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精神分裂症认知障碍的筛查:西班牙样本中用于评估神经心理状态的可重复性成套测验的信度、敏感性和特异性

Screening of Cognitive Impairment in Schizophrenia: Reliability, Sensitivity, and Specificity of the Repeatable Battery for the Assessment of Neuropsychological Status in a Spanish Sample.

作者信息

De la Torre Gabriel G, Perez Maria J, Ramallo Miguel A, Randolph Christopher, González-Villegas Macarena Bernal

机构信息

University of Cadiz, Puerto Real, Spain

St. Elizabeth Centre, Herts, UK.

出版信息

Assessment. 2016 Apr;23(2):221-31. doi: 10.1177/1073191115583715. Epub 2015 May 1.

Abstract

BACKGROUND

In recent years, a number of studies focusing on the evaluation of neuropsychological deficits in individuals with schizophrenia have shown deficits that include several cognitive functions. Attention deficits as well as memory or executive function deficits are common in this kind of disorder together with sustained attention problems, working memory deficiencies, and problem-solving difficulties, among many others. Currently, the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is gaining special importance in the evaluation of the cognitive deficits associated with schizophrenia.

METHOD

In this article, we describe an RBANS screening in a sample of 88 Spanish patients diagnosed with schizophrenia. We also aimed to check the battery's reliability, sensitivity, and specificity in the studied sample. We performed a comparative study with 88 healthy participants.

RESULTS

The results showed a reliability index value of α = .795 and an item value of α = .762. For total test reliability, we obtained an index value of α = .761 and an item value of α = .762. Sensitivity score was 87.5% and specificity 86.4%.

CONCLUSIONS

RBANS obtained good reliability, sensitivity, and specificity scores and represents a good screening tool in detecting cognitive deficits associated with schizophrenia.

摘要

背景

近年来,一些专注于评估精神分裂症患者神经心理缺陷的研究显示,这些缺陷包括多种认知功能。注意力缺陷以及记忆或执行功能缺陷在这类疾病中很常见,同时还存在持续注意力问题、工作记忆缺陷和解决问题困难等诸多问题。目前,用于评估神经心理状态的可重复性成套测验(RBANS)在评估与精神分裂症相关的认知缺陷方面正变得尤为重要。

方法

在本文中,我们描述了对88名被诊断为精神分裂症的西班牙患者样本进行的RBANS筛查。我们还旨在检验该成套测验在所研究样本中的信度、敏感性和特异性。我们与88名健康参与者进行了一项对比研究。

结果

结果显示信度指数值α = 0.795,项目值α = 0.762。对于总测验信度,我们获得的指数值α = 0.761,项目值α = 0.762。敏感性得分是87.5%,特异性是86.4%。

结论

RBANS获得了良好的信度、敏感性和特异性分数,是检测与精神分裂症相关认知缺陷的良好筛查工具。

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