计算机化神经认知评估工具在轻度创伤性脑损伤评估中的有效性综述。
A review of the validity of computerized neurocognitive assessment tools in mild traumatic brain injury assessment.
作者信息
Arrieux Jacques P, Cole Wesley R, Ahrens Angelica P
机构信息
Womack Army Medical Center, Fort Bragg, NC, USA.
Defense & Veterans Brain Injury Center (DVBIC), Fort Bragg, NC, USA.
出版信息
Concussion. 2017 Jan 30;2(1):CNC31. doi: 10.2217/cnc-2016-0021. eCollection 2017 Mar.
Abstract
Computerized neurocognitive assessment tools (NCATs) offer potential advantages over traditional neuropsychological tests in postconcussion assessments. However, their psychometric properties and clinical utility are still questionable. The body of research regarding the validity and clinical utility of NCATs suggests some support for aspects of validity (e.g., convergent validity) and some ability to distinguish between concussed individuals and controls, though there are still questions regarding the validity of these tests and their clinical utility, especially outside of the acute injury timeframe. In this paper, we provide a comprehensive summary of the existing validity literature for four commonly used and studied NCATs (automated neuropsychological assessment metrics, CNS vital signs, cogstate and immediate post-concussion and cognitive testing) and lay the groundwork for future investigations.
摘要
在脑震荡后评估中，计算机化神经认知评估工具（NCATs）相较于传统神经心理学测试具有潜在优势。然而，它们的心理测量特性和临床效用仍存在疑问。关于NCATs有效性和临床效用的研究表明，在有效性方面（如聚合效度）有一定支持，并且有一定能力区分脑震荡个体和对照组，尽管这些测试的有效性及其临床效用仍存在问题，尤其是在急性损伤时间范围之外。在本文中，我们对四种常用且经过研究的NCATs（自动神经心理学评估指标、CNS生命体征、认知状态以及脑震荡后即刻认知测试）的现有效度文献进行了全面总结，并为未来的研究奠定了基础。
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