Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
J Clin Exp Neuropsychol. 2009 Oct;31(7):848-59. doi: 10.1080/13803390802592458. Epub 2009 Jan 14.
This study examined the criterion and construct validity of a brief computerized cognitive test battery (CogState Schizophrenia Battery) compared to a conventional cognitive test battery recommended by the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) consensus. The CogState and MATRICS batteries yielded comparable effect sizes in comparing patients with schizophrenia to healthy controls (Cohen's ds = -1.50 for both batteries). Moderate to large correlations were observed between CogState and MATRICS measures of processing speed, attention/vigilance, working memory, verbal and visual learning, reasoning/problem solving, and social cognition (rs = .56-.79). CogState and MATRICS composite scores also correlated strongly with scores on the University of California at San Diego (UCSD) Performance-Based Skills Assessment (UPSA; rs = .76 and .79, respectively) in patients with schizophrenia. Results of this study suggest that the CogState Schizophrenia Battery provides valid measurement of the cognitive domains nominated by the MATRICS consensus group as being important to consider in the context of pharmacological treatments for cognitive impairment in schizophrenia.
本研究考察了一种简短的计算机认知测试组合(CogState 精神分裂症测试组合)的效标和结构效度,该测试组合与《改善精神分裂症认知的测量和治疗研究(MATRICS)共识》推荐的传统认知测试组合进行了比较。CogState 和 MATRICS 测试组合在比较精神分裂症患者与健康对照组时产生了可比的效应大小(Cohen's ds 对于两种测试组合均为-1.50)。在处理速度、注意力/警觉性、工作记忆、言语和视觉学习、推理/解决问题以及社会认知方面,CogState 和 MATRICS 测试之间观察到了中等至较大的相关性(rs =.56-.79)。在精神分裂症患者中,CogState 和 MATRICS 综合评分与加利福尼亚大学圣地亚哥分校(UCSD)表现型技能评估(UPSA;rs =.76 和.79)的评分也具有很强的相关性。本研究结果表明,CogState 精神分裂症测试组合为 MATRICS 共识小组提名的认知领域提供了有效的测量,这些领域在考虑精神分裂症认知障碍的药物治疗时很重要。