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韦氏成人智力量表第四版中言语附带学习测量在老年人中的效度。

Validity of a verbal incidental learning measure from the WAIS-IV in older adults.

作者信息

Hammers Dustin B, Kucera Amanda M, Card Stephanie J, Tolle Kathryn A, Atkinson Taylor J, Duff Kevin, Spencer Robert J

机构信息

a Neurology , University of Utah , Salt Lake City , Utah , USA.

b University of Utah Health Care , Salt Lake City , Utah , USA.

出版信息

Appl Neuropsychol Adult. 2018 May-Jun;25(3):266-273. doi: 10.1080/23279095.2017.1295968. Epub 2017 Mar 2.

Abstract

Incidental memory may reflect a form of learning in everyday life, although it is not consistently evaluated during standard neuropsychological evaluations. Further validation of a recently created measure of verbal Incidental Learning (IL) from the Wechsler Adult Intelligence Scale-IV is necessary to understand the utility of such a measure in clinical settings. Sixty-eight adults aged 50 to 89 were recruited from a Cognitive Disorders Clinic while receiving a standard neuropsychological assessment, along with two additional measures of IL. IL-Total Score was significantly correlated with immediate and delayed memory trials from standard neuropsychological tests (rs = .43 to .73, ps < .001, ds = 0.94-2.14), with worse IL performance being associated with lower memory abilities. Participants with probable Alzheimer's disease performed worse on the IL-Total Score than participants with Mild Cognitive Impairment, t(39.997) = 5.46, p < .001, d = 1.13. Given the strong relationships between this IL task and traditional memory measures in our sample, and the discrimination of IL-Total Score performance among diagnostic groups despite its short administration time, this IL task may play a role as a measure of memory in brief cognitive evaluations.

摘要

偶发记忆可能反映了日常生活中的一种学习形式,尽管在标准神经心理学评估中并未对其进行持续评估。为了了解这种测量方法在临床环境中的效用,有必要对最近从韦氏成人智力量表第四版中创建的言语偶发学习(IL)测量方法进行进一步验证。从认知障碍诊所招募了68名年龄在50至89岁之间的成年人,他们在接受标准神经心理学评估的同时,还接受了另外两项IL测量。IL总分与标准神经心理学测试中的即时和延迟记忆试验显著相关(rs = 0.43至0.73,p < 0.001,ds = 0.94 - 2.14),IL表现越差与记忆能力越低相关。患有可能的阿尔茨海默病的参与者在IL总分上的表现比患有轻度认知障碍的参与者更差,t(39.997) = 5.46,p < 0.001,d = 1.13。鉴于我们样本中这个IL任务与传统记忆测量之间的紧密关系,以及尽管IL总分测试时间短,但在不同诊断组之间能够区分其表现,这个IL任务可能在简短认知评估中作为一种记忆测量方法发挥作用。

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