1. The sample of words from the Czech Reading Test:
Assessment of cognitive decline in patients treated for cerebral aneurysm using Czech Reading Test.
Kramska, L.1 Nechanicka Mrklasova N.2 Hradil, J. 2 Preiss, M. 3,4
1 Neurocenter, Epilepsy Unit, Na Homoce Hospital, Prague
2 Regional Hospital Liberec
3 Prague Psychiatric Center
4 University of New York in Prague
Introduction
Kramska, 2014) in patients after subarachnoid hemorrhage (SAH). A point to note, whereas Czech pronunciation has fixed rules, Czech Reading Test was constructed using loaned words. The Czech NART has favorable psychometric characteristics: internal consistency, high correlation with the education and intellect in healthy subjects, as seen in its Anglo-Saxon version. We obtained a significant model for predicting premorbid IQ using the CRT. Reading ability highly correlated with general education r=0.56, Verbal IQ r=0.83 and Information r=0.76 as well as Vocabulary r=0.85 subtests from WAIS-R, in the sample of healthy subjects, in all equaled p<0.05. Reliability was measured by Cronbach's Alpha (α=0.94).
Reading of irregular words represents one of the most often used methods for evaluating of premorbid intellect performance in neuropsychology (for example North American Adult Reading Test (NAART, Blair & Spreen, 1989), American National Adult Reading Test (AMNART, Grober & Sliwinski, 1991), Wechsler Test of Adult Reading (WTAR, Wechsler, 2001), Wide Range Achievement Test Reading (WRAT-4 – Wilkinson & Robertson, 2006) and Shipley-2 (Shipley, 2008)).
The aim of the study was to assess cognitive performance and premorbid intellect level using Czech Reading Test (CRT,
Methods
The sample of words from the Czech Reading Test:
Since , 241 patients (163 f/78 m) with diagnosed cerebral aneurysm were treated at the Dept. of Neurosurgery, Regional Hospital Liberec. Of these patients, 105 were able to undergo neuropsychological assessment at least one year after intervention (patients with good neurological outcome).
Standardized neuropsychological tests were used to assess actual (WAIS-R, Wechsler, 1983) and also premorbid cognitive performance (Czech Reading Test). One treatment protocol was used by the same team.
CRESCENDO
JURY
LAUDATIO
GAGY
DOYEN
CURLING
SPIELMAN
ORATIO
ETUDA
MARSEILLAISA
BEATNICKÝ
CURACAO
MILIEU
Results
Observed Full-Scale IQ was 95.3 (14.3), Verbal IQ was 95.2 (14.1) and Performance IQ was 95.7 (14.4). CRT predicted Full-Scale, Verbal and Performance IQ were (10.6), (11.3) and 103 (7.6), respectively. The observed Full-Scale, Verbal and Performance IQ were significantly lower in comparison with CRT predicted quotients (p<.001).
References
Conclusion
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Blair, J.R., & Spreen, O. (1989). Predicting premorbid IQ: A revision of the National Adult Reading Test. The Clinical Neuropsychologist, 3,
Godefroy, O., & Bogousslavsky, J. (Ed.). (2007). The behavioral and cognitive neurology of stroke. New York, NY: Cambridge University Press.
Grober, E. a Sliwinski, M. (1991). Development and validation of a model for estimating premorbid verbal intelligence in the elderly. Journal of Clinical and Experimental Neuropsychology 13, 933–949.
Krámská, L. (2014). Assessment of Premorbid Intellect. Czech Reading Test. Otrokovice: Propsyco.
Shipley, W. C. (2008). Shipley Institute of Living Scale—2. Los Angeles, CA: Western Psychological Services.
Spreen, O., & Strauss, E.A. (1998). Compendium of Neuropsychological Tests. New York: Oxford University Press.
Wechsler, D. (1999). Wechsler test of adult reading (WTAR). San Antonio, TX: The Psychological Corporation.
Wilkinson, G. S. a Robertson, G. J. (2006). Wide Range Achievement Test 4 professional manual. Lutz, FL: Psychological Assessment Resources.
It is useful to involve tests of premorbid intellect in the group of patients after SAH from cerebral aneurysms. In most cases there is absence of information about premorbid performance level and tests results from premorbid period.
Czech Reading Test seems to be useful and appropriate method in patients after SAH with good neurological outcome.
Contact:
International Neuropsychological Society Mid-Year Meeting, Jerusalem, Israel, July 9-11, 2014