Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Standardization of Comprehensive Neurocognitive Function Test

종합 신경인지기능 평가(Comprehensive Neurocognitive Function Test; CNFT)의 표준화 예비 연구

  • Received : 2016.12.10
  • Accepted : 2016.12.30
  • Published : 2017.01.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study was to investigate the reliability and concurrent validity of the computerized cognitive function test system (called CNFT) for evaluating the cognitive function and to provide its normative data. Methods : For this purpose, 140 normal adults participated in a investigation to provide the normative data of CNFT. 40 normal adults participated in an evaluating experiment to verify the reliability and validity. CNFT consists of attention, memory, sensori-motor coordination, and frontal lobe & higher cognitive function domains. Because CNFT is a computerized evaluation tool, all results and operations are processed consistently and automatically. Results : In the results, as the age of subjects increased, the average accuracy decreased and response time increased. Additionally, memory and frontal lobe & higher cognitive function was lower than other domains. Test-retest reliability of 2 weeks interval was highly correlated (r=.48~.85) and there is no significant difference between test and retest scores. CNFT was highly correlated with computerized neurocognitive function test (r=.67~.79; p<.05). Conclusion : Normative data of CNFT were obtained, and the guidelines for the interpretation were provided. A reliable and valid clinically applicable computerized cognitive function test was developed.

목적 : 본 연구의 목적은 종합 신경인지기능 평가인 Comprehensive Neurocognitive Function Test(CNFT)의 표준화 자료를 얻고 신뢰도와 공인타당도를 검증하기 위함이다. 연구방법 : CNFT는 기억력, 집중력, 감각,운동협응, 전두엽 및 고위인지기능을 평가하는 것으로 결과는 전산화되어 일관성 있고 자동으로 처리된다. 연구대상은 표준화 자료를 얻고 신뢰도를 검증하기 위한 조사에서 20대부터 80대 이상까지 서울특별시와 대구시에 거주하는 정상 성인 140명이 참여하였다. Computerized Neurocognitive Function Test(CNT)와의 상관관계를 통하여 타당도를 검증하기 위한 조사에는 정상 성인 40명이 참여하였다. 결과 : 정확도는 연령이 증가할수록 낮아지며, 반응속도는 늦어졌다. 또한 영역별 점수 분석결과 기억력, 전두엽 및 고위인지기능 점수가 낮은 편으로 나타났다. 2주 간격의 검사-재검사 신뢰도는 r=.48~.85로 나타났고 두 검사 사이의 유의한 차이는 없었다(p>.05). CNT와의 세부 영역과의 상관계수는 r=.67~.79이다(p<.05). 결론 : 종합 신경인지기능 평가인 CNFT의 표준자료와 해석기준이 마련되었다. CNFT는 인지기능에 문제를 평가할 수 있는 신뢰도와 타당도를 갖춘 평가도구이다.

Keywords

References

  1. 권재성, 김영근, 김지연, 육진숙, 조현진, 홍승표. (2008). 작업치료사를 위한 인지재활. 서울, 한국:퍼시픽북스.
  2. Cummings, J. L. (1995). Neuropsychiatry: Clinical assessment and approach to diagnosis. In: Comprehensive textbook of psychiatry, 6th ed. Ed by Kapaln, H. I., Sadock, B. J., Baltimore, Williams & Wilkins, pp177-186.
  3. Bearden, C. E., Hoffman, K. M., & Cannon, T. D. (2001). The neuropsychology and neuroanatomy of bipolar affective disorder: A critical review. Bipolar Disorders, 3, 106-150. https://doi.org/10.1034/j.1399-5618.2001.030302.x
  4. Blundon, G., & Smits, E. (2000). Cognitive rehabilitation: A pilot survey of therapeutic modalities used by Canadian occupational therapists with survivors of traumatic brain injury. E-Canadian Journal of Occupational Therapy, 67(3), 184-196.
  5. Botther, S. A. (1989). Cognitive retraining: A nursing approach of the brain injured. E-Nursing Clinic of North America, 24, 193-208.
  6. Gur, R. C., Ragland, J. D., Moberg, P. J., Bilker, W. B., Kohler, C., Siegel, S. J., et al ... Gur, R. E. (2001). Computerized neurocognitive scanning: II. The profile of schizophrenia. Neuropsychophamarcology, 25, 777-788, https://doi.org/10.1016/S0893-133X(01)00279-2
  7. Ha, G-S., Kown, J. S., Lyoo, I-K., Kong, S. W., Lee, D. W., & Youn, T. (2002). Development and standardization process, and factor anlaysis of the computerized cognitive function test system for Korean adults. Journal of Korean Neuropsychiatric Association, 41(3), 551-562.
  8. Kane, R. L., Ouslander, J. G., & Abrass, I. B. (1984). Essentials of clinical geriatrics. New York, NY: McGraw-Hill.
  9. Kwon, Y. C., & Park, J-H. (1989). Korean version of Mini-Mental State Examination (MMSE-K) Part I: Development of the test for the elderly. Journal of Korean Neuropsychiatric Association, 28(1), 125-135.
  10. Lee, H-R., Kim, J-Y., & Han, D-S. (2012). A survey on the cognitive rehabilitation of occupational therapy in Korea. The Journal of Korean Society of Occupational Therapy, 20(2), 73-84.
  11. Lee, H. S. (2010). A review of the evaluation tools for cognitive perceptual performance ability. Society of Occupational Therapy for the Agged and Dementia, 4(2), 35-46.
  12. Lezak, M. D. (1995). Neuropsychologcal assessment. 3rd ed, New York, Oxford University Press, pp7-16. 25-44.
  13. Park, J-H, & Park, J-H. (2016). A systematic review on computerized cognitive function test for screening mild cognitive impairment. he Journal of Korean Society of Occupational Therapy, 24(2), 19-31. doi:10.1419/jksot.2016. 24.2.02
  14. Schuhfried, G. (1992). The PC/S Vienna test system. Test management program, Dr G Schuhfried, Modling, Austria.
  15. Zhang, L., Abreau, B. C., Masel, B., Scheible, B. S., Christansen, C. H., Huddleston, N., et al ... Ottenbacher, K. J. (2001). Virtual reality in the assessment of selected cognitive function after brain injury. American Journal of Physical Medicine & Rehabilitation, 80, 597-604. doi:10.1097/00002060-200108000-00010