A Novel Computerized Cognitive Stress Test to Detect Mild Cognitive Impairment.

A Novel Computerized Cognitive Stress Test to Detect Mild Cognitive Impairment.
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DOI:
10.14283/jpad.2021.1
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发表时间:
2021
影响因子:
6.4
通讯作者:
Loewenstein, D. A.
Loewenstein, D. A.
中科院分区:
医学3区
文献类型:
--
作者:
Cid, R. E. Curiel;Crocco, E. A.;Kitaigorodsky, M.;Beaufils, L.;Pena, P. A.;Grau, G.;Visser, U.;Loewenstein, D. A.

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The Loewenstein Acevedo Scales of Semantic Interference and Learning (LASSI-L) is a novel and increasingly employed instrument that has outperformed widely used cognitive measures as an early correlate of elevated brain amyloid and neurodegeneration in prodromal Alzheimer’s Disease (AD). The LASSI-L has distinguished those with amnestic mild cognitive impairment (aMCI) and high amyloid load from aMCI attributable to other non-AD conditions. The authors designed and implemented a web-based brief computerized version of the instrument, the LASSI-BC, to improve standardized administration, facilitate scoring accuracy, real-time data entry, and increase the accessibility of the measure. The psychometric properties and clinical utility of the brief computerized version of the LASSI-L was evaluated, together with its ability to differentiate older adults who are cognitively normal (CN) from those with amnestic Mild Cognitive Impairment (aMCI). After undergoing a comprehensive uniform clinical and neuropsychological evaluation using traditional measures, older adults were classified as cognitively normal or diagnosed with aMCI. All participants were administered the LASSI-BC, a computerized version of the LASSI-L. Test-retest and discriminant validity was assessed for each LASSI-BC subscale. LASSI-BC subscales demonstrated high test-retest reliability, and discriminant validity was attained. The LASSI-BC, a brief computerized version of the LASSI-L is a valid and useful cognitive tool for the detection of aMCI among older adults.
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