Díaz Mardomingo M Carmen, Chacón Gómez José, Martínez Arias M Rosario, Peraita Adrados Herminia
Facultad de Psicología, Universidad Nacional de Educación a Distancia, 28040 Madrid, Spain.
Psicothema. 2012 Nov;24(4):587-93.
Neuropsychological assessment allows the appraisal of the cognitive state of people with Mild Cognitive Impairment (MCI) by means of tests that are related to diverse cognitive functions. Most of the tests refer to more than one cognitive function, and the analysis of the individual's performance should take this into account. We analyzed the possible grouping of the tests of a neuropsychological battery into diverse cognitive dimensions, and the weight of the tests in each dimension. Participants were 223, 179, and 145 individuals (healthy and MCI) from a longitudinal study on MCI, who were assessed with a battery of neuropsychological tests on one, two, or three occasions, respectively. By means of exploratory factor analysis, the tests were found to be grouped into diverse factors. Although the three-factor solution was also analyzed, the two-factor solution was the best one, with a factor that included the memory tests, and the other factor comprising the executive function and praxis tests. Factor analysis allowed us to detect two clear cognitive dimensions with high convergence in all three assessments and, as a consequence, the reduction of the battery is proposed, selecting the tests with a greater weight in each dimension.
神经心理学评估可通过与多种认知功能相关的测试来评估轻度认知障碍(MCI)患者的认知状态。大多数测试涉及不止一种认知功能,对个体表现的分析应考虑到这一点。我们分析了神经心理测验组合中的测试可能被分组到不同认知维度的情况,以及每个维度中测试的权重。参与者分别来自一项关于MCI的纵向研究中的223名、179名和145名个体(健康个体和MCI患者),他们分别在一次、两次或三次场合接受了一系列神经心理测试。通过探索性因素分析,发现这些测试被分组到不同的因素中。虽然也分析了三因素解决方案,但两因素解决方案是最佳方案,其中一个因素包括记忆测试,另一个因素包括执行功能和实践测试。因素分析使我们能够在所有三次评估中检测到两个具有高度收敛性的明确认知维度,因此,建议减少测验组合,选择在每个维度中权重更大的测试。