a Danish Dementia Research Center, Department of Neurology, The Neuroscience Center , University of Copenhagen, Rigshospitalet , Copenhagen , Denmark.
b Department of Neurology , Brugmann University Hospital , Brussels , Belgium.
Clin Neuropsychol. 2018 Nov;32(8):1411-1430. doi: 10.1080/13854046.2018.1430256. Epub 2018 Jan 24.
The aim of this study was to examine test performance on a cross-cultural neuropsychological test battery for assessment of middle-aged and elderly ethnic minority and majority populations in western Europe, and to present preliminary normative data.
The study was a cross-sectional multi-center study. Tests in the European Cross-Cultural Neuropsychological Test Battery (CNTB) cover several cognitive domains, including global cognitive function, memory, executive functions, and visuospatial functions.
A total of 330 participants were included: 14 Moroccan, 45 Pakistani/Indian Punjabi, 41 Polish, 66 Turkish, and 19 former Yugoslavian minority participants, and 145 western European majority participants. Significant differences between ethnic groups were found on most CNTB measures. However, ethnic groups differed greatly in demographic characteristics and differences in test scores were mainly related to educational differences, explaining an average of 15% of the variance. Preliminary multicultural CNTB normative data dichotomized by education and age were constructed using overlapping cells. Applying this normative data across the whole sample resulted in an acceptable number of participants scoring in the impaired range across all ethnic groups. Factor analyses found the CNTB to have a stable and clinically meaningful factor structure.
The CNTB represents the first European joint effort to establish neuropsychological measures appropriate for ethnic minority populations in western Europe. The CNTB can be applied in approximately 60 min, covers several cognitive domains, and appears appropriate for assessment of the targeted populations. However, due to the small sample size in some ethnic groups further studies are needed replicate and support this.
本研究旨在检验跨文化神经心理学测试组合在评估西欧中老年少数民族和多数族裔人群中的测试表现，并提供初步的常模数据。
本研究为一项横断面多中心研究。欧洲跨文化神经心理学测试组合（CNTB）中的测试涵盖了多个认知领域，包括整体认知功能、记忆、执行功能和视空间功能。
共纳入 330 名参与者：14 名摩洛哥人、45 名巴基斯坦/印度旁遮普人、41 名波兰人、66 名土耳其人、19 名前南斯拉夫人少数民族参与者和 145 名西欧多数族裔参与者。在大多数 CNTB 指标上，不同族裔群体之间存在显著差异。然而，族裔群体在人口统计学特征上存在很大差异，且测试分数的差异主要与教育差异有关，解释了平均 15%的方差。采用重叠单元，根据教育和年龄将初步的多元文化 CNTB 常模数据进行二分。在整个样本中应用该常模数据，导致所有族裔群体中都有可接受数量的参与者在受损范围内得分。因子分析发现 CNTB 具有稳定且具有临床意义的因子结构。
CNTB 代表了欧洲首次为西欧少数民族群体建立神经心理学测量的共同努力。CNTB 可以在大约 60 分钟内应用，涵盖了多个认知领域，并且似乎适合评估目标人群。然而，由于某些族裔群体的样本量较小，需要进一步研究来复制和支持这一点。
