Subscribe to RSS

DOI: 10.1590/0004-282X20150184
Ecological validity of the five digit test and the oral trails test
Validade ecológica do teste dos cinco dígitos e do oral trails test
ABSTRACT
Tests evaluating the attentional-executive system are widely used in clinical practice. However, proximity of an objective cognitive test with real-world situations (ecological validity) is not frequently investigated. The present study evaluate the association between measures of the Five Digit Test (FDT) and the Oral Trails Test (OTT) with self-reported cognitive failures in everyday life as measured by the Cognitive Failures Questionnaire (CFQ). Brazilian adults from 18-to-65 years old voluntarily performed the FDT and OTT tests and reported the frequency of cognitive failures in their everyday life through the CFQ. After controlling for the age effect, the measures of controlled attentional processes were associated with cognitive failures, yet the cognitive flexibility of both FDT and OTT accounted for by the majority of variance in most aspects of the CFQ factors. The FDT and the OTT measures were predictive of real-world problems such as cognitive failures in everyday activities/situations.
RESUMO
Testes que avaliam o sistema atencional-executivo são amplamente adotados no contexto clínico. Contudo, a proximidade de uma medida cognitiva objetiva com situações reais (validade ecológica) são pouco investigadas. O presente estudo objetiva avaliar a associação entre o Teste dos Cinco Dígitos (FDT) e o Oral Trails Test (OTT) com falhas cognitivas do dia a dia relatadas no Questionário de Falhas Cognitivas (CFQ). Sessenta adultos brasileiros, de 18 a 65 e cinco anos, realizaram o FDT e o OTT e reportaram a frequência das falhas cognitivas por meio do CFQ. Controlando o efeito da idade, as medidas de processos atencionais controlados foram associadas com as falhas cognitivas, sendo que o componente de flexibilidade cognitiva do FDT e do OTT explicou a maior parte da variância das falhas. O FDT e o OTT foram preditores de problemas reais do dia a dia, como as falhas cognitivas.
Support:
Support: Psychology and Neuropsychology Experimentation Laboratoy (Labep_neuropsi) from Faculdade de Ciências Médicas de Minas Gerais – FCMMG and funded by Fundação Educacional Lucas Machado – FELUMA. INCT-MM Research Grants (FAPEMIG: CBB-APQ-00075-09/CNPq 573646/2008-2).
Publication History
Received: 22 June 2015
Accepted: 17 September 2015
Article published online:
06 September 2023
© 2015. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Vasconcelos LG, Brucki SMD, Bueno OFA. Cognitive and functional dementia assessment tools: review of Brazilian literature. Dement Neuropsychol. 2007;1(1):18-23.
- 2 Petersen SE, Posner MI. The attention system of the human brain: 20 years after. Annu Rev Neurosci. 2012;35(1):73-89. doi:10.1146/annurev-neuro-062111-150525
- 3 Santos EB, Tudesco Ide S, Caboclo LO, Yacubian EM.Low educational level effects on the performance of healthy adults on a Neuropsychological Protocol suggested by the Commission on Neuropsychology of the Liga Brasileira de Epilepsia. Arq Neuropsiquiatr. 2011;69(5):778-84. doi:10.1590/S0004-282X2011000600011
- 4 Paula JJ, Querino EH, Oliveira TD, Sedó M, Malloy-Diniz LF. Transcultural issues on the assessment of executive functions and processing speed in older adults with low formal education: usefulness of the five digits test in the assessment of dementia. Geriatr Gerontol Int. 2015;15(3):388-9. doi:10.1111/ggi.12364
- 5 Lin GH, Lu Y, Wu CT, Chiu EC, Huang SL, Hsueh IP, Hsieh CL. Psychometric properties of the Five-Digit Test in patients with stroke. Disabil Rehabil. 2015. [Epub ahead of print]. doi:10.3109/09638288.2015.1031288
- 6 Fan J, McCandliss BD, Sommer T, Raz A, Posner MI. Testing the efficiency and independence of attentional networks. J Cogn Neurosci. 2002;14(3):340-7. doi:10.1162/089892902317361886
- 7 Salthouse TA. Aging and measures of processing speed. Biol Psychol. 2000;54(1-3):35-54. doi:10.1016/S0301-0511(00)00052-1
- 8 Diamond A. Executive functions. Annu Rev Psychol. 2013;64(1):135-68. doi:10.1146/annurev-psych-113011-14375
- 9 Alvarez JA, Emory E. Executive function and the frontal lobes: a meta-analytic review. Neuropsychol Rev. 2006;16(1):17-42. doi:10.1007/s11065-006-9002-x
- 10 Cox, CS, Chee E, Chase GA, Baumgardner TL, Schuerholz LJ, Reader MJ, Denckla MB. Reading proficiency affects the construct validity of the Stroop test interference score. Clin Neuropsychol. 1997;11(2):105-10. doi:10.1080/13854049708407039
- 11 Sedó MA. FDT: test de los cinco dígitos. Madrid: TEA; 2007.
- 12 Sedó MA. Trazados orales: um test neurológico multicultural com bajos requerimientos académicos. Int J Psychol Res. 2008;1(1):20-6.
- 13 Reitan RM. Validity of the trail making test as an indicator of organic brain damage. Percept Mot Skills. 1958;8(3):271-6. doi:10.2466/pms.1958.8.3.271
- 14 Chaytor N, Schmitter-Edgecombe M. The ecological validity of neuropsychological tests: a review of the literature on everyday cognitive skills. Neuropsychol Rev. 2003;13(4):181-97. doi:10.1023/B:NERV.1501849483.91468.fb
- 15 Spooner DM, Pachana NA Ecological validity in neuropsychological assessment: a case for greater consideration in research with neurologically intact populations. Arch Clin Neuropsychol. 2006;21(4):327-37. doi:10.1016/j.acn.2006.04.004
- 16 Broadbent DE, Cooper PF, FitzGerald P, Parkes KR. The cognitive failures questionnaire (CFQ) and its correlates. Br J Clin Psychol. 1982;21(1):1-16. doi:10.1111/j.2044-8260.1982.tb01421.x
- 17 Smilek D, Carriere JS, Cheyne JA. Failures of sustained attention in life, lab, and brain: ecological validity of the SART. Neuropsychologia. 2010;48(9):2564-70. doi:10.1016/j.neuropsychologia.2010.05.002
- 18 Rast P, Zimprich D, Van Boxtel M, Jolles J. Factor structure and measurement invariance of the cognitive failures questionnaire across the adult life span. Assessment. 2009;16(2):145-58. doi:10.1177/1073191108324440
- 19 Jung MA1, Kim HJ, Kang YJ, Kim YJ. Development of a modified naturalistic action test for Korean patients with impaired cognition. Ann Rehabil Med. 2013;37(1):57-65. doi:10.5535/arm.2013.37.1.57
- 20 Cockshell SJ, Mathias JL. Cognitive functioning in people with chronic fatigue syndrome: a comparison between subjective and objective measures. Neuropsychology. 2014;28(3):394-405. doi:10.1037/neu0000025
- 21 Burdick KE, Endick CJ, Goldberg JF. Assessing cognitive deficits in bipolar disorder: are self-reports valid? Psychiatry Res. 2005;136(1):43-50. doi:10.1016/j.psychres.2004.12.009
- 22 Gall TL, Evans DR, Howard J. The retirement process: changes in the well-being of male retirees across time. J Gerontol B Psychol Sci Soc Sci. 1997;52B:110-7. doi:10.1093/geronb/52B.3.P110
- 23 Quick HE, Moen P. Gender, employment, and retirement quality: A life course approach to the differential experiences of men and women. J Occup Health Psychol. 1998;3(1):44-64. doi:10.1037/1076-8998.3.1.44
- 24 Wallace JC, Vodanovich SJ. Workplace safety performance: conscientiousness, cognitive failure and their interaction. J Occup Health Psychol. 2003;8(4):316-27. doi:10.1037/1076-8998.8.4.316
- 25 Snyder HR, Miyake A, Hanking BL. Advancing understanding of executive function impairments and psychopathology: bridging the gap between clinical and cognitive approaches. Front Psychol. 2015;26(6):328. doi:10.3389/fpsyg.2015.00328