Multimodal Neurocognitive Screening of Military Personnel With a History of Mild Traumatic Brain Injury Using the Bethesda Eye & Attention Measure.
Multimodal Neurocognitive Screening of Military Personnel With a History of Mild Traumatic Brain Injury Using the Bethesda Eye & Attention Measure.
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使用 Bethesda Eye 对有轻度创伤性脑损伤史的军事人员进行多模式神经认知筛查
DOI：
10.1097/htr.0000000000000683
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Agtarap,Stephanie
中科院分区：
文献类型：
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作者：
Ettenhofer,MarkL;Hungerford,LarsD;Agtarap,Stephanie
目的：评估神经认知眼动追踪任务，即 Bethesda 眼睛和注意力测量 (BEAM)，用于对有轻度创伤性脑损伤 (TBI) 病史的患者进行认知筛查。地点：美国军方 TBI 康复诊所。设计/参与者：对 191 名接受轻度 TBI 病史相关门诊服务的军人进行横断面研究。 Main measures: BEAM;注意力、处理速度、执行功能和记忆力的神经心理学筛查措施。结果：发现关键 BEAM 指标和神经心理学筛查测试之间的部分相关性（控制年龄）具有中等效应大小。线性回归分析表明，BEAM 眼球扫视运动和手动（按钮按下）指标在认知表现测量方面均提供了互补价值，超越了人口因素和临床特征的影响。结论：本研究为使用 BEAM 神经认知眼动追踪对有轻度 TBI 病史的成人进行认知筛查提供了初步支持。 BEAM 扫视指标似乎特别适合评估视觉注意力。研究结果还强调了提高认知敏感性或测试效率的机会，而一次仅测量一种反应方式的测试可能会错过这些机会。
Objective:To evaluate a neurocognitive eye tracking task, the Bethesda Eye & Attention Measure (BEAM), for use in cognitive screening of patients with a history of mild traumatic brain injury (TBI).Setting:US military TBI rehabilitation clinic.Design/Participants:Cross-sectional study of 191 military personnel receiving outpatient services related to history of mild TBI. Main measures: BEAM; neuropsychological screening measures of attention, processing speed, executive function, and memory.Results:Medium effect sizes were found for partial correlations (controlling for age) between key BEAM metrics and neuropsychological screening tests. Linear regression analyses demonstrated that BEAM saccadic eye movements and manual (button press) metrics each provided complementary value in measurement of cognitive performance, above and beyond effects of demographic factors and clinical characteristics.Conclusion:This study provides initial support for the use of BEAM neurocognitive eye tracking in cognitive screening of adults with a history of mild TBI. BEAM saccadic metrics appear to be particularly well-suited for the assessment of visual attention. Study findings also highlight opportunities for greater cognitive sensitivity or testing efficiency that may be missed by tests measuring only one response modality at a time.