Caracterizacón psicométrica de addenbrooke's cognitive examination III, el INECO frontal screening y el frontal assessment battery en adultos cognitivamente saludable y no saludables
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2019-07-21
Autores
Morales Ortiz, Sheila de la Caridad
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Universidad Central “Marta Abreu” de Las Villas. Facultad de Ciencias Sociales. Departamento de Psicología
Resumen
Introducción. El envejecimiento implica un deterioro de la salud física y mental que puede conducir a diversas enfermedades neurodegenerativas, resultando imprescindible contar con instrumentos de evaluación cognitiva válidos y confiables.
Objetivo: Explorar las características psicométricas de instrumentos de evaluación cognitiva en adultos cognitivamente saludables y no saludables. Método, Desde un paradigma cuantitativo, se diseñó un estudio instrumental. Se trabajó con
150 adultos. 30 sanos, 30 con deterioro cognitivo leve DCL, 30 con Parkinson. Se comprobó la influencia de las variables Edad y Escolarización en el rendimiento cognitivo, se comparó el rendimiento cognitivo entre los grupos y se determinó la sensibilidad y especificidad de los instrumentos, Addenbrooke’s Cognitive Examination III (ACE III), INECO Frontal Screening IFS, Frontal Assessment Battery FAB. Resultados: La edad ejerce influencia negativa y significativa en la puntuación del ACE, mientras que la escolarización influye positivamente en el resultado de todas las pruebas. Existen diferencias significativas entre los tres grupos. En el grupo con DCL, el ACE III muestra 100% de sensibilidad y 60% de especificidad; para el FAB los valores corresponden a 83% y 56% respectivamente, y en el IFS 97% y 58%. En el grupo con Parkinson, el ACE III muestra 87% de sensibilidad y 59% de especificidad, para el FAB los valores corresponden a 73% y 56% respectivamente, y en el IFS 90% y 58%. Conclusiones. El ACE III, FAB e INECO FS muestran valores adecuados de sensibilidad y especificidad en los grupos explorados
Background. Aging implies a deterioration of physical and mental health that can lead to various neurodegenerative diseases, therefore, it is essential to determine the sensitivity and specificity of the cognitive assessment tools. Aim, To explore the psychometric characteristics of cognitive assessment tools in cognitively healthy and unhealthy adults. Method, From a quantitative paradigm, an instrumental study was designed. The sample was 150 adults, 30 healthy, 30 with mild cognitive impairment MCI and 30 with Parkinson's. The influence of the variables Age and Scholarship on cognitive performance was evaluated. The cognitive performance between groups was compared. The sensitivity and specificity of Addenbrooke's Cognitive Examination III ACE III, INECO Frontal Screening IFS, and Frontal Assessment Battery FAB were determined. Results, Age influences negatively and significant on the ACE III score. Scholarship influences positively in the result of all tests. There are significant differences between the three groups. In the group with MCI, ACE III shows 100% sensitivity and 60% specificity, for FAB the values correspond to 83% and 56% respectively. In the IFS the values were 97% and 58%. In the Parkinson's group, ACE III shows 87% sensitivity and 59% specificity, for FAB the values correspond to 73% and 56% respectively, and in the IFS 90% and 58%. Conclusions: ACE III, FAB and INECO FS show adequate sensitivity and specificity values in the groups explored
Background. Aging implies a deterioration of physical and mental health that can lead to various neurodegenerative diseases, therefore, it is essential to determine the sensitivity and specificity of the cognitive assessment tools. Aim, To explore the psychometric characteristics of cognitive assessment tools in cognitively healthy and unhealthy adults. Method, From a quantitative paradigm, an instrumental study was designed. The sample was 150 adults, 30 healthy, 30 with mild cognitive impairment MCI and 30 with Parkinson's. The influence of the variables Age and Scholarship on cognitive performance was evaluated. The cognitive performance between groups was compared. The sensitivity and specificity of Addenbrooke's Cognitive Examination III ACE III, INECO Frontal Screening IFS, and Frontal Assessment Battery FAB were determined. Results, Age influences negatively and significant on the ACE III score. Scholarship influences positively in the result of all tests. There are significant differences between the three groups. In the group with MCI, ACE III shows 100% sensitivity and 60% specificity, for FAB the values correspond to 83% and 56% respectively. In the IFS the values were 97% and 58%. In the Parkinson's group, ACE III shows 87% sensitivity and 59% specificity, for FAB the values correspond to 73% and 56% respectively, and in the IFS 90% and 58%. Conclusions: ACE III, FAB and INECO FS show adequate sensitivity and specificity values in the groups explored
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Palabras clave
Addenbrooke’s Cognitive, Examination, INECO Frontal Screening, Frontal Assessment Battery, Sensibilidad, Deterioro Cognitivo, Parkinson, Mild Cognitive, Sensitivity, Specificity