Propriedades psicométricas da Frontal Assessment Battery na esclerose múltipla
DOI:
https://doi.org/10.31211/rpics.2019.5.2.159Palavras-chave:
Esclerose múltipla, Frontal Assessment Battery, Funcionamento executivoResumo
Contexto: A Esclerose Múltipla (EM) é uma doença desmielinizante crónica que pode envolver alterações cognitivas e executivas. As alterações executivas, relacionadas essencialmente com o lobo frontal, podem ser subdiagnosticadas, uma vez que os instrumentos utilizados na EM são extensos e complexos, podendo os seus resultados ser comprometidos pelos níveis de fadiga que poderão daí decorrer. A Bateria de Avaliação Frontal (FAB) é de aplicação rápida e simples e avalia as funções do lobo frontal. Objetivo: Explorar as propriedades psicométricas da FAB numa amostra de doentes com EM. Métodos: No estudo avaliaram-se 68 doentes com EM e 81 indivíduos sem diagnóstico de doença neurológica (amostra de controlo) com a FAB, a Subescala executiva do Montreal Cognitive Assessment/MoCA-E e o Teste de Fluências Verbais Fonéticas/TFVF. Vinte e nove doentes foram reavaliados com a FAB (intervalo 4-8 semanas). Resultados: Na amostra com EM, a consistência interna revelou-se adequada e a estabilidade temporal situou-se entre moderada a alta nas subescalas Semelhanças, FluênciasLexicais, Séries Motoras de Luria e Go-no-Go. A FAB correlacionou-se de forma elevada com o MoCA-E e TFVF, atestando a sua validade convergente, e a sua estabilidade temporal teste-reteste revelou-se adequada. A amostra com EM teve pontuações significativamente inferiores nas subescalas Fluências Lexicaise Séries Motoras de Luria comparativamente com a amostra de controlo(p < 0,05). Na EM, a FAB discriminou os níveis de escolaridade (p < 0,001) e a subescala Séries Motoras de Luria diferenciou os padrões de EM (p < 0,05). Conclusões: A FAB apresenta propriedades psicométricas adequadas para avaliar as funções do lobo frontal em doentes com EM, devendo integrar a sua avaliação neuropsicológica para auxiliar no correto encaminhamento terapêutico. Adicionalmente, a subescala das Fluências Lexicais parece ser importante para avaliar estes doentes, tendo potencial para o nível I do rastreio da disfunção frontal na EM.
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Direitos de Autor (c) 2019 Sandra Henriques, Helena Espirito-Santo, Luís Cunha, Laura Lemos, Fernanda Daniel
Este trabalho encontra-se publicado com a Creative Commons Atribuição-NãoComercial 4.0.
Os autores conservam os direitos de autor e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Creative Commons - Atribuição-NãoComercial 4.0 Internacional que permite a partilha do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
