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[50至89岁受试者的RAPID神经心理成套测验比较常模]

[Comparative norms of RAPID neuropsychological battery tests for subjects aged between 50 and 89 years].

作者信息

Ferreira S, Vanholsbeeck G, Chopard G, Pitard A, Tio G, Vandel P, Galmiche J, Rumbach L

机构信息

Centre mémoire de ressources et de recherche (CMRR) de Franche-Comté, service de neurologie, CHU Jean-Minjoz, boulevard Alexandre-Fleming, Besançon, France.

出版信息

Rev Neurol (Paris). 2010 Jun-Jul;166(6-7):606-14. doi: 10.1016/j.neurol.2009.12.005. Epub 2010 Feb 1.

Abstract

INTRODUCTION

RAPID, a battery of rapid neuropsychological tests, includes neuropsychological tests calibrated for different populations according to diverse methodologies. This makes the comparison and interpretation of the results difficult. The aim of this study was to build comparative norms for the RAPID battery using a single methodology in a unique population.

POPULATION AND METHODS

The RAPID Battery includes nine different tests: the Memory Impairment Screen, the Isaacs Set Test, the Mini-Mental State Examination, the Free and Cued Recall Test, the Trail Making Test, a test for copying geometric figures as part of the BEC 96, a test for verbally naming images and a test for matching categories. A cohort of 476 subjects aged 50 to 89 were randomly selected from the medical records of 11 practitioners.

RESULTS

The norms were stratified according to age (50-59, 60-69, 70-79 and 80-89 years) and education level of the subjects. The first level includes subjects with the French Primary Education Certificate or lower. The second level includes subjects with the Certificate of Professional Aptitude or the Brevet (equivalent to the GCSE). The third level includes subjects with the Baccalaureate or higher. Given that most of the tests did not satisfy the normal distribution, percentiles (tenth, twenty-fifth, seventy-fifth, ninetieth percentile and median) were used to define age and education norms. The results show a high participation rate (75 %) and are similar to those obtained in the literature: The results decreased with age and improved in grade level. Nevertheless, the results exhibited great variability for the tenth percentile in comparison with results reported in the literature.

CONCLUSION

The development of comparative norms for the RAPID battery from a same sample facilitates the interpretation of individual results in terms of cognitive profile.

摘要

引言

RAPID是一套快速神经心理学测试,其中包含根据不同方法针对不同人群校准的神经心理学测试。这使得结果的比较和解释变得困难。本研究的目的是使用单一方法在单一人群中建立RAPID测试组合的比较规范。

人群与方法

RAPID测试组合包括九种不同的测试:记忆障碍筛查、艾萨克斯集合测试、简易精神状态检查表、自由和线索回忆测试、连线测验、作为BEC 96一部分的复制几何图形测试、图像口头命名测试和类别匹配测试。从11名从业者的病历中随机选取了476名年龄在50至89岁之间的受试者。

结果

根据受试者的年龄(50 - 59岁、60 - 69岁、70 - 79岁和80 - 89岁)和教育水平对规范进行分层。第一层次包括持有法国小学教育证书或更低学历的受试者。第二层次包括持有职业能力证书或初中毕业证书(相当于普通中等教育证书)的受试者。第三层次包括持有学士学位或更高学历的受试者。鉴于大多数测试不满足正态分布,使用百分位数(第十、二十五、七十五、九十分位数和中位数)来定义年龄和教育规范。结果显示参与率很高(75%),并且与文献中获得的结果相似:结果随年龄增长而下降,随年级水平提高而改善。然而,与文献报道的结果相比,第十百分位数的结果表现出很大的变异性。

结论

从同一样本中为RAPID测试组合制定比较规范有助于根据认知概况解释个体结果。

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