Vigliecca Nora Silvana, Voos Javier Alfredo
Servicio de Neurología y Neurocirugía del Hospital Córdoba, Argentina.
Universidad Tecnológica Nacional (UTN), Regional Córdoba; Córdoba, Argentina.
Dement Neuropsychol. 2019 Oct-Dec;13(4):450-462. doi: 10.1590/1980-57642018dn13-040013.
There are contradictory results or lack of validity studies concerning the naming function and brain laterality. Although anomia is a frequent symptom of memory impairment, and the most relevant symptom of aphasia, few studies have been conducted to evaluate its validity for detecting patients with left-hemisphere damage (LD), as per the MeSH definition.
To validate a paper-and-pencil confrontation naming test (CNT) according to side of brain injury; to select a valid and reliable abbreviated CNT wherein the effect of demographic variables is minimized; and to use the selected CNT to develop a computer-aided confrontation-naming evaluation (CACNE).
Control data were obtained from 213 healthy participants (HP) aged 15 to 89 years. A subsample of 106 HP was demographically matched to 39 patients with LD and 40 patients with right-hemisphere damage (RD). Anomia definition and CNT cues were considered for the CACNE.
Test-retest and inter-rater reliability, internal consistency, and validity for detecting LD were demonstrated. A significant age effect was observed in HP. The CACNE was developed to detect anomia in interaction with environmental interventions.
The inconsistencies observed in the CNT studies were probably due to the presence of anomia in almost 50% of the RD patients.
关于命名功能和脑半球偏侧性存在相互矛盾的结果或缺乏有效性研究。尽管命名障碍是记忆障碍的常见症状，也是失语症最相关的症状，但根据医学主题词（MeSH）定义，很少有研究评估其在检测左半球损伤（LD）患者方面的有效性。
根据脑损伤部位验证纸笔式面对面命名测试（CNT）；选择一种有效且可靠的简化CNT，将人口统计学变量的影响降至最低；并使用所选的CNT开发计算机辅助面对面命名评估（CACNE）。
从213名年龄在15至89岁的健康参与者（HP）中获取对照数据。从HP中选取106名进行人口统计学匹配，与39名LD患者和40名右半球损伤（RD）患者进行比较。在CACNE中考虑了命名障碍的定义和CNT提示。
证明了重测信度、评分者间信度、内部一致性以及检测LD的有效性。在HP中观察到显著的年龄效应。开发了CACNE以在与环境干预的相互作用中检测命名障碍。
CNT研究中观察到的不一致可能是由于近50%的RD患者存在命名障碍。
