SABIEX, Universidad Miguel Hernández de Elche, Avda. de la Universidad, 03207 Elche, Spain.
Department of Health Psychology, Miguel Hernández University of Elche, 03202 Elche, Spain.
Int J Environ Res Public Health. 2021 Dec 9;18(24):12977. doi: 10.3390/ijerph182412977.
The aim of this work was to develop normative data for neuropsychological tests for the assessment of independent and cognitively active Spanish older adults over 55 years of age.
regression-based normative data were calculated from a sample of 103 nondepressed independent community-dwelling adults aged 55 or older (66% women). The raw data for the Free and Cued Selective Reminding Test (FCSRT), the Rey-Osterrieth Complex Figure Test (ROCF) and the Judgement of Line Orientation Test (JLO) were regressed on age, sex and education. The model predicting the FCSRT delayed-recall (FCSRT-Del) scores also included the FCSRT immediate-recall (FCSRT-Imm) scores. The model predicting the ROCF immediate-recall (ROCF-Imm) scores included the ROCF copy-trial (ROCF-C) scores, and the model predicting the ROCF delayed-recall (ROCF-Del) scores included both the ROCF-C and the ROCF-Imm scores. In order to identify low scores, z-scores were used to determine the discrepancy between the observed and the predicted scores. The base rates of the low scores for both the SABIEX normative data and the published normative data obtained from the general population were compared.
the effects of the different sociodemographic variables (age, sex and education) varied throughout the neuropsychological measures. Despite finding similar proportions of low scores between the normative data sets, the agreement was irrelevant or only fair-to-good.
the normative data obtained from the general population might not be sensitive enough to identify low scores in cognitively active older adults, incorrectly classifying them as cognitively normal compared to the less active population.
本研究旨在为评估 55 岁以上独立和认知活跃的西班牙老年人的神经心理学测试制定规范数据。
从年龄在 55 岁或以上(66%为女性)的 103 名非抑郁独立社区居住成年人的样本中计算基于回归的规范数据。对自由和线索选择性提醒测试(FCSRT)、 Rey-Osterrieth 复杂图形测试(ROCF)和线定向判断测试(JLO)的原始数据进行回归分析,以年龄、性别和教育为预测变量。预测 FCSRT 延迟回忆(FCSRT-Del)分数的模型还包括 FCSRT 即时回忆(FCSRT-Imm)分数。预测 ROCF 即时回忆(ROCF-Imm)分数的模型包括 ROCF 复制试验(ROCF-C)分数,预测 ROCF 延迟回忆(ROCF-Del)分数的模型包括 ROCF-C 和 ROCF-Imm 分数。为了确定低分数,使用 z 分数来确定观察分数与预测分数之间的差异。比较了 SABIEX 规范数据和从一般人群获得的已发表规范数据的低分数的基础发生率。
不同社会人口统计学变量(年龄、性别和教育)对神经心理学测量的影响各不相同。尽管在规范数据集之间发现了相似比例的低分数,但一致性是无关的或仅为一般至良好。
从一般人群中获得的规范数据可能不够敏感,无法识别认知活跃的老年人中的低分数,与不那么活跃的人群相比,错误地将他们归类为认知正常。