台灣老年人路徑描繪測驗與彩色路徑描繪測驗心理計量特性與常模：初探研究

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Title:	台灣老年人路徑描繪測驗與彩色路徑描繪測驗心理計量特性與常模：初探研究 Psychometric Properties and Norms of the Trail Making Test and the Color Trails Test among Elderly Individuals in Taiwan: A Preliminary Study
Authors:	程思靜 CHENG, SSU-CHING
Contributors:	心理學系
Keywords:	正常老化過程伴隨著認知功能的改變，尤其是執行功能與處理速度表現皆下降。路徑描繪測驗(Trail Making Test, TMT)與彩色路徑描繪測驗(Color Trails Test, CTT)被廣泛用於評估執行功能與處理速度。隨著全球人口快速老化，發展和更新神經心理測驗的常模資料是必要的，特別是老年人口的常模資料。本研究目的為初步發展台灣中南部地區認知正常老年人TMT和CTT的常模資料，並評估這些測驗的心理計量特性。本研究共收集169位台灣中部及南部地區認知正常老年人常模樣本（包含74名男性和95名女性）。多元回歸分析顯示年齡與教育程度顯著影響TMT和CTT的完成時間表現（年齡和教育程度分別與兩項測驗的完成時間呈現正相關和負相關），質性分數中僅有CTT提示與TMT的B-A差異表現與年齡相關。性別則不影響測驗表現。TMT(TMT-A, rs = .726;TMT-B, rs = .848)和CTT(CTT-1, rs = .808;CTT-2, rs = .820)具有適當再測信度。TMT和CTT分別都與語意關聯語文流利度測驗和修訂版尼爾森卡片分類測驗的表現具有顯著相關，CTT-1完成時間、TMT的B-A差異與CTT提示與語意關聯語文流利度測驗有關。本研究結果顯示，TMT和CTT可能為具信效度且可應用於台灣老年人族群的神經心理衡鑑工具。 Normal aging process can be accompanied by changes in cognitive functions, especially in executive functions and processing speed. The Trail Making Test (TMT) and the Color Trails Test (CTT) are neuropsychological tests that are widely used to assess executive functions and processing speed. With the rapid aging of population globally, it is merited to develop and update normative data of neuropsychological tests, especially the normative data of elderly individuals. In this study, we aimed to develop preliminary normative data of the TMT and the CTT among cognitively normal elderly individuals in central and southern Taiwan and evaluate the psychometric properties of these tests. One hundred and sixty-nine cognitively normal participants (74 male and 95 female) were assessed. Multiple regression analyses revealed significant influences of age and education level on completion time in both the TMT and the CTT (age and educational levels were positively and negatively associated with completion times for both tests, respectively). Among qualitative scores, only the CTT cue score and the difference in completion time between TMT-B and TMT-A (B - A) were associated with age. Gender did not in?uence the test performances. Test-retest reliabilities of TMT (TMT-A, rs = .726;TMT-B, rs = .848) and CTT (CTT-1, rs = .808;CTT-2, rs = .820) were appropriate. Performances on TMT and CTT significantly correlated with performance on the Semantic Association Verbal Fluency (SAVF) and the Modified Card Sorting Test, except for CTT-1 completion time. B - A and CTT cue scores correlated with performance on the SAVF. These results suggested that the TMT and the CTT can be reliable and valid tools for the neuropsychological assessment among elder individuals in Taiwan.
Date:	2022-07-18
Issue Date:	2022-10-31 03:08:38 (UTC+0)
Publisher:	亞洲大學
Abstract:	路徑描繪測驗;彩色路徑描繪測驗;常模;神經心理衡鑑 Trail Making Test;Color Trails Test;normative data;neuropsychological assessment
Appears in Collections:	[心理學系] 博碩士論文

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