Avaliação breve do défice executivo em pessoas idosas com Acidente Vascular Cerebral: Validação da Bateria de Avaliação Frontal

Palavras-chave: AVC, Disfunção Executiva, FAB, Idosos, Validação

Resumo

Contexto e Objetivos: O Acidente Vascular Cerebral (AVC) potencia o desenvolvimento de disfunção executiva, conduzindo a défice no desempenho das tarefas do quotidiano. A avaliação neuropsicológica das funções executivas é importante para desenvolver estratégias de reabilitação adequadas. Assim, são objetivos descrever os dados normativos, precisão de diagnóstico, propriedades psicométricas e análise fatorial da Bateria de Avaliação Frontal (FAB), instrumento breve e de rápida administração, numa amostra de idosos com AVC. Método: Inserida no projeto Trajetórias do Envelhecimento de Idosos em Resposta Social, esta investigação conta com uma amostra de 112 pessoas idosas com diagnóstico médico de AVC e 157 pessoas idosas de um subgrupo de controlo sem AVC. Os sujeitos apresentam idades compreendidas entre os 60 e os 100 anos (M = 78,20; DP = 7,57) sendo maioritariamente do sexo feminino (n = 194). A avaliação inclui entrevistas e testes neuropsicológicos agrupados em medidas de funcionamento executivo, medidas cognitivas de referência e medidas clínicas de controlo. Resultados: As variáveis idade e escolaridade interferiram nas pontuações obtidas na amostra clínica, não sendo verificado impacto da variável sexo. Para um ponto de corte de 7, a FAB teve uma sensibilidade de 83,4% e especificidade de 66,1 % (AUC = 0,64); revelou um alfa de Cronbach de 0,79 e correlações fortes com os testes executivos (teste de Stroop, Figura Complexa de Rey, fator Atencional-Executivo do Montreal Cognitive Assessment e Alternância nos testes de Fluência verbal). A análise fatorial confirmatória apontou uma estrutura com um fator. Conclusões: A FAB apresenta boa consistência interna, validade convergente e validade de constructo, aparentando ser uma escala útil para avaliar o défice executivo em pessoas idosas com AVC. Dadas algumas limitações do estudo, que poderão explicar a fraca precisão diagnóstica da FAB, são incentivadas investigações futuras pois a FAB revelou-se um instrumento com propriedades psicométricas promissoras.

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Biografias Autor

Helena Espirito-Santo, Centro de Investigação Interdisciplinar Psicossocial do Instituto Superior Miguel Torga (CCIPSO-ISMT); Centro de Investigação em Neuropsicologia e Intervenção Cognitiva e Comportamental (CINEICC), Universidade de Coimbra, Portugal
Professora Auxiliar; Co-cordenadora do Departamento de Investigação & Desenvolvimento; Coordenadora, Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra, Portugal  
Inês Queiroz Garcia, Instituto Superior Miguel Torga, Coimbra, Portugal

Mestre em Psicologia Clínica

Bárbara Monteiro, Instituto Superior Miguel Torga, Coimbra, Portugal

Mestre em Psicologia Clínica

Naír Carolino, Instituto Superior Miguel Torga, Coimbra, Portugal

Mestre em Psicologia Clínica

Fernanda Daniel, Centro de Investigação Interdisciplinar Psicossocial do Instituto Superior Miguel Torga (CCIPSO-ISMT); Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Portugal

Professora auxiliar, Instituto Superior Miguel Torga. Investigadora do Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Portugal

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Publicado
2016-09-30
Como Citar
Espirito-Santo, H., Garcia, I. Q., Monteiro, B., Carolino, N., & Daniel, F. (2016). Avaliação breve do défice executivo em pessoas idosas com Acidente Vascular Cerebral: Validação da Bateria de Avaliação Frontal. Revista Portuguesa De Investigação Comportamental E Social, 2(2), 25-40. https://doi.org/10.7342/ismt.rpics.2016.2.2.39
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Artigo Original