David S K, Riley W T
Medical College of Georgia Hospital and Clinics, Department of Occupational Therapy, Augusta 30912-6400.
Am J Occup Ther. 1990 Jun;44(6):493-7. doi: 10.5014/ajot.44.6.493.
The cognitive factors measured by the Allen Cognitive Level Test (ACL) (Allen, 1982) as well as the test's relationship to level of psychopathology were examined through a retrospective study of 71 patients from a general hospital psychiatry unit. Pearson correlations, computed for the ACL score with the Shipley Institute of Living Scale (Shipley, 1940), a general measure of intellectual functioning, were significant. A strong correlation was found between the ACL and the Symbol-Digit Modalities Test (Smith, 1982), a measure of motor speed and concentration often used as a neurological screening instrument. This suggests the potential usefulness of the ACL to screen for cognitive dysfunctions associated with organicity. Contrary to hypothesis, there was no significant correlation between the ACL and measures of psychopathology such as the Beck Depression Inventory (Beck, Ward, Mendelson, Mock, & Erbaugh, 1961) and the Minnesota Multiphasic Personality Inventory (Hathaway & McKinley, 1940). The relationship of the ACL to other recognized measures of cognitive functioning increases its usefulness as a valid measure of day-to-day limitations in the functioning of psychiatric patients. Effective communication of the implications of these cognitive levels to a multidisciplinary treatment team is enhanced by knowledge of the relationship of the ACL to measures of cognitive functioning and psychopathology used by other disciplines.
通过对一家综合医院精神科病房71名患者的回顾性研究,考察了艾伦认知水平测试(ACL)(艾伦,1982年)所测量的认知因素以及该测试与精神病理学水平的关系。计算ACL得分与希普利生活量表(希普利,1940年)(一种智力功能的综合测量方法)之间的皮尔逊相关性,结果具有显著性。发现ACL与符号数字模态测试(史密斯,1982年)(一种常用于神经学筛查工具的运动速度和注意力测量方法)之间存在强相关性。这表明ACL在筛查与器质性相关的认知功能障碍方面具有潜在用途。与假设相反,ACL与精神病理学测量方法如贝克抑郁量表(贝克、沃德、门德尔松、莫克和厄尔鲍,1961年)和明尼苏达多相人格问卷(哈撒韦和麦金利,1940年)之间没有显著相关性。ACL与其他公认的认知功能测量方法之间的关系增加了其作为精神科患者日常功能局限性有效测量方法的有用性。了解ACL与其他学科使用的认知功能和精神病理学测量方法之间的关系,有助于向多学科治疗团队有效传达这些认知水平的影响。