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实际判断的测试 (TOP-J):在一个社区老年人样本中构建,标准和增量有效性

Yana Suchy¹, Austin Simpson², Michelle Gereau Mora¹

¹Department of Psychology, University of Utah, Salt Lake City, UT, USA.

Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists

|December 14, 2023

概括

实用判断力测试 (TOP-J/9) 显示了足够的可靠性,并预测了老年人的日常功能. 删除两个项目改善了它与执行职能和日常任务预测的关系.

科学领域:

老年学是指老年学的学科.
神经心理学神经心理学
认知科学认知科学

背景情况:

实用判断力测试 (TOP-J) 评估执行功能 (EF) 并预测老年人的日常功能.
以前对TOP-J的验证研究已经产生了不一致的结果.
9项版本 (TOP-J/9) 需要进一步的心理测量评估.

研究的目的:

检查TOP-J/9.9的可靠性和构造,标准和增量有效性.
评估TOP-J/9在老年人中预测日常生活工具活动 (IADLs) 的能力.
探索对TOP-J进行修改以增强其心理测量特性.

主要方法:

95名居住在社区的老年人 (60-85岁) 完成了TOP-J/9.
参与者通过自我报告,实验室任务和家庭任务对EF,全球认知和IADL进行了评估.
分析了IADL的内部一致性,与认知指标的相关性以及IADL的预测有效性.

主要成果:

TOP-J/9表现出足够的内部一致性 (α=0.73).
TOP-J/9分数与全球认知和EF相关,尽管EF相关性在控制下级过程后减少.
TOP-J/9 评分预测了基于家庭的 IADL,但不是自我报告或基于实验室的 IADL,并且没有逐步预测超出其他认知措施的基于家庭的 IADL.
一个没有两个社会/道德项目的修改后的TOP-J显示了与EF的关系有所改善,并独特地预测了基于家庭的IADL.

结论:

TOP-J/9主要反映的是全球认知状态,而不是特定的EF.
TOP-J/9显示了对现实世界的运作的一些预测有效性,但并非超越其他认知措施的独特性.
删除两个社会/道德判断项可能会提高TOP-J对EF和IADL的心理测量实用性和预测能力.

关键词:

衰老的衰老衰老的衰老每天运作的日常功能.生态有效性生态有效性执行职能执行职能执行职能日常生活中的工具性活动.

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