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A new revised Graded Naming Test and new normative data including older adults (80-97 years)

机译:新的修订评分命名试验和新的规范数据,包括老年人(80-97岁)

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The Graded Naming Test (GNT) is commonly used in clinical and research settings to assess nominal functions. However, normative data for theGNTis over 20 years old and norms for the older adult population are rather limited. Hence, confounding factors such as generational familiarity due to cultural changes need to be considered when applying the currently available norms. Moreover, normative data for the older population (80-97) are virtually absent. Such factors can be powerful confounds that can lead to incorrect interpretation of test scores. We gathered data for theGNTfrom 326 healthy controls aged between 18 and 97 years. Surprisingly, we found no decline in performance for older adults, even for the cohort aged 80-97 years (N = 40). In contrast, the youngest cohort (aged 18-29 years) performed unexpectedly below the whole sample mean. An item-by-item analysis revealed that five test items were unfamiliar to the youngest age cohort. To account for this generational familiarity effect, we created a revised 25-itemGNT. The performance of the youngest cohort on the 25-itemGNTwas no longer below the whole sample mean. The performance of the oldest cohort (80-97 years old) on the revisedGNTwas characterized by a significant decline in performance for the oldest cohort with an averageNART IQ. By contrast, those with aNART IQabove the average range did not show a decline. This suggests that factors such cognitive reserve arrested the decline in performance in the oldest age cohort with higher premorbidIQ.
机译:分级命名测试(GNT)通常用于临床和研究环境中评估命名功能。然而,20岁以上的GNIS的标准数据和老年人的标准数据相当有限。因此,在应用现有规范时,需要考虑混杂因素,如文化变化导致的代际熟悉度。此外,几乎没有老年人口(80-97岁)的规范性数据。这些因素可能会导致对考试分数的错误解释。我们从326名年龄在18至97岁之间的健康对照中收集了GNTF数据。令人惊讶的是,我们发现老年人的表现没有下降,即使是80-97岁的人群(N=40)。相比之下,最年轻的队列(18-29岁)的表现出乎意料地低于整个样本平均值。逐项分析显示,最年轻年龄组不熟悉五个测试项目。为了解释这种代际熟悉效应,我们创建了一个修订版的25项GNT。最年轻队列在25项GNTWA中的表现不再低于整个样本平均值。最年长的群体(80-97岁)在修订后的GNTWA上的表现特点是智商平均的最年长群体的表现显著下降。相比之下,那些智商高于平均水平的人没有表现出下降。这表明,认知储备等因素阻止了发病前智商较高的高龄人群表现下降。

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