Keywords
evaluación neuropsicológica
fluidez verbal
Modelo de Escalas de Calificación
How to Cite
Abstract
Objetivo: Comparar dos sistemas de puntuación para un test de fluidez verbal con el Modelo de Escalas de Calificación. Método: Se analizaron datos de 289 participantes, de los cuales 92 habían sido diagnosticados con Parkinson. Las puntuaciones se calcularon con dos sistemas de categorización: un procedimiento convencional y otro basado en percentiles. Resultados: Las puntuaciones Rasch procedentes de percentiles dan lugar a categorías adecuadas y medidas fiables; la correlación con las puntuaciones del test Minimental es evidencia de validez concurrente. Tras controlar estadísticamente el efecto de la edad, las medidas Rasch procedentes de percentiles discriminan entre ambos grupos, lo que evidencia validez predictiva. Conclusiones: El análisis de los dos procedimientos permite recomendar el uso de las categorías basadas en percentiles.
References
Andrich, D. (1978). A rating formulation for ordered response categories. Psychometrika, 43(4), 561-573. doi: 10.1007/BF02293814
Azuma, T., Cruz, R. F., Bayles, K. A., Tomoeda, C. K., & Montgomery E. B. (2003). A longitudinal study of neuropsychological change in individuals with Parkinson’s disease. International Journal of Geriatric Psychiatry, 18, 1043-1049. doi: 10.1002/gps.1022
Baldo, J. V., Schwartz, S., Wilkins, D., & Dronkers, N. F. (2006). Role of frontal versus temporal cortex in verbal fluency as revealed by voxel-based lesion symptom mapping. Journal of the International Neuropsychological Society, 12, 896-900. doi: :10.10170S1355617706061078
Baldo, J. V., Shimamura, A. P., Delis, D. C., Kramer, J., & Kaplan, E. (2001). Verbal and design fluency in patients with frontal lobe lesions. Journal of the International Neuropsychological Society, 7, 586-596. doi: 10.1017/S1355617701755063
Bertola, L., Mota, N. B., Copelli, M., Rivero, T., Diniz, B. S., Romano-Silva, M. A., . . . Malloy-Diniz, L. F. (2014). Graph analysis of verbal fluency test discriminate between patients with Alzheimer’s disease, mild cognitive impairment and normal elderly controls. Frontiers in Aging Neuroscience, 6, 185. doi: 10.3389/fnagi.2014.00185
Birn, R. M., Kenworthy, L., Case, L., Caravella, R., Jones, T. B. Bandettini, P. A., & Martin, A. (2010). Neural systems supporting lexical search guided by letter and semantic category cues: A self-paced overt response fMRI study of verbal fluency. NeuroImage, 49, 1099-1107. doi: 10.1016/j.neuroimage.2009.07.036
Bryan, J., & Luszcz, M. (2000). Measurement of executive function: considerations for detecting adult age differences. Journal of Clinical and Experimental Neuropsychology, 22, 40-55. doi: : 10.1076/1380-3395(200002)22:1;1-8;FT040
Burgess, P. W., Alderman, N., Evans, J., Emslie, H., & Wilson, B. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547-558.
Damasio, A., & Tranel, D. (1993). Nouns and verbs are retrieved with differently distributed neural systems. Proceedings of the National Academy of Science of the United States of America, 90, 4957-4960.
Delgado, A.R. (2007). Using the Rasch Model to quantify the causal effect of instructions. Behavior Research Methods, 39, 570-573.
Dubois, B., Burn, D., Goetz, C., Aarsland, D., Brown, R .G., Broe, G. A... Emre, M. (2007). Diagnostic procedures for Parkinson’s disease dementia: Recommendations from the movement disorder society task force. Movement Disorders, 22, 2314- 2324. doi: 10.1002/mds.21844
Dubois, B., Slachevsky, A., Litvan, I., & Pillon, B. (2000). The FAB: a Frontal Assessment Battery at bedside. Neurology, 55, 1621-1626. doi: 10.1212/WNL.55.11.1621
Freitas, S., Prieto G., Simões, M.R., & Santana, I. (2014). Psychometric properties of the Montreal Cognitive Assessment (MoCA): an analysis using the Rasch model. The Clinical Neuropsychologist, 28, 65-83. doi: 10.1080/13854046.2013.870231
Henry, J. D., & Crawford J. R. (2004). Verbal fluency deficits in Parkinson’s disease: a meta-analysis. Journal of International Neuropsychological Society, 10, 608-622. doi:10.1017/S1355617704104141
Hodges, J. R., & Patterson, K. (2007). Semantic dementia: a unique clinicopathological syndrome. Lancet Neurology, 6, 1004-1014. doi: 10.1016/S1474-4422(07)70266-1
Hodges, J. R., Patterson, K., Ward, R., Garrard, P., Bak, T., Perry, R., & Gregory, C. (1999). The differentiation of semantic dementia and frontal lobe dementia (temporal and frontal variants of frontotemporal dementia) from early Alzheimer’s disease: a comparative neuropsychological study. Neuropsychology, 13, 31-40.
Holtzer, R., Goldin, Y., & Donovick, P. J. (2009). Extending the Administration Time of the Letter Fluency Test Increases Sensitivity to Cognitive Status in Aging. Experimental Aging Research, 35, 317-326. doi 10.1080/03610730902922119
Jankovic, J. (2008). Parkinson’s disease: clinical features and diagnosis. Journal of Neurology, Neurosurgery &Psychiatry, 79, 368-376. doi: 10.1136/jnnp.2007.131045
Lezak, M. D., Howieson, D. B., Bigler, E. D., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). New York: Oxford University Press.
Linacre, J. M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3, 85-106.
Linacre, J. M. (2016). Winsteps® (Version 3.92.0) [Computer Software]. Beaverton, Oregon: Winsteps.com. Retrieved January 1, 2016. Retrieved from http://www.winsteps.com/
Paulesu, E., Goldacre, B., Scifo, P., Cappa, S. F., Gilardi, M.C., Castiglioni, I., Perani, D., & Fazio, F. (1997). Functional heterogeneity of left inferior cortex as revealed by fMRI. Neuroreport, 8, 2011-2016.
Perea, M.V., Ladera, V., & Rodríguez, M. A. (2005). Fluencia de acciones en personas mayores. [Action fluency tasks in Spanish subjects over 65 years old]. Psicothema,17, 263-266.
Piatt, A., Fields, J., Paolo, A., Koller, W., & Troster, A. (1999). Lexical, semantic, and action verbal fluency in Parkinson’s disease with and without dementia. Journal of Clinical and Experimental Neuropsychology, 21, 435-443. doi: 10.1076/jcen.21.4.435.885
Prieto, G., & Delgado, A. R. (2003). Análisis de un test mediante el modelo de Rasch. [Rasch-modelling a test]. Psicothema, 15, 94-100.
Prieto, G., Delgado, A. R., Perea, M.V., & Ladera, V. (2010). Scoring neuropsychological tests using the Rasch model: An illustrative example with the ReyOsterrieth Complex Figure. The Clinical Neuropsychologist, 24, 45-56. doi:10.1080/13854040903074645
Radanovic, M., Diniz, B. S., Mirandez, R. M., Novaretti, T. S., Flacks, M. K., Yassuda, M. S., & Forlenza, O. V. (2009). Verbal fluency in the detection of mild cognitive impairment and Alzheimer’s disease among Brazilian Portuguese speakers: the influence of education. International Psychogeriatrics, 21, 1081-1087. doi:10.1017/S1041610209990639
Reckase, M. D. (1979). Unifactor latent trait models applied to multifactor tests: Results and implications. Journal of Educational Statistics, 4, 207-230.doi: 10.2307/1164671
Rinehardt, E., Eichstaedt, K., Schinka, J. A., Loewenstein, D. A., Mattingly, M., Fils, J., ...Schoenberg, M. R. (2014). Verbal fluency patterns in mild cognitive impairment and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 38, 1-9.doi:10.1159/000355558
Ruff, R. M., Ligth, R. H., Parker, S. B., & Levin, H.S. (1997). The psychological construct of word fluency. Brain and Language, 57, 349-405. doi:10.1006/brln.1997.1755
Spreen, O., & Strauss, E. (1998). A compendium of neuropsychological tests: administration, norms,and commentary. Oxford: Oxford University Press.
Troster, A. I., Fields, J. A., Testa, J. A., Paul, R. H., Blanco, C. R., Hames, K. A...Beatty, W.W. (1998). Cortical and subcortical influences on clustering and switching in the performance of verbal fluency tasks. Neuropsychologia, 36, 295-304.
Troyer A. K, & Moscovitch, M. (1997). Clustering and Switching as Two Components of Verbal Fluency: Evidence From Younger and Older Healthy Adults. Neuropsychology, 11, 138-146.
Troyer, A. K., Moscovitch, M., Winocur, G., Alexander, M.P, & Stuss, D. (1998). Clustering and switching on verbal fluency: The effects of focal frontal- and temporal-lobe lesions. Neuropsychologia, 36, 499-504.
Troyer, A. K., Moscovitch, M., Winocur, G., Leach, L., & Freedman, M. (1998). Clustering and switching on verbal fluency tests in Alzheimer’s and Parkinson’s disease. Journal of the International Neuropsychological Society, 4, 137-43.
Wolfe, E. W., & Smith, E.V. (2007). Instrument development tools and activities for measure validation using Rasch models: part II-validation activities. Journal of Applied Measurement, 8, 204-234.