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The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool

The assessment of mild cognitive impairment (MCI) following spinal cord injury (SCI) is vital. However, there are no neurocognitive screens which have been developed specifically to meet the unique requirements for SCI, nor are there consistent MCI criteria applied to determine the rates of MCI. The...

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Autores principales: Sandalic, Danielle, Tran, Yvonne, Craig, Ashley, Arora, Mohit, Pozzato, Ilaria, Simpson, Grahame, Gopinath, Bamini, Kaur, Jasbeer, Shetty, Sachin, Weber, Gerard, Benad, Lisa, Middleton, James W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225056/
https://www.ncbi.nlm.nih.gov/pubmed/35743411
http://dx.doi.org/10.3390/jcm11123344
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author Sandalic, Danielle
Tran, Yvonne
Craig, Ashley
Arora, Mohit
Pozzato, Ilaria
Simpson, Grahame
Gopinath, Bamini
Kaur, Jasbeer
Shetty, Sachin
Weber, Gerard
Benad, Lisa
Middleton, James W.
author_facet Sandalic, Danielle
Tran, Yvonne
Craig, Ashley
Arora, Mohit
Pozzato, Ilaria
Simpson, Grahame
Gopinath, Bamini
Kaur, Jasbeer
Shetty, Sachin
Weber, Gerard
Benad, Lisa
Middleton, James W.
author_sort Sandalic, Danielle
collection PubMed
description The assessment of mild cognitive impairment (MCI) following spinal cord injury (SCI) is vital. However, there are no neurocognitive screens which have been developed specifically to meet the unique requirements for SCI, nor are there consistent MCI criteria applied to determine the rates of MCI. The aim of this study was to determine the suitability of a neurocognitive screen for assessing MCI in adults with SCI. A total of 127 participants were recruited. Socio-demographic and injury related variables were assessed. All participants completed the screen. Descriptive statistics are provided for total/domain screen scores and all items, and the screen’s ability to distinguish MCI was examined. Congeneric confirmatory factor analyses (CFA) were employed to investigate structural validity. The screen total score was sensitive to differences in neurocognitive capacity, as well as for time since the injury occurred (p < 0.01). The MCI rate ranged between 17–36%. CFA revealed attention and visuoconstruction domains had an adequate model fit and executive function had poor fit, while CFA models for memory and language did not fit the data (did not converge), hence could not be determined. While the screen differentiated between those with MCI and those without, and MCI as a function of time since injury, limitations of its suitability for assessing MCI after SCI exist, demonstrating the need for a specialized neurocognitive screen for adults with SCI.
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spelling pubmed-92250562022-06-24 The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool Sandalic, Danielle Tran, Yvonne Craig, Ashley Arora, Mohit Pozzato, Ilaria Simpson, Grahame Gopinath, Bamini Kaur, Jasbeer Shetty, Sachin Weber, Gerard Benad, Lisa Middleton, James W. J Clin Med Article The assessment of mild cognitive impairment (MCI) following spinal cord injury (SCI) is vital. However, there are no neurocognitive screens which have been developed specifically to meet the unique requirements for SCI, nor are there consistent MCI criteria applied to determine the rates of MCI. The aim of this study was to determine the suitability of a neurocognitive screen for assessing MCI in adults with SCI. A total of 127 participants were recruited. Socio-demographic and injury related variables were assessed. All participants completed the screen. Descriptive statistics are provided for total/domain screen scores and all items, and the screen’s ability to distinguish MCI was examined. Congeneric confirmatory factor analyses (CFA) were employed to investigate structural validity. The screen total score was sensitive to differences in neurocognitive capacity, as well as for time since the injury occurred (p < 0.01). The MCI rate ranged between 17–36%. CFA revealed attention and visuoconstruction domains had an adequate model fit and executive function had poor fit, while CFA models for memory and language did not fit the data (did not converge), hence could not be determined. While the screen differentiated between those with MCI and those without, and MCI as a function of time since injury, limitations of its suitability for assessing MCI after SCI exist, demonstrating the need for a specialized neurocognitive screen for adults with SCI. MDPI 2022-06-10 /pmc/articles/PMC9225056/ /pubmed/35743411 http://dx.doi.org/10.3390/jcm11123344 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sandalic, Danielle
Tran, Yvonne
Craig, Ashley
Arora, Mohit
Pozzato, Ilaria
Simpson, Grahame
Gopinath, Bamini
Kaur, Jasbeer
Shetty, Sachin
Weber, Gerard
Benad, Lisa
Middleton, James W.
The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title_full The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title_fullStr The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title_full_unstemmed The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title_short The Need for a Specialized Neurocognitive Screen and Consistent Cognitive Impairment Criteria in Spinal Cord Injury: Analysis of the Suitability of the Neuropsychiatry Unit Cognitive Assessment Tool
title_sort need for a specialized neurocognitive screen and consistent cognitive impairment criteria in spinal cord injury: analysis of the suitability of the neuropsychiatry unit cognitive assessment tool
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225056/
https://www.ncbi.nlm.nih.gov/pubmed/35743411
http://dx.doi.org/10.3390/jcm11123344
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