. The cut-off points for each age group were 16 points for the ≤ 29 group, 15 points for the 30-39 group, 14 points for the 40-49 and 50-59 groups, 12 points for the 60-69 group, and 10 points for the ≥ 70 age group.

Conclusions

The psychometric analysis showed that the FAB-E has good validity and reliability. Thus, FAB-E may be a helpful tool to evaluate EF in a healthy Spanish population. In addition, this study provides information on reference data that will be very valuable for clinicians and researchers.

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来源期刊

Neurologia

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审稿时长

53 weeks