Havlík Filip, Mana Josef, Dušek Petr, Jech Robert, Růžička Evžen, Kopeček Miloslav, Georgi Hana, Bezdicek Ondrej
Department of Neurology and Centre of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital in Prague , Prague, Czech Republic.
Department of Science and Research, Prague College of Psychosocial Studies , Prague, Czech Republic.
J Clin Exp Neuropsychol. 2020 Dec;42(10):1099-1110. doi: 10.1080/13803395.2020.1845303. Epub 2020 Nov 16.
: The Brief Visual Memory Test-Revised (BVMT-R) is a frequently used visuospatial declarative memory test, but normative data in the Czech population are lacking. Moreover, the BVMT-R includes promising learning indexes that can be used to detect learning deficits in Parkinson's disease (PD). However, its clinical usefulness has not yet been thoroughly examined. Early detection of memory impairment in PD is essential for effective treatment. Therefore, this study aimed to provide BVMT-R Czech normative data for clinical use and to find the detection potential of the principal BVMT-R scores, including new learning indices, to capture the cognitive deficit in PD. : The BVMT-R were administered to a normative sample of 920 participants aged 17 to 95 years and to a clinical sample of 60 PD patients; 25 with mild cognitive impairment (PD-MCI) and 35 with normal cognition (PD-NC). In order to provide normative values, multiple regression analyses were employed, and to compare the clinical and control sample, Bayesian Hierarchical Linear Models were used. : The best model for regression-based norms showed to be with age + age + education + sex as predictors. From all learning indexes, L6 (sum of trials 1-3), followed by, L4 (sum of trials 1-3 multiplied by the difference between the highest and the lowest score) best differentiated between controls or PD-NC and PD-MCI. : We provide regression-based normative values for BVMT-R that could be used in clinical settings and meta-analytic efforts. Furthermore, we revealed visuospatial learning and memory deficit in PD-MCI. We have also identified the most discriminative learning index adapted to BVMT-R.
简要视觉记忆测试修订版(BVMT-R)是一种常用的视觉空间陈述性记忆测试,但捷克人群的常模数据尚缺。此外,BVMT-R包含一些有前景的学习指标,可用于检测帕金森病(PD)的学习缺陷。然而,其临床实用性尚未得到充分检验。PD患者记忆障碍的早期检测对有效治疗至关重要。因此,本研究旨在提供用于临床的BVMT-R捷克常模数据,并找出BVMT-R主要得分(包括新的学习指标)检测PD认知缺陷的潜力。
对920名年龄在17至95岁的参与者的正常样本以及60名PD患者的临床样本进行了BVMT-R测试;其中25名患有轻度认知障碍(PD-MCI),35名认知正常(PD-NC)。为了提供常模值,采用了多元回归分析,为了比较临床样本和对照样本,使用了贝叶斯分层线性模型。
基于回归的常模最佳模型显示,预测因素为年龄+年龄+教育程度+性别。在所有学习指标中,L6(第1至3次试验的总和),其次是L4(第1至3次试验的总和乘以最高分与最低分之间的差值),在对照组或PD-NC与PD-MCI之间的区分效果最佳。
我们提供了可用于临床环境和荟萃分析的基于回归的BVMT-R常模值。此外,我们揭示了PD-MCI患者存在视觉空间学习和记忆缺陷。我们还确定了最具区分性的适用于BVMT-R的学习指标。