Propriedades psicométricas da Frontal Assessment Battery na esclerose múltipla

  • Sandra Henriques Instituto Superior Miguel Torga
  • Helena Espirito-Santo Instituto Superior Miguel Torga http://orcid.org/0000-0003-2625-3754
  • Luís Cunha Centro Interdisciplinar de Investigação Psicossocial, Instituto Superior Miguel Torga
  • Laura Lemos Centro Interdisciplinar de Investigação Psicossocial, Instituto Superior Miguel Torga
  • Fernanda Daniel Centro Interdisciplinar de Investigação Psicossocial, Instituto Superior Miguel Torga; Centro de Estudos e Investigação em Saúde da Universidade de Coimbra
Palavras-chave: Esclerose múltipla, Frontal Assessment Battery, Funcionamento executivo

Resumo

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 (< 0,001) e a subescala Séries Motoras de Luria diferenciou os padrões de EM (< 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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Biografias Autor

Sandra Henriques, Instituto Superior Miguel Torga

Mestre em psicologia clínica

Helena Espirito-Santo, Instituto Superior Miguel Torga

Helena Espírito Santo, PhD.

Professora Auxiliar

Editora-chefe da Revista Portuguesa de Investigação Comportamental e Social

Coordenadora do Departamento de Investigação & Desenvolvimento

Instituto Superior Miguel Torga, Coimbra, Portugal

Luís Cunha, Centro Interdisciplinar de Investigação Psicossocial, Instituto Superior Miguel Torga

Licenciatura em Psicologia; Licenciatura em Engenharia Informática; Doutoramento em Ciências da Informação

Fernanda Daniel, Centro Interdisciplinar de Investigação Psicossocial, Instituto Superior Miguel Torga; Centro de Estudos e Investigação em Saúde da Universidade de Coimbra

Doutoramento em Serviço Social; Doutoramento em Psicologia

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Publicado
2019-11-30
Como Citar
Henriques, S., Espirito-Santo, H., Cunha, L., Lemos, L., & Daniel, F. (2019). Propriedades psicométricas da Frontal Assessment Battery na esclerose múltipla. Revista Portuguesa De Investigação Comportamental E Social, 5(2), 19-37. https://doi.org/10.31211/rpics.2019.5.2.159
Secção
Artigo Original