与 1 型神经纤维瘤病患儿在rey-osterrieth 复合图形测试中的表现相关的神经心理学因素。

IF 1.6 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2024-02-01 Epub Date: 2023-04-10 DOI:10.1080/09297049.2023.2199975
Alice Maier, Natalie A Pride, Stephen J C Hearps, Nijashree Shah, Melanie Porter, Kathryn N North, Jonathan M Payne
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引用次数: 0

摘要

患有 1 型神经纤维瘤病 (NF1) 的儿童极易出现认知障碍,包括视觉空间缺陷和执行功能障碍。本研究旨在:(1)评估与未受影响的兄弟姐妹相比,NF1 儿童在雷伊-奥斯特里赫斯复杂图形测验(RCFT)中的总体表现;(2)研究预测 NF1 儿童 RCFT 表现的神经心理学因素。我们对澳大利亚一家多学科 NF1 诊所的神经心理学记录进行了回顾性临床审核。我们搜索了在 2000 年至 2015 年期间完成评估的儿童,这些评估包括本研究中的 RCFT 和其他神经心理学结果。这些评估包括韦氏儿童智力量表(Wechsler Intelligence Scale for Children)、直线定向判断(JLO)、伦敦塔测试、康纳斯多动症量表(Conners ADHD Scales)和执行功能行为评定量表(BRIEF)。研究对象包括 191 名 6-16 岁的 NF1 儿童和 55 名从另一项研究中招募的未受影响的兄弟姐妹。结果显示,62%的NF1患儿在RCFT副本中的表现处于或低于第一百分位,明显差于未受影响的兄弟姐妹。视觉空间技能、家长评定的执行能力、多动症症状和智力技能都预示着RCFT副本的成绩较差,但最佳拟合多元回归模型仅包含JLO、BRIEF元认知指数和实际年龄。JLO 是预测 RCFT 成绩最有力的指标。本研究提供的证据表明,视觉空间缺陷是导致 NF1 患者 RCFT 成绩下降的主要原因,而执行技能和较小的年龄也是 RCFT 成绩的独立预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuropsychological factors associated with performance on the rey-osterrieth complex figure test in children with neurofibromatosis type 1.

Children with neurofibromatosis type 1 (NF1) are at considerable risk for cognitive difficulties, including visuospatial deficits and executive dysfunction. This study aimed to (1) assess the overall performance of children with NF1 on the Rey-Osterrieth Complex Figure Test (RCFT) compared to unaffected siblings and (2) examine neuropsychological predictors of RCFT performance in children with NF1. A retrospective clinical audit was performed on neuropsychological records from a multidisciplinary NF1 Clinic in Australia. We searched for children that had completed an assessment between 2000 and 2015 which included the RCFT and other neuropsychological outcomes in this study. These included the Wechsler Intelligence Scale for Children, Judgment of Line Orientation (JLO), Tower of London test, Conners ADHD Scales, and the Behavioral Rating Inventory of Executive Function (BRIEF). The study population consisted of 191 children with NF1 aged 6-16 years, and 55 unaffected siblings recruited from a separate study. Results revealed that 62% of children with NF1 performed at or below the first percentile on the RCFT copy, which was significantly worse than their unaffected siblings. Visuospatial skills, parent-rated executive abilities, ADHD symptoms, and intellectual skills all predicted poorer performance on the RCFT copy, however the best fitting multiple regression model only contained the JLO, BRIEF Metacognition Index, and chronological age. The JLO emerged as the strongest predictor of RCFT performance. This study provides evidence that visuospatial deficits are a key driver of reduced RCFT performance in NF1 and that executive skills as well as a younger age are also independent predictors of RCFT performance.

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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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