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使用补充记忆测量来完善对重复认知评估测验的神经心理状态评估的解读。

Using supplemental memory measures to refine interpretation of the repeatable battery for the assessment of neuropsychological status.

机构信息

Mental Health Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Department of Psychiatry, University of Michigan Michigan Medicine, Ann Arbor, MI, USA.

出版信息

Appl Neuropsychol Adult. 2024 May-Jun;31(3):274-281. doi: 10.1080/23279095.2021.2020792. Epub 2022 Jan 10.

DOI:10.1080/23279095.2021.2020792
PMID:35007455
Abstract

The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is frequently used as a cognitive screening measure or as part of a comprehensive neuropsychological battery. Augmenting the current memory subtests of the RBANS to reflect clinically meaningful distinctions in memory performance may improve its clinical utility, allowing users to generate additional hypotheses and refine clinical interpretations. We pilot four supplementary memory measures to use with the RBANS, adapted from paradigms commonly used by other neuropsychological tests. We also provide several new theoretically derived memory indices to supplement the standard Delayed Memory Index. The new subtests correlated significantly with the standard memory measures, and the new indices demonstrated good reliability and diagnostic accuracy. This study provides preliminary support for supplementing the RBANS to allow for more nuanced interpretations of memory performance.

摘要

重复性成套神经心理状态测验(RBANS)常用于认知筛查或作为全面神经心理测验的一部分。扩充 RBANS 目前的记忆分测验,以反映记忆表现上有临床意义的差异,可能会提高其临床实用性,让使用者能够产生更多假设并完善临床解读。我们使用了来自其他神经心理测验中常用范式改编的四种补充性记忆测验,对其进行试点研究。我们还提供了几个新的、从理论上推导出的记忆指数,以补充标准的延迟记忆指数。新的分测验与标准的记忆测验显著相关,新的指数显示出良好的可靠性和诊断准确性。这项研究初步支持补充 RBANS,以允许对记忆表现进行更细致的解释。

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