Previous research has led to the development of short batteries of tests that efficiently measure the cognitive functioning of individuals with schizophrenia. To attempt to replicate previous findings, we applied an empirical test selection strategy to archival cognitive test data of two non-overlapping inpatient samples of individuals with schizophrenia or schizoaffective disorder (total N=110). We then extended previous findings by applying the empirical test selection strategy to the archival data of two non-overlapping inpatient samples of individuals with various psychiatric disorders (total N=149). For each sample, tests were selected by examining the relationships between individual test scores and averaged test scores representing global cognitive functioning while taking into account test administration times. Across patient samples, digit symbol coding tasks, verbal fluency tasks, and tests with a processing speed component (Trail Making Test Part A and Stroop) emerged as efficient and effective indicators of overall cognitive functioning. A brief cognitive assessment tool incorporating coding, fluency, and processing speed tasks would provide a valid and clinically useful snapshot of a patient's level of cognitive functioning if more comprehensive testing cannot be completed.

译文

:先前的研究导致了一系列简短测试的发展,这些测试可以有效地衡量精神分裂症患者的认知功能。为了尝试复制先前的发现,我们将经验测试选择策略应用于精神分裂症或精神分裂症(总N = 110)的两个非重叠住院患者样本的档案认知测试数据。然后,我们通过将经验测试选择策略应用于两个患有各种精神病的个体(总N = 149)的非重叠住院样本的档案数据来扩展先前的发现。对于每个样本,通过检查各个测试分数与代表总体认知功能的平均测试分数之间的关系来选择测试,同时考虑到测试管理时间。在整个患者样本中,数字符号编码任务,口语流利性任务以及具有处理速度成分的测试(跟踪测试A部分和Stroop)逐渐成为整体认知功能的有效指标。如果无法完成更全面的测试,则简短的认知评估工具将结合编码,流利性和处理速度任务,可以为患者的认知功能水平提供有效且对临床有用的快照。

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