词语配对联想学习测验老年常模的修订
Revision of the norm of the Verbal Paired Associative Learning Test in Chinese older adults
查看参考文献19篇
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文摘
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目的:修订临床记忆量表中的词语配对联想学习测验(VPALT)的老年常模并检验其效度和信度。方法:在北京取60~85岁正常老人825名(用于建立常模和信度检验)和轻度认知损害(MCI)患者91名(用于效度检验),完成VPALT、瑞氏听觉词语学习测验(RAVLT)、蒙特利尔认知评估量表(MoCA)等神经心理测验,并选取其中25名正常老人于2~5周后进行VPALT重测。把被试按年龄和受教育程度分组以建立常模。效度检验采用实证效度和效标效度,效标工具包括RAVLT和MoCA,并进行ROC曲线分析。信度检验使用内部一致性系数和重测信度。结果:不同年龄组和受教育程度组VPALT得分存在差异(P<0.001),年龄越低或受教育程度越高VPALT得分越高。效度检验发现,VPALT得分与RAVLT的即时回忆总分、MoCA的延迟回忆得分、MoCA总分均呈正相关(r=0.56、0.46、0.49,均P<0.001);正常老年人群的VPALT得分高于MCI患者[(6.9±4.2)vs.(4.2±3.2),P<0.001];根据ROC曲线结果,VPALT的敏感度为81.4%,特异度为64.4%。信度检验发现,VPALT的Cronbach α系数为0.86,其中容易词对和困难词对两个分测验的α系数分别为0.78和0.83;VPALT的重测信度为0.80,其中容易词对和困难词对两个分测验的重测信度分别为0.77和0.71。结论:本研究修订了词语配对联想学习测验60~85岁健康老人的年龄和受教育程度常模,其效度、信度检验符合心理测量学要求,可作为老年人记忆能力检测和MCI临床诊断的定量参照指标。 |
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其他语种文摘
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Objects:To revise the norm value of the Verbal Paired Associative Learning Test(VPALT) in the normal aged in Beijing and examine its validity and reliability.Methods:Totally 825 normal subjects (to revise the norm and reliability) and 91 patients with mild cognitive impairment (MCI) (to test the validity) aged 60-85 were selected in Beijing.All the subjects finished a battery of neuropsychological tests,including the VPALT,the Rey Auditory-Verbal Learning Test (ARVLT),the Montreal Cognitive Assessment (MoCA).Twenty-five normal subjects were sampled to retest VPALT between 2-5 weeks.Subjects were grouped according to age and degree of education.The validity analysis consisted of validate validity and criterion-related validity.The ARVLT and MoCA were used as criterions and analysis of receiver operating characteristic curve was conducted.The reliability analysis consisted of Cronbach α and test-retest reliability.Results:Group differences were found in age and education (P<0.001).Older adults with lower age or higher education level scored higher.The VPALT total scores were positively correlated with the ARVLT total scores (r=0.56,P<0.001),MoCA delay memory scores (r=0.46,P<0.001) and MoCA total scores (r=0.49,P<0.001).The normal older people got higher VPALT total scores than the patients with MCI [(6.9±4.2) vs.(4.2±3.2),P<0.001].According to the analysis of ROC,the sensitivity of VPALT was 81.4% while the specificity was 64.4%.For internal consistency,the Cronbach' s coefficient of the total test and its two subtests were 0.86,0.78 and 0.83 respectively.The test-retest reliability of the test and its two subtests were 0.80,0.77 and 0.71 respectively.Conclusions:In this study the norm of VPALT in normal old people aged 60-85 are revised,whose validity and reliability meet the demand of psychometrics.It could be used as an evaluation tool of memory of the aged and a quantitative reference index in making diagnose of MCI. |
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来源
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中国心理卫生杂志
,2014,28(7):512-517 【核心库】
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关键词
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词语配对联想学习测验
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记忆
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常模
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效度
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信度
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心理测量学研究
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地址
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中国科学院心理研究所老年心理研究中心, 中国科学院心理健康重点实验室, 北京, 100101
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1000-6729 |
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学科
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社会科学总论 |
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基金
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国家自然科学基金
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中国科学院知识创新工程重要方向项目
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中国科学院-国家外国专家局创新团队国际合作伙伴计划
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文献收藏号
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CSCD:5194460
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