Oto-Rhino-Laryngology Department, Cliniques universitaires Saint-Luc, Brussels, Belgium.
Institute of Neuroscience (IONS), Université Catholique de Louvain, Louvain-la-Neuve, Belgium.
Behav Res Methods. 2021 Oct;53(5):1910-1922. doi: 10.3758/s13428-020-01432-1.
Recent data collected on adult patients with vestibular loss (VL) tend to demonstrate possible cognitive impairments in visuospatial working memory, mental rotation, selective attention, and space orientation. However, the neuropsychological profile of children with VL remains largely under-investigated in the scientific literature. Although previous research has shown that children with VL may experience some degree of delayed motor development, it is not yet clear if VL could also lead to specific delayed cognitive development. In this study, we will present the development and validation of a new tablet-based computerized test battery (VSAD) that evaluates visuospatial working memory, mental rotation, selective attention, and space orientation abilities. Thirteen children with VL and 54 average-age matched healthy children performed the VSAD and classical paper-and-pencil neuropsychological tasks twice within a 1-month interval. Our results demonstrated a good concurrent validity with strong correlations between the visuospatial working memory, mental rotation, and space orientation tests of the VSAD and classical tasks. Test-retest reliability was also supported through good intra-class coefficients. However, the test of selective attention showed no concurrent validity with the matched classical task. The discriminant validity of the VSAD was partially supported for visuospatial working memory and mental rotation performance accuracy. The VSAD shows good concurrent validity and reliability for measuring visuospatial working memory, mental rotation, and space orientation in children with VL. Future studies are needed to extend discriminant validity with other populations.
最近收集的关于前庭损失（VL）成年患者的数据倾向于证明在视空间工作记忆、心理旋转、选择性注意和空间定向方面可能存在认知障碍。然而，VL 儿童的神经心理学特征在科学文献中仍未得到充分研究。尽管先前的研究表明，VL 儿童可能会经历一定程度的运动发育迟缓，但尚不清楚 VL 是否也会导致特定的认知发育迟缓。在这项研究中，我们将介绍一种新的基于平板电脑的计算机化测试组合（VSAD）的开发和验证，该测试组合评估视空间工作记忆、心理旋转、选择性注意和空间定向能力。13 名 VL 儿童和 54 名年龄匹配的健康儿童在 1 个月的间隔内两次完成了 VSAD 和经典纸笔神经心理学任务。我们的结果表明，VSAD 的视空间工作记忆、心理旋转和空间定向测试与经典任务之间具有很强的相关性，具有良好的同时效度。测试-重测信度也通过良好的组内系数得到支持。然而，选择性注意测试与匹配的经典任务之间没有同时效度。VSAD 对视空间工作记忆和心理旋转表现准确性的判别效度部分得到支持。VSAD 对测量 VL 儿童的视空间工作记忆、心理旋转和空间定向具有良好的同时效度和可靠性。未来的研究需要扩展与其他人群的判别效度。
