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神经心理学评估中的社会文化影响。

Sociocultural effects in neuropsychological assessment.

作者信息

Ostrosky-Solis F, Canseco E, Quintanar L, Navarro E, Meneses S, Ardila A

出版信息

Int J Neurosci. 1985 Jul;27(1-2):53-66. doi: 10.3109/00207458509149134.

DOI:10.3109/00207458509149134
PMID:4019062
Abstract

The group selected for this evaluation consisted of 109 normal people with an average age of 25, coming from two different sociocultural levels (high and low) of Mexico City. All were completely evaluated by Luria's battery for neuropsychological assessment, adapted by Ardila, Ostrosky, and Canseco, 1981. This group of tests measures nine different areas: Motor Functions, Somatosensory Knowledge, Auditory Knowledge, Visuospatial Knowledge, Cognitive Processes, Language, Reading, Writing and Basic Calculations. For all of these, the higher performance standards were achieved by the subjects from the high sociocultural level. A significant interaction between sociocultural level and sex was observed. The differences between sexes appear only in subjects from the low sociocultural level. Factor analysis of the battery revealed that the most sensitive items to sociocultural level were those related on one hand, to the handling of complex structural and conceptual aspects of language and on the other hand, to the organization of motor sequences and in general motor programming. Research related to the differences found is reviewed and implications for clinical assessment are discussed.

摘要

此次评估所选的群体由109名平均年龄为25岁的正常人组成,他们来自墨西哥城两个不同的社会文化阶层(高阶层和低阶层)。所有人都通过由阿尔迪拉、奥斯特罗斯基和坎塞科于1981年改编的鲁利亚神经心理学评估成套测验进行了全面评估。这套测试测量九个不同领域:运动功能、躯体感觉知识、听觉知识、视觉空间知识、认知过程、语言、阅读、写作和基本计算。在所有这些方面,来自高社会文化阶层的受试者达到了更高的表现标准。观察到社会文化阶层与性别之间存在显著的交互作用。性别差异仅出现在低社会文化阶层的受试者中。对该成套测验的因素分析表明,对社会文化阶层最敏感的项目一方面与语言复杂结构和概念方面的处理有关,另一方面与运动序列的组织以及一般的运动编程有关。本文回顾了与所发现差异相关的研究,并讨论了其对临床评估的意义。

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