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精神分裂症认知功能成套测验共识认知电池,第2部分:共同常模制定与标准化。

The MATRICS Consensus Cognitive Battery, part 2: co-norming and standardization.

作者信息

Kern Robert S, Nuechterlein Keith H, Green Michael F, Baade Lyle E, Fenton Wayne S, Gold James M, Keefe Richard S E, Mesholam-Gately Raquelle, Mintz Jim, Seidman Larry J, Stover Ellen, Marder Stephen R

机构信息

Department of Psychology, Geffen School of Medicine, University of California, Los Angeles CA 90073, USA.

出版信息

Am J Psychiatry. 2008 Feb;165(2):214-20. doi: 10.1176/appi.ajp.2007.07010043. Epub 2008 Jan 2.

Abstract

OBJECTIVE

The consensus cognitive battery developed by the National Institute of Mental Health's (NIMH's) Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) initiative includes 10 independently developed tests that are recommended as the standard battery for clinical trials of cognition-enhancing interventions for schizophrenia. To facilitate interpretation of results from the MATRICS Consensus Cognitive Battery using a common scaling across tests, normative data were obtained from a single representative U.S. community sample with the battery administered as a unit.

METHOD

The MATRICS Consensus Cognitive Battery was administered to 300 individuals from the general community at five sites in differing geographic regions. For each site, recruitment was stratified by age, gender, and education. A scientific survey sampling method was used to help avoid sampling bias. The battery was administered in a standard order to each participant in a single session lasting approximately 60 minutes. Descriptive data were generated, and age, gender, and education effects on performance were examined.

RESULTS

Prominent age and education effects were observed across tests. The results for gender differed by measure, suggesting the need for age and gender corrections in clinical trials. The MATRICS Consensus Cognitive Battery components were co-normed, with allowance for demographic corrections.

CONCLUSIONS

Co-norming a battery such as the MATRICS Consensus Cognitive Battery, comprising tests from independent test developers each with their own set of norms, facilitates valid interpretation of test scores and communication of findings across studies. These normative data will aid in estimating the magnitude of change during clinical trials of cognition-enhancing agents and make it possible to derive more directly interpretable composite scores.

摘要

目的

美国国立精神卫生研究所(NIMH)的改善精神分裂症认知的测量与治疗研究(MATRICS)计划所开发的共识认知成套测验包括10项独立开发的测试,这些测试被推荐作为精神分裂症认知增强干预措施临床试验的标准成套测验。为了便于使用统一的量表来解释MATRICS共识认知成套测验的结果,从一个具有代表性的美国社区单一样本中获取了常模数据,该成套测验作为一个整体进行施测。

方法

MATRICS共识认知成套测验在不同地理区域的五个地点施测于300名普通社区个体。对于每个地点,招募按年龄、性别和教育程度进行分层。采用科学的调查抽样方法以帮助避免抽样偏差。该成套测验以标准顺序在一次约60分钟的单一测试环节中施测于每位参与者。生成了描述性数据,并检验了年龄、性别和教育程度对测试表现的影响。

结果

在各项测试中均观察到显著的年龄和教育程度效应。性别结果因测量指标而异,这表明在临床试验中需要进行年龄和性别校正。MATRICS共识认知成套测验的各个组成部分进行了共同常模制定,并考虑了人口统计学校正因素。

结论

对诸如MATRICS共识认知成套测验这样的成套测验进行共同常模制定,该成套测验由来自不同独立测试开发者且各有一套常模的测试组成,有助于对测试分数进行有效的解释以及跨研究交流研究结果。这些常模数据将有助于在认知增强剂的临床试验中估计变化程度,并有可能得出更易于直接解释的综合分数。

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