Informant report of practical judgment ability in a clinical sample of older adults with subjective cognitive decline, mild cognitive impairment, and dementia.
Informant report of practical judgment ability in a clinical sample of older adults with subjective cognitive decline, mild cognitive impairment, and dementia.
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DOI：
10.1080/13825585.2020.1859081
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Paré N
中科院分区：
文献类型：
--
作者：
Rabin LA;Guayara-Quinn CG;Nester CO;Ellis L;Paré N
判断力的丧失是痴呆过程的结果，因为允许复杂的、目标导向的行为的执行功能逐渐失效。不幸的是，尽管神经心理学家在评估病人的判断能力时，绝大多数都报告说从重要的其他人那里收集数据，但有效的临床评估方法数量有限，也没有信息评估量表。我们开发了一种举报人报告措施，以补充日益使用的客观实用判断测试（TOP-J）。根据对文献和现有举报人报告措施的审查，我们编制了一些项目，使举报人能够报告TOP-J所涉及的领域（安全、医疗、财务、社会伦理）的受损判断。在对记忆障碍门诊患者的供述者进行项目细化和试点后，我们将15项likert型测量添加到美国中西部两家诊所的老年成人患者的神经心理学测试中。样本包括189名患者和供述者对（平均年龄= 79.0岁，平均受教育年数= 13.8，女性比例= 67.7）：主观认知能力下降，轻度认知障碍，阿尔茨海默病，血管性痴呆和行为变异性额颞叶痴呆。我们发现了心理测量的支持，包括趋同效度、区别效度和标准相关效度以及内部一致性的证据。重要的是，top - j信息者在预期方向上对诊断组进行了区分。总的来说，top - j -举报人简短（<5分钟），易于实施，并且举报人耐受良好。我们讨论了其潜在的效用，以揭示在神经心理学评估或诊所访问的背景下管理时与不良判断相关的关注领域。
Loss of judgment is a consequence of the dementing process, as executive functions that permit complex, goal-directed behavior progressively fail. Unfortunately, there are a limited number of validated clinical measures to assess judgment and no informant rating scales—even though neuropsychologists overwhelmingly report gathering data from significant others when assessing patients’ judgment ability. We developed an informant-report measure to complement the increasingly used objective Test of Practical Judgment (TOP-J). Based on review of the literature and existing informant report measures, we generated items that enable informants to report compromised judgment in areas tapped by the TOP-J (safety, medical, financial, social-ethical). After item refinement and piloting on informants of patients form a memory disorders clinic, we added the 15-item Likert-type measure to neuropsychological batteries of older adult patients at two clinics in the Midwestern U.S. The sample included 189 patient and informant dyads (mean age = 79.0, mean years of education = 13.8, %female = 67.7) with: subjective cognitive decline, mild cognitive impairment, Alzheimer’s disease, vascular dementia, and behavioral variant frontotemporal dementia. We found psychometric support, including evidence for convergent, discriminant, and criterion-related validity, and internal consistency. Importantly, the TOP-J-Informant discriminated between diagnostic groups in the expected direction. Overall, the TOP-J-Informant is brief (<5 minutes), easy to administer, and well-tolerated by informants. We discuss its potential utility to reveal areas of concern related to poor judgment when administered in the context of a neuropsychological evaluation or clinic visit.
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影响因子：
1.2
作者：
Galvin, James E.
通讯作者：
Galvin, James E.
影响因子：
16.4
作者：
Gatz, Margaret;Smyer, Michael A.;DiGilio, Deborah A.
通讯作者：
DiGilio, Deborah A.
影响因子：
3.7
作者：
Fjell, Anders M.;Sneve, Markus H.;Walhovd, Kristine B.
通讯作者：
Walhovd, Kristine B.
线人报告的主观认知下降中的功能连通性强度改变：静止状态磁共振成像研究。
DOI：
10.1016/j.dadm.2018.08.011
发表时间：
2018
期刊：
Alzheimer's & dementia (Amsterdam, Netherlands)
影响因子：
--
作者：
Dong C;Liu T;Wen W;Kochan NA;Jiang J;Li Q;Liu H;Niu H;Zhang W;Wang Y;Brodaty H;Sachdev PS
通讯作者：
Sachdev PS
DOI：
10.1017/s135561771400068x
发表时间：
2014-09
期刊：
Journal of the International Neuropsychological Society : JINS
影响因子：
--
作者：
Edmonds EC;Delano-Wood L;Galasko DR;Salmon DP;Bondi MW;Alzheimer’s Disease Neuroimaging Initiative
通讯作者：
Alzheimer’s Disease Neuroimaging Initiative