计算机化认知测试组合对患有神经疾病的儿童和青少年的有效性
Validity of a Computerized Cognitive Battery in Children and Adolescents with Neurological Diagnoses.
作者信息
Plourde Vickie, Hrabok Marianne, Sherman Elisabeth M S, Brooks Brian L
机构信息
Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
出版信息
Arch Clin Neuropsychol. 2018 Mar 1;33(2):247-253. doi: 10.1093/arclin/acx067.
OBJECTIVE
Little is known about the validity of computerized cognitive batteries, such as CNS Vital Signs (CNSVS), in pediatric patients. The purpose of this study was to examine convergent and divergent validity of the CNSVS in a clinical pediatric sample with neurological diagnoses.
METHOD
Participants included 123 pediatric patients assessed in a tertiary care setting as part of clinical care. CNSVS (Memory, Psychomotor Speed, Reaction Time, Complex Attention, and Cognitive Flexibility domains, and a Neurocognition Index) and paper-and-pencil neuropsychological measures assessing learning, memory, processing speed, reaction time, attention, and executive functioning were administered.
RESULTS
Most correlations between CNSVS domain scores and neuropsychological measures assessing similar constructs were medium in strength. With the exception of stronger correlations between psychomotor speed tests, correlations between tests of similar constructs were not significantly higher than those between dissimilar constructs.
CONCLUSIONS
These results provide support for validity of the CNSVS battery, but also caution that many abilities are inter-correlated.
目的
对于诸如中枢神经系统生命体征（CNSVS）等计算机化认知测试组合在儿科患者中的有效性，人们了解甚少。本研究的目的是在患有神经疾病诊断的临床儿科样本中检验CNSVS的聚合效度和区分效度。
方法
参与者包括123名在三级医疗环境中作为临床护理一部分接受评估的儿科患者。实施了CNSVS（记忆、心理运动速度、反应时间、复杂注意力和认知灵活性领域，以及一个神经认知指数）和评估学习、记忆、处理速度、反应时间、注意力和执行功能的纸笔神经心理学测试。
结果
CNSVS领域分数与评估相似结构的神经心理学测试之间的大多数相关性强度中等。除了心理运动速度测试之间的相关性更强外，相似结构测试之间的相关性并不显著高于不同结构测试之间的相关性。
结论
这些结果为CNSVS测试组合的效度提供了支持，但也提醒人们许多能力是相互关联的。
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