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

Helena Espirito-Santo; Inês Queiroz Garcia; Bárbara Monteiro; Naír Carolino; Fernanda Daniel

doi:10.7342/ismt.rpics.2016.2.2.39

Authors

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 of Coimbra, Portugal https://orcid.org/0000-0003-2625-3754
Inês Queiroz Garcia Instituto Superior Miguel Torga, Coimbra, Portugal
Bárbara Monteiro Instituto Superior Miguel Torga, Coimbra, Portugal https://orcid.org/0000-0002-4706-1914
Naír Carolino Instituto Superior Miguel Torga, Coimbra, Portugal https://orcid.org/0000-0002-8131-1737
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 https://orcid.org/0000-0002-2202-1123

DOI:

https://doi.org/10.7342/ismt.rpics.2016.2.2.39

Keywords:

Stroke, Executive dysfunction, FAB, Elderly, Validation

Abstract

Background and Goals: Stroke potentiates the development of executive dysfunction, leading to impairment in the performance of daily activities. The neuropsychological assessment of executive functions is important to develop adequate rehabilitation strategies. Thus, describing the normative data, diagnostic accuracy, psychometric properties and factor analysis of the Frontal Assessment Battery (FAB), a brief and easy to administer instrument, in a clinical sample with stroke are objectives of this study. Method: Being part of the Aging Trajectories of Institutionalized Elderly, this research has a sample of 112 elderly people with a medical diagnosis of stroke and a control subgroup of 157 elderly people. The subjects have ages between 60 and 100 years old (M = 78.20, SD = 7.57), mostly females (n = 194). The measurements used include interviews and neuropsychological tests grouped in executive functioning measures, cognitive measures of reference, and clinical measures of control. Results: The variables age and education affect the scores obtained in the clinical subgroup, having the variable gender no impact on these. Using a cutoff score of 7, the FAB had a sensitivity of 83.4% and a specificity of 66.1% for screening stroke (AUC = 0.64); showed a Cronbach's α of 0.79, and strong correlations with executive tests (Stroop test, Rey Complex Figure, Attentional-Executive factor of Montreal Cognitive Assessment and Switching in the verbal fluency tests). The confirmatory factor analysis supported a one-factor structure. Conclusions: The FAB presents good internal consistency, convergent, and construct when used for the elderly with stroke. Due to some limitations of the study, which may explain the weak discriminant validity, further investigations are encouraged because FAB has shown promising psychometric properties.

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