在混合临床样本中,家长对儿童日常功能进行评分
Jacobus Donders1, Jonah Reibsome2, Kate Wilson1
1Department of Psychology, Mary Free Bed Rehabilitation Hospital, Grand Rapids, Michigan, USA.
Applied neuropsychology. Child
|November 25, 2023
概括
儿童行为评估系统-第三版 (BASC-3) 和执行功能行为评分目录-第二版 (BRIEF-2) 提供了对儿童神经行为功能的互补洞察,有助于定制治疗策略.
科学领域:
- 神经心理学 神经心理学
- 儿童心理学 儿童心理学
- 临床评估 临床评估
背景情况:
- 在神经心理评估中,家长问卷对于评估执行和情绪/行为功能至关重要.
- 这些尺度补充了儿童的直接认知测试.
- 通常使用的工具包括BASC-3和BRIEF-2.
研究的目的:
- 检查BASC-3和BRIEF-2家长评级表之间的重叠和分歧.
- 了解这些仪器如何在临床儿科样本中评估神经行为功能障碍.
- 根据综合规模数据,识别不同的患者个人资料.
主要方法:
- 评估了198名6至16岁儿童的临床样本,这些儿童患有各种神经和神经发育诊断.
- 计算了BASC-3和BRIEF-2复合指数之间的相互相关性.
- 进行了集群分析,以确定功能亚型.
主要成果:
- 在BASC-3和BRIEF-2指数之间发现了中度的相互关联 (.41-.77).
- 在26%的案例中,尺度不同意损伤状态.
- 出现了四个不同的集群,其特点是不同程度的外部化,内部化,情感/行为和执行关注,在年龄,父母教育和智商方面存在差异.
结论:
- BASC-3和BRIEF-2为评估儿童的神经行为功能提供了补充,而不是冗余的信息.
- 尺度之间的差异凸显了全面评估的必要性.
- 综合的个人资料分析可以指导个性化的治疗干预措施,包括认知康复,行为管理和心理治疗.
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