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Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Spanish normative studies (NEURONORMA-Plus project): norms for the Wisconsin Card Sorting Test, the Modified Taylor
C Pérez-Enríquez1, G García-Escobar2, M Florido-Santiago3
1Grupo de neurofuncionalidad y lenguaje, Programa de neurociencias, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, Spain; Unidad de Epilepsia, Servicio de Neurología, Hospital del Mar, Barcelona, Spain.
This study provides normative data for cognitive tests, including the Wisconsin Card Sorting Test (WCST), Modified Taylor Complex Figure (MTCF), and Ruff-Light Trail Learning Test (RULIT), adjusted for age, education, and sex in the Spanish population.
Area of Science:
- Neuroscience
- Psychology
- Cognitive Science
Background:
- Cognitive assessment is crucial for diagnosing neurological and psychiatric conditions.
- Normative data are essential for accurate interpretation of neuropsychological test results.
- Existing norms may not adequately represent diverse populations or account for demographic variables.
Purpose of the Study:
- To establish age-, education-, and sex-adjusted norms for the Wisconsin Card Sorting Test (WCST), Modified Taylor Complex Figure (MTCF), and Ruff-Light Trail Learning Test (RULIT).
- To support the NEURONORMA-Plus project by providing updated normative data for the Spanish population.
- To facilitate accurate clinical interpretation of cognitive performance in Spanish adults.
Main Methods:
- Recruited 308 healthy Spanish individuals aged 18-92 years.
- Collected data on WCST, MTCF, and RULIT performance.
- Developed regression models to adjust raw scores for age, education, and sex in two age groups (<50 and ≥50 years).
Main Results:
- Older age negatively impacted performance across all tests.
- Education positively influenced WCST (younger group) and MTCF (older group) performance.
- Sex showed a small but significant effect on RULIT performance in younger men.
Conclusions:
- The generated normative data enhance the clinical utility of WCST, MTCF, and RULIT in the Spanish population.
- Demographic adjustments (age, education, sex) are critical for accurate neuropsychological assessment.
- This study contributes valuable data for understanding cognitive aging and variability.
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