Chirivella J, Ferri J, Villodre R, Noe E
Servicio de Daño Cerebral Hospital NISA Valencia al Mar Valencia, Spain.
Neurologia. 2003 Apr;18(3):132-8.
We present a comparative study (sensitivity and convergent validity) between a new verbal memory test Complutense Verbal Learning Test (TAVEC) and the Wechsler Memory Scale-Revised (WMSr) in a sample of patients with acquired brain injury.
Twenty-eight patients with acquired brain injury were included in this study. Twelve patients were reevaluated six months after their inclusion in a cognitive multidisciplinary rehabilitation program. All patients were assessed with the WMSr (verbal memory, general memory and long-term memory) and the TAVEC (verbal learning, immediate memory and delayed memory). Results obtained with both scales were compared (chi-square) and correlated (Pearson correlation).
Globally, learning and memory deficits were detected with both scales. Initially 32.1 % of our sample showed general memory deficits, and 44.4 % long-term memory deficits when assessed with WMSr. These percentages were significantly lower compared to the 57.1 %, 75 % and 78.5 % of our sample who showed learning, recent memory and delayed memory difficulties when evaluated with the TAVEC. The results obtained by the 12 patients included in a cognitive rehabilitation program significantly improved. Numerous strong correlations between the TAVEC and the WMSr were found, suggesting a high degree of convergence between the two instruments.
The TAVEC is a sensitive measure of learning and memory after acquired brain injury. Due to its sensitivity, ecological value and multifactorial structure we recommend this test for the evaluation of learning and memory of these patients.
我们在一组获得性脑损伤患者样本中,对一种新的言语记忆测试——Complutense言语学习测试(TAVEC)和韦氏记忆量表修订版(WMSr)进行了一项比较研究(敏感性和收敛效度)。
本研究纳入了28例获得性脑损伤患者。其中12例患者在纳入认知多学科康复项目6个月后接受了重新评估。所有患者均接受了WMSr(言语记忆、总体记忆和长期记忆)和TAVEC(言语学习、即时记忆和延迟记忆)评估。对两种量表所得结果进行了比较(卡方检验)和相关性分析(Pearson相关性分析)。
总体而言,两种量表均检测到学习和记忆缺陷。最初,在使用WMSr评估时,我们样本中有32.1%的患者表现出总体记忆缺陷,44.4%的患者表现出长期记忆缺陷。与使用TAVEC评估时我们样本中分别有57.1%、75%和78.5%的患者表现出学习、近期记忆和延迟记忆困难相比,这些百分比显著更低。纳入认知康复项目的12例患者所得结果有显著改善。发现TAVEC与WMSr之间存在许多强相关性,表明这两种工具之间具有高度的收敛性。
TAVEC是获得性脑损伤后学习和记忆的一种敏感测量方法。鉴于其敏感性、生态价值和多因素结构,我们推荐使用该测试来评估这些患者的学习和记忆情况。