Campbell Laura M, Weinstein Andrea M, Henneghan Ashley, Paolillo Emily W, Ackerman Robert, Bomyea Jessica, Depp Colin A, Harvey Philip D, Pinkham Amy E, Twamley Elizabeth W, Moore Raeanne C
Department of Psychiatry, UC San Diego, San Diego, CA USA.
Department of Psychiatry, and The Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA USA.
NPP Digit Psychiatry Neurosci. 2025;3(1):15. doi: 10.1038/s44277-025-00036-x. Epub 2025 Jun 19.
Cognitive performance is classically measured through measures of central tendency. However, intraindividual cognitive variability (IIV) also holds important information about cognitive functioning. Smartphone-based ecological momentary cognitive testing (EMCT) can capture IIV across days. This study examined predictors of IIV, including demographics, affect, and mean performance, in EMCTs completed on the NeuroUX platform among two US-based samples: adults and older adults with high rates of mild cognitive impairment. The adult sample ( = 375) completed eight EMCTs assessing memory, processing speed, executive functioning, and working memory; each test was self-administered five times over ten days. The older adult sample ( = 94) completed three EMCTs assessing memory, processing speed/executive function, and working memory at three difficulty levels; each test at each difficulty level was self-administered five times over thirty days. Mean performance demonstrated the strongest association with IIV across groups. In the adult group, better mean performance was associated with less variability on tests of memory, executive functioning, and two out of three tests of processing speed. On tests of working memory, better mean performance was associated with greater variability, possibly due to the difficulty of these measures at higher performance levels. In the older adult sample, better mean performance was associated with two of three versions of the memory and working memory EMCTs and all difficulty levels of the processing speed/executive function task. Better average performance was associated with greater consistency across most measures. Broader and more diverse data collection methods like EMCT can provide valuable insights into cognitive functioning beyond traditional mean-based measures.
认知表现传统上是通过集中趋势的测量方法来衡量的。然而,个体内认知变异性(IIV)也包含有关认知功能的重要信息。基于智能手机的生态瞬时认知测试(EMCT)可以捕捉数天内的IIV。本研究在NeuroUX平台上完成的EMCT中,考察了IIV的预测因素,包括人口统计学、情绪和平均表现,样本来自两个美国群体:患有轻度认知障碍高发病率的成年人和老年人。成年样本(n = 375)完成了八项EMCT,评估记忆、处理速度、执行功能和工作记忆;每项测试在十天内自行进行五次。老年样本(n = 94)完成了三项EMCT,在三个难度级别上评估记忆、处理速度/执行功能和工作记忆;每个难度级别的每项测试在三十天内自行进行五次。平均表现在各群体中与IIV的关联最强。在成年组中,更好的平均表现与记忆、执行功能测试以及三项处理速度测试中的两项测试的变异性较小相关。在工作记忆测试中,更好的平均表现与更大的变异性相关,这可能是由于这些测量在较高表现水平时难度较大。在老年样本中,更好的平均表现与记忆和工作记忆EMCT的三个版本中的两个版本以及处理速度/执行功能任务的所有难度级别相关。更好的平均表现与大多数测量中的更高一致性相关。像EMCT这样更广泛、更多样化的数据收集方法可以提供超越传统基于均值测量的关于认知功能的宝贵见解。
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