在成护理中滥用药物患者的性能有效性测试
Elvire S L Mastboom1, Joanneke E L VanDerNagel1,2,3, Jeroen Staudt1,4
1Tactus Addiction Care, Deventer, The Netherlands.
Substance use & misuse
|August 7, 2025
概括
性能有效性测试 (PVTs) 在物质使用障碍 (SUD) 患者中显示出不同的结果,突出了需要在成护理中进行仔细选择,以确保准确的认知评估.
科学领域:
- 神经心理学 神经心理学
- 成 药物 药物 药物 药物
- 认知评估 认知评估
背景情况:
- 药物使用障碍 (SUD) 与影响治疗结果的认知障碍有关.
- 神经心理测试对于识别这些缺陷至关重要,但性能有效性数据很少.
- 性能有效性测试 (PVT) 评估神经心理测试结果的可靠性.
研究的目的:
- 用不同的PVTs来确定SUD住院患者表现不佳有效性的流行率.
- 在检测无效性能方面评估各种PVT之间的协议.
- 检查PVT结果与整体认知功能之间的关联.
主要方法:
- 对172名SUD住院患者 (2017-2024) 的回顾性分析.
- 评估了三个PVT:视觉关联测试扩展 (VAT-E),阿姆斯特丹短期记忆测试 (ASTM) 和WAIS-IV数字跨度年龄校正缩放分数 (DS ACSS).
- 失败率的计算,PVT之间的协议 (κ),以及与蒙特利尔认知评估 (MoCA) 的相关性.
主要成果:
- 在PVT之间故障率的实质性变化 (1.3%至36%).
- 在PVT之间达成的协议很低 (κ = 0.019 0.397) 并且他们的分数之间的相关性很小.
- 在PVTs和MoCA得分之间存在微弱到中度的正相关性 (ρ = -0.0240.403).
结论:
- 不同的PVT可能会评估不同的结构,从而导致不同的故障率.
- ASTM可能过于困难,而DS ACSS故障可能表明智力较低,不一定是无效的性能.
- 在成环境中,仔细选择PVT至关重要,以防止错误分类,并确保有效的神经心理评估.
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