Duff Kevin, Turok Nora Grace, Piryatinsky Irene
Layton Aging and Alzheimer's Disease Research Center, Department of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Road (Mail Code: CR131), Portland, OR 97239, USA.
Neuropsychological Assessment Clinic, 77 Warren Street, Building 2, Brighton, MA 02135, USA.
Arch Clin Neuropsychol. 2025 May 21;40(4):814-821. doi: 10.1093/arclin/acae095.
Develop and preliminarily validate recognition subtests for Form B of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).
49 older adults with no cognitive impairment were compared to 53 individuals with a primary neurocognitive disorder (e.g., dementia, mild cognitive impairment, and traumatic brain injury) and 22 individuals with a primary psychiatric disorder (e.g., depression and anxiety) on three recognition subtests (list, story, and figure) for Form B of the RBANS in this observational study.
The individuals with a primary neurocognitive disorder performed significantly poorer on most of the recognition scores compared to those with no cognitive impairment and those with a primary psychiatric disorder, with these latter two groups being largely comparable. In the entire sample, for the recognition subtests, education only correlated with figure recognition scores, and neither age nor gender influenced recognition scores. The RBANS indexes correlated with most of the recognition scores in the expected directions.
The group differences in performance on these recognition subtests preliminarily validate these scores on Form B, which were not previously available. Furthermore, these scores tended to not be influenced by age, education, or gender, although they were related to overall cognitive functioning. Additional validation is needed in larger, better clinically-defined, and more diverse samples. Nonetheless, these findings support the inclusion of the newly-developed Form B recognition subtests in future clinical practice and research settings to enhance the accuracy of diagnoses and treatment recommendations.
开发并初步验证用于评估神经心理状态的可重复成套测验（RBANS）B 版的识别子测验。
在这项观察性研究中，对49名无认知障碍的老年人、53名患有原发性神经认知障碍（如痴呆、轻度认知障碍和创伤性脑损伤）的个体以及22名患有原发性精神障碍（如抑郁和焦虑）的个体进行了RBANS B版的三个识别子测验（列表、故事和图形）。
与无认知障碍的个体和患有原发性精神障碍的个体相比，患有原发性神经认知障碍的个体在大多数识别分数上表现明显更差，而后两组在很大程度上具有可比性。在整个样本中，对于识别子测验，教育程度仅与图形识别分数相关，年龄和性别均未影响识别分数。RBANS指数与大多数识别分数在预期方向上相关。
这些识别子测验在表现上的组间差异初步验证了B版中这些之前未有的分数。此外，这些分数往往不受年龄、教育程度或性别的影响，尽管它们与整体认知功能相关。需要在更大、临床定义更好且更多样化的样本中进行进一步验证。尽管如此，这些发现支持在未来的临床实践和研究环境中纳入新开发的B版识别子测验，以提高诊断和治疗建议的准确性。
