患有神经发育疾病的个体的兄弟姐妹的神经认知和自我报告的心理社会和行为功能:一项使用远程自我管理测试的研究。

IF 1.8 4区 心理学 Q3 CLINICAL NEUROLOGY
Brittany Wolff, Vithor Rosa Franco, Iliana Magiati, Carmela F Pestell, Emma J Glasson
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引用次数: 0

摘要

目的:本研究比较和探讨了患有和不患有神经发育疾病(NDCs)的人的兄弟姐妹的神经认知特征,以及客观测试表现与自我报告的心理社会功能之间的关系。方法:患有和不患有NDC的人的兄弟姐妹(64名NDC和64名对照兄弟姐妹;平均年龄19.88岁 年,范围11-27 年,73.44%的女性,75.78%的白人)完成了自我报告问卷和自我管理的执行功能计算机神经认知测试。使用贝叶斯分析,我们检查了自我报告的心理社会功能和认知测试成绩之间的横断面关联,以及15岁以上EF的预测因素 月。结果:与对照组相比,NDC兄弟姐妹的工作记忆、抑制、注意力和转移较差,这是通过后向Corsi跨度、N-Back 2-Back任务、停止信号任务、持续注意力-反应任务的实验范式来衡量的,和威斯康星卡片分类测试(效应大小δ范围为0.49至0.64)。贝叶斯横截面网络显示,负面情绪反应和工作记忆困难是NDC兄弟网络的核心。超过15 几个月后,负面情绪反应、睡眠问题和焦虑,以及年龄和亚临床自闭症和多动症特征的影响,预测EF较差(k低测试分数)。自闭症患者和胎儿酒精谱系障碍患者的兄弟姐妹的神经认知和精神困难发生率高于其他NDC和对照组(贝叶斯因素 >20) 结论:神经认知困难与NDC兄弟姐妹对较差幸福感的跨诊断易感性有关。这些发现证明了远程在线认知测试的可行性,并强调了个体化预防和干预对NDC兄弟姐妹的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurocognitive and self-reported psychosocial and behavioral functioning in siblings of individuals with neurodevelopmental conditions: a study using remote self-administered testing.

Objective: This study compared and explored the neurocognitive profiles of siblings of persons with and without neurodevelopmental conditions (NDCs) and associations between objective test performance and self-reported psychosocial functioning.

Methods: Siblings of persons with and without NDCs (64 NDC and 64 control siblings; mean age 19.88 years, range 11-27 years, 73.44% female, 75.78% White Caucasian) completed self-report questionnaires and self-administered computerized neurocognitive tests of executive functioning (EF). Using Bayesian analyses, we examined cross-sectional associations between self-reported psychosocial functioning and cognitive test performance, and predictors of EF over 15 months.

Results: NDC siblings had poorer working memory, inhibition, attention, and shifting compared to controls, as measured by experimental paradigms on the backward Corsi span, N-Back 2-back task, Stop Signal Task, Sustained Attention to Response Task, and the Wisconsin Card Sorting Test (effect size δ ranging 0.49 to 0.64). Bayesian cross-sectional networks revealed negative emotion reactivity and working memory difficulties were central to the NDC sibling network. Over 15 months, poorer EF (k low test scores) was predicted by negative emotion reactivity, sleep problems, and anxiety, over and above effects of age and subclinical autistic and ADHD traits. Siblings of autistic individuals and persons with fetal alcohol spectrum disorder had higher rates of neurocognitive and psychiatric difficulties than other NDCs and controls (Bayes factors >20).

Conclusions: Neurocognitive difficulties were associated with transdiagnostic vulnerability to poorer wellbeing in NDC siblings. These findings demonstrate the feasibility of remote online cognitive testing and highlight the importance of individualized prevention and intervention for NDC siblings.

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来源期刊
CiteScore
3.20
自引率
4.50%
发文量
52
审稿时长
6-12 weeks
期刊介绍: Journal of Clinical and Experimental Neuropsychology ( JCEN) publishes research on the neuropsychological consequences of brain disease, disorders, and dysfunction, and aims to promote the integration of theories, methods, and research findings in clinical and experimental neuropsychology. The primary emphasis of JCEN is to publish original empirical research pertaining to brain-behavior relationships and neuropsychological manifestations of brain disease. Theoretical and methodological papers, critical reviews of content areas, and theoretically-relevant case studies are also welcome.
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