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Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability

(1) Background: The cognitive reserve (CR) concept has not been precisely defined in severe mental disorders and has been estimated using heterogeneous methods. This study aims to investigate and develop the psychometric properties of the Cognitive Reserve Assessment Scale in Health (CRASH), an inst...

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Autores principales: Amoretti, Silvia, Cabrera, Bibiana, Torrent, Carla, Bonnín, Caterina del Mar, Mezquida, Gisela, Garriga, Marina, Jiménez, Esther, Martínez-Arán, Anabel, Solé, Brisa, Reinares, Maria, Varo, Cristina, Penadés, Rafael, Grande, Iria, Salagre, Estela, Parellada, Eduard, Bioque, Miquel, Garcia-Rizo, Clemente, Meseguer, Ana, Anmella, Gerard, Rosa, Adriane R, Contreras, Fernando, Safont, Gemma, Vieta, Eduard, Bernardo, Miquel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572583/
https://www.ncbi.nlm.nih.gov/pubmed/31035381
http://dx.doi.org/10.3390/jcm8050586
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author Amoretti, Silvia
Cabrera, Bibiana
Torrent, Carla
Bonnín, Caterina del Mar
Mezquida, Gisela
Garriga, Marina
Jiménez, Esther
Martínez-Arán, Anabel
Solé, Brisa
Reinares, Maria
Varo, Cristina
Penadés, Rafael
Grande, Iria
Salagre, Estela
Parellada, Eduard
Bioque, Miquel
Garcia-Rizo, Clemente
Meseguer, Ana
Anmella, Gerard
Rosa, Adriane R
Contreras, Fernando
Safont, Gemma
Vieta, Eduard
Bernardo, Miquel
author_facet Amoretti, Silvia
Cabrera, Bibiana
Torrent, Carla
Bonnín, Caterina del Mar
Mezquida, Gisela
Garriga, Marina
Jiménez, Esther
Martínez-Arán, Anabel
Solé, Brisa
Reinares, Maria
Varo, Cristina
Penadés, Rafael
Grande, Iria
Salagre, Estela
Parellada, Eduard
Bioque, Miquel
Garcia-Rizo, Clemente
Meseguer, Ana
Anmella, Gerard
Rosa, Adriane R
Contreras, Fernando
Safont, Gemma
Vieta, Eduard
Bernardo, Miquel
author_sort Amoretti, Silvia
collection PubMed
description (1) Background: The cognitive reserve (CR) concept has not been precisely defined in severe mental disorders and has been estimated using heterogeneous methods. This study aims to investigate and develop the psychometric properties of the Cognitive Reserve Assessment Scale in Health (CRASH), an instrument designed to measure CR in people with severe mental illness; (2) Methods: 100 patients with severe mental illness (non-affective psychoses and affective disorders) and 66 healthy controls were included. The internal consistency and convergent validity of CRASH were assessed. Spearman’s correlations coefficients were also performed to examine the relationship between CRASH and neuropsychological tests, psychosocial functioning, and clinical course; (3) Results: The internal consistency was high (Cronbach’s alpha coefficient = 0.903). The CRASH global score had a large positive correlation with the Cognitive reserve questionnaire total score (r = 0.838, p < 0.001), demonstrating good convergent validity. The correlation coefficients between the CRASH total scores and clinical, functional, and neuropsychological performance were different between groups. In order to provide clinical interpretation, severity classification based on diagnosis (non-affective psychotic disorders, affective disorders, and healthy controls) have been created; (4) Conclusions: CRASH is the first CR measure developed specifically for patients with severe mental illness, facilitating reliable and valid measurement of this construct. The scale may aid in the stratification of patients and the implementation of personalized interventions.
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spelling pubmed-65725832019-06-18 Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability Amoretti, Silvia Cabrera, Bibiana Torrent, Carla Bonnín, Caterina del Mar Mezquida, Gisela Garriga, Marina Jiménez, Esther Martínez-Arán, Anabel Solé, Brisa Reinares, Maria Varo, Cristina Penadés, Rafael Grande, Iria Salagre, Estela Parellada, Eduard Bioque, Miquel Garcia-Rizo, Clemente Meseguer, Ana Anmella, Gerard Rosa, Adriane R Contreras, Fernando Safont, Gemma Vieta, Eduard Bernardo, Miquel J Clin Med Article (1) Background: The cognitive reserve (CR) concept has not been precisely defined in severe mental disorders and has been estimated using heterogeneous methods. This study aims to investigate and develop the psychometric properties of the Cognitive Reserve Assessment Scale in Health (CRASH), an instrument designed to measure CR in people with severe mental illness; (2) Methods: 100 patients with severe mental illness (non-affective psychoses and affective disorders) and 66 healthy controls were included. The internal consistency and convergent validity of CRASH were assessed. Spearman’s correlations coefficients were also performed to examine the relationship between CRASH and neuropsychological tests, psychosocial functioning, and clinical course; (3) Results: The internal consistency was high (Cronbach’s alpha coefficient = 0.903). The CRASH global score had a large positive correlation with the Cognitive reserve questionnaire total score (r = 0.838, p < 0.001), demonstrating good convergent validity. The correlation coefficients between the CRASH total scores and clinical, functional, and neuropsychological performance were different between groups. In order to provide clinical interpretation, severity classification based on diagnosis (non-affective psychotic disorders, affective disorders, and healthy controls) have been created; (4) Conclusions: CRASH is the first CR measure developed specifically for patients with severe mental illness, facilitating reliable and valid measurement of this construct. The scale may aid in the stratification of patients and the implementation of personalized interventions. MDPI 2019-04-28 /pmc/articles/PMC6572583/ /pubmed/31035381 http://dx.doi.org/10.3390/jcm8050586 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Amoretti, Silvia
Cabrera, Bibiana
Torrent, Carla
Bonnín, Caterina del Mar
Mezquida, Gisela
Garriga, Marina
Jiménez, Esther
Martínez-Arán, Anabel
Solé, Brisa
Reinares, Maria
Varo, Cristina
Penadés, Rafael
Grande, Iria
Salagre, Estela
Parellada, Eduard
Bioque, Miquel
Garcia-Rizo, Clemente
Meseguer, Ana
Anmella, Gerard
Rosa, Adriane R
Contreras, Fernando
Safont, Gemma
Vieta, Eduard
Bernardo, Miquel
Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title_full Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title_fullStr Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title_full_unstemmed Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title_short Cognitive Reserve Assessment Scale in Health (CRASH): Its Validity and Reliability
title_sort cognitive reserve assessment scale in health (crash): its validity and reliability
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572583/
https://www.ncbi.nlm.nih.gov/pubmed/31035381
http://dx.doi.org/10.3390/jcm8050586
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