儿童短暂记忆评估:ChAMP筛查指数能检测记忆障碍吗?

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2024-07-01 Epub Date: 2023-10-02 DOI:10.1080/09297049.2023.2259540
Brian L Brooks, William S MacAllister, Taryn B Fay-McClymont, Sandra Mish, Marsha Vasserman, Elisabeth M S Sherman
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引用次数: 0

摘要

缩写记忆电池在一些临床和研究评估中发挥着作用,但其有效性和准确性需要得到很好的支持。本研究的目的是检验ChAMP筛查指数检测记忆障碍的准确性。样本包括N = 804名青年(5-21岁) 年)进行医学和神经诊断,并进行临床神经心理学评估。所有人都完成了完整的儿童和青少年记忆档案,并有有效的数据。ChAMP筛选指数包含电池的前两个子测试(列表和对象),管理大约需要10分钟(完整的ChAMP大约需要35分钟)。用总记忆指数和延迟记忆指数检查ChAMP筛查指数准确性的分析包括组内相关性、Cohen’s Kappa系数、受试者操作特征和分类指标(如敏感性、特异性、阳性预测值[PPV]和阴性预测值[NV])。非常强的相关性、最小的平均差分、kappa系数的基本一致性以及出色的受试者操作特性都支持筛选指数的准确性。筛选指数70的截止分数在总记忆指数的高PPV(.91)和高NPV(.96)之间提供了良好的平衡。当检测到延迟记忆指数受损时,65分的筛查指数临界值可以在高PPV(.92)和高NPV(.94)之间取得平衡。本研究支持10分钟ChAMP筛查指数在需要对记忆进行简要评估的临床和研究情况下的准确性、有效性和实用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brief memory assessment in children: can the ChAMP Screening Index detect memory impairment?

Abbreviated memory batteries play a role in some clinical and research assessments, but their validity and accuracy need to be well supported. The purpose of this study was to examine the accuracy of the ChAMP Screening Index for detecting memory impairment. The sample included N = 804 youths (ages 5-21 years) with medical and neurological diagnoses who were presented for a clinical neuropsychological assessment. All completed the full Child and Adolescent Memory Profile and had valid data. The ChAMP Screening Index contains the first two subtests of the battery (Lists and Objects) and takes about 10 min to administer (full ChAMP is about 35 min). Analyses to examine the accuracy of the ChAMP Screening Index with both the Total Memory Index and Delayed Memory Index included Intraclass correlations, Cohen's Kappa coefficients, receiver operating characteristics, and classification metrics (e.g., sensitivity, specificity, positive predictive values [PPV], and negative predictive values [NPV]). Very strong correlations, minimal mean difference scores, substantial agreement on kappa coefficients, and outstanding receiver operating characteristics all support the Screening Index accuracy. A cutoff score on the Screening Index of 70 provides a good balance between a high PPV (.91) and a high NPV (.96) for the Total Memory Index. When detecting impairment on the Delayed Memory Index, a Screening Index cutoff score of 65 provides a balance between a high PPV (.92) and a high NPV (.94). This study supports the accuracy, validity, and utility of the 10-min ChAMP Screening Index in those clinical and research situations where a brief evaluation of memory is desired.

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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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