Zakariás Lilla, Rózsa Sándor, Lukács Ágnes
Eötvös Loránd Tudományegyetem, Bárczi Gusztáv Gyógypedagógiai Kar, Gyógypedagógiai Módszertani és Rehabilitációs Intézet, Budapest.
Országos Orvosi Rehabilitációs Intézet, Budapest.
Ideggyogy Sz. 2020 Nov 30;73(11-12):405-416. doi: 10.18071/isz.73.0405.
In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungarian, currently under standardisation. The test is suitable for the assessment of an acquired language disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungarian adaptation and standardisation, 2) the first results from a sample of Hungarian people with aphasia and healthy controls.
Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologically intact control participants were administered the CAT-H. In addition, we developed a questionnaire assessing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test.
People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H.
Our results and our experiences clearly show that the CAT-H provides a comprehensive profile of a person's impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assessment and diagnostics in Hungary.
在本文中，我们介绍了匈牙利语版综合失语症测试（CAT-H；扎卡里亚斯和卢卡奇，正在编写中），这是一种新改编为匈牙利语的评估工具，目前正在进行标准化。该测试适用于评估后天性语言障碍，即中风后失语症。本文的目的是介绍：1）该测试的主要特点、应用领域以及匈牙利语改编和标准化的过程；2）来自匈牙利失语症患者样本和健康对照者的首批结果。
对99名失语症患者（大多为单侧左半球中风）和19名神经功能正常的对照参与者进行了CAT-H测试。此外，我们还编制了一份评估人口统计学和临床信息的问卷。CAT-H由两部分组成，即认知筛查测试和语言测试。
在CAT-H的所有语言和几乎所有认知子测试中，失语症患者的表现明显比对照组差。与我们的预期一致，对照组在所有子测试中的表现接近满分，而失语症患者在语言和认知子测试中均表现出很大的个体差异。此外，我们发现年龄、发病时间和中风类型与CAT-H所测量的认知和语言能力相关。
我们的结果和经验清楚地表明，CAT-H能够全面呈现一个人的受损和未受损语言能力，可用于监测语言恢复情况以及筛查失语症患者的基本认知缺陷。我们希望CAT-H将成为匈牙利康复专业人员和失语症研究人员在失语症评估和诊断方面的独特资源。
