解释阿根廷儿童的直接和衍生的Trail Making测试成绩:基于回归的规范,收的有效性,测试复试可靠性和实践效应
Vanessa Arán Filippetti1,2, Marisel Gutierrez2
1Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.
The Clinical neuropsychologist
|November 7, 2024
概括
这项研究确定了西班牙语儿童的Trail Making Test (TMT) 的规范性数据,发现与年龄相关的表现改善以及直接和衍生得分的可靠性. 研究结果为儿童群体的执行功能评估和认知灵活性干预提供了信息.
科学领域:
- 神经心理学 神经心理学
- 发展心理学 发展心理学
- 认知神经科学 认知神经科学
背景情况:
- 追踪测试 (TMT) 是一种广泛使用的神经心理学工具,用于评估执行功能 (EF).
- 建立可靠的规范性数据对于准确解释儿童群体TMT表现至关重要.
- 了解直接和衍生的TMT得分的心理测量特性对于临床和研究应用至关重要.
研究的目的:
- 建立基于回归的规范数据,用于西班牙语儿童的直接和衍生TMT得分.
- 检查TMT得分在1个月和1年间隔的融合有效性,测试重试可靠性和实践效应.
- 研究儿童的TMT表现与其他执行功能之间的关系.
主要方法:
- 进行了两项研究:一个横截面研究 (S1,n=413,年龄6-15岁) 和一个纵向研究 (S2,n=110,年龄6-12岁).
- 采用了基于回归的规范程序,部分相关性,类内相关系数 (ICC),皮尔森的r和配对的t测试.
- 分析了直接的TMT得分 (TMT-A,TMT-B) 和衍生得分 (B-A,B+A,B/A比率).
主要成果:
- 年龄与改善的TMT表现有显著的关联,特别是在直接得分与衍生措施 (B-A,B/A) 之间.
- 与TMT-A相比,TMT-B与其他执行功能有更强烈的关联;B+A指数成为一般认知功能衡量标准.
- 在较年轻和较年长的年龄组中,观察到TMT-A,TMT-B和B+A的测试可靠性相当或很好. 直接TMT得分在一年内显著改善,而衍生得分B-A和B/A没有显著变化.
结论:
- 该研究为西班牙语儿童的TMT提供了有价值的规范性数据,有助于评估执行功能.
- 结果突出了直接与衍生的TMT分数的差异有效性和可靠性,这对研究和实践中的分数选择有影响.
- 这些结果支持使用TMT来评估儿科患者的认知灵活性和整体执行功能,并为干预开发提供信息.
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