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在康复样本中比较波士顿命名测试的短式测验。

Comparing Boston naming test short forms in a rehabilitation sample.

机构信息

University of Utah School of Medicine, Salt Lake City, UT, USA.

出版信息

Appl Neuropsychol Adult. 2022 Jul-Aug;29(4):810-815. doi: 10.1080/23279095.2020.1811984. Epub 2020 Aug 25.

DOI:10.1080/23279095.2020.1811984
PMID:32841074
Abstract

The Boston Naming Test (BNT) has multiple short forms that do not include the noose item that have been primarily examined in dementia populations. This study compared BNT short forms with standard administration (BNT-S) in physical medicine and rehabilitation patients who underwent outpatient evaluation. The sample ( = 480) was 34% female and 91% white with average age of 46 years ( = 15) and average education of 14 years ( = 3). Five 15-item short forms were calculated: Consortium to Establish a Registry for Alzheimer's disease (CERAD-15); Lansing; and Mack 1, 2, and 4 (Mack-15.1, -15.2). Three 30-item short forms were calculated: Mack A, Saxon A, and BNT odd items. BNT-S and short forms were compared with Spearman correlations. Cronbach's alpha was calculated for all BNT forms. Impaired BNT scores were determined with norm-referenced scores ( < 36 and  < 40). Area under the curve (AUC) values were compared across short forms with impaired BNT as criterion. BNT-S showed strong correlations with 30-item (rho = 0.92-0.93) and 15-item short forms (rho = 0.80-0.87) except for CERAD-15 (rho = 0.69). Internal consistency was acceptable for all short forms (alpha = 0.72-0.86). BNT-S was impaired in 17% and 33% of participants at 35 T and 39 T cutoffs, respectively. BNT short forms showed excellent to outstanding classification accuracy predicting impairment using both cutoffs. BNT short forms warrant further study in rehabilitation settings.

摘要

波士顿命名测验(BNT)有多种不包含套索项目的简短形式,这些形式主要在痴呆人群中进行了检查。本研究比较了接受门诊评估的物理医学和康复患者的 BNT 简短形式和标准管理(BNT-S)。样本(n=480)中女性占 34%,白人占 91%,平均年龄为 46 岁(SD=15),平均受教育年限为 14 年(SD=3)。计算了五种 15 项简短形式:阿尔茨海默病注册研究联盟(CERAD-15);兰辛;以及 Mack 1、2 和 4(Mack-15.1、-15.2)。计算了三种 30 项简短形式:Mack A、Saxon A 和 BNT 奇数项。用 Spearman 相关系数比较 BNT-S 和简短形式。计算了所有 BNT 形式的 Cronbach's alpha。使用与正常参考分数(<36 和 <40)比较确定受损的 BNT 分数。用受损的 BNT 作为标准比较各简短形式的曲线下面积(AUC)值。BNT-S 与 30 项(rho=0.92-0.93)和 15 项简短形式(rho=0.80-0.87)呈强相关,除了 CERAD-15(rho=0.69)。所有简短形式的内部一致性均为可接受(alpha=0.72-0.86)。分别在 35 T 和 39 T 截止值时,17%和 33%的参与者的 BNT-S 受损。使用这两个截止值,BNT 简短形式在预测损伤方面具有极好到优秀的分类准确性。BNT 简短形式在康复环境中值得进一步研究。

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