青少年神经性厌食症中的执行功能:神经心理学与自我报告和父母报告的比较。

Executive functioning in adolescent anorexia nervosa: Neuropsychology versus self- and parental-report.

机构信息

a Department for Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy , Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health , Berlin , Germany.

出版信息

Child Neuropsychol. 2019 Aug;25(6):816-835. doi: 10.1080/09297049.2018.1536200. Epub 2018 Oct 22.

Abstract

There is limited research concerning the relationship between neuropsychological assessment and self-report of executive functioning in adolescent anorexia nervosa (AN); available studies demonstrate only low to moderate correlations. Therefore, this study examines the association between neuropsychological test performance and self-report in AN. Forty adolescent inpatients with AN completed an extensive neuropsychological assessment, including set-shifting, central coherence, and questionnaires assessing executive functioning in daily life (BRIEF-SR). Their parents filled out an analog version (BRIEF-PF). Statistical analyses revealed low to medium positive and negative correlations between neuropsychological measures and BRIEF subscales. Similarly, self- and parental ratings were only slightly positively correlated, with patients scoring significantly higher than their parents on two subscales. The results support previous findings of modest correlations between self-report and performance-based testing and emphasize the importance of a multiple format assessment of executive functioning in adolescent AN.

摘要

关于青少年神经性厌食症(AN)中神经心理学评估与执行功能自我报告之间的关系,研究有限;现有研究仅显示出低到中度的相关性。因此,本研究探讨了 AN 中神经心理学测试表现与自我报告之间的关联。40 名患有 AN 的青少年住院患者完成了广泛的神经心理学评估,包括转换能力、中心连贯和评估日常生活中执行功能的问卷(BRIEF-SR)。他们的父母填写了模拟版本(BRIEF-PF)。统计分析显示,神经心理学测量与 BRIEF 分量表之间存在低到中度的正相关和负相关。同样,自我报告和父母报告之间仅略微正相关,患者在两个分量表上的得分明显高于其父母。结果支持了自我报告和基于表现的测试之间存在适度相关性的先前发现,并强调了在青少年 AN 中对执行功能进行多种格式评估的重要性。

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