在异质临床样本中进行动态测试:可行性研究
Ynès Hendriks1,2,3, Bart Vogelaar4, Roos van Heeswijk1
1Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatrie, 5803 AC Venray, The Netherlands.
Behavioral sciences (Basel, Switzerland)
|October 29, 2025
概括
这项研究探讨了在精神病患者中进行模拟推理的计算机化动态测试. 虽然测试显示了一些训练有效性,但测试却显示了一些训练有效性.
科学领域:
- 神经心理学 神经心理学
- 认知心理学 认知心理学
- 精神病学是一个精神病学.
背景情况:
- 标准的神经心理评估往往缺乏对认知能力的动态测量.
- 模拟推理是一种复杂的认知功能,对更高层次的思维至关重要.
- 在异质精神病患者群体中评估认知功能存在独特的挑战.
研究的目的:
- 评估在标准神经心理评估中对模拟推理进行计算机化动态测试的可行性.
- 在精神病学样本中检查这个动态测试的测试复试可靠性和潜在的训练有效性.
主要方法:
- 在40名成年精神病患者中采用了预测-培训-后测试设计.
- 参与者被随机分配到训练,被动或对照组.
- 一个计算机化动态测试,包括A:B::C:?的26个项目. 格式被管理.
主要成果:
- 测试的管理时间有很大差异,22%的数据由于停课或技术问题而丢失.
- 在不同组中观察到可接受的良好测试-重复测试可靠性 (r = 0.61到0.88).
- 观察到培训有效性的趋势 (p = 0.055),但与对照组 (p = 0.201) 相比,这一趋势在统计上并不显著.
结论:
- 计算机化动态测试显示了精神病患者培训有效性的潜在迹象.
- 鉴定了由于实际问题 (例如,数据丢失,管理时间) 而造成的当前适用性限制.
- 建议对动态测试进行修改,以提高其临床效用.
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