[Clinical utility of the 64-card version of the Wisconsin Card Sorting Test in patients with traumatic brain injury].

Abstract:

AIMS:To analyze the validity of the single deck 64-card Wisconsin Card Sorting Test (WCST-64) compared to the standard version (WCST-128), and to study the sensibility of both versions to identify changes over time in patients with traumatic brain injury (TBI). PATIENTS AND METHODS:The WCST was administered twice across a 6-month period to a sample of 50 patients with TBI. Pearson correlation coefficients were calculated to examine bivariate associations between WCST-128 scores and the corresponding WCST-64 scores at inclusion and at follow-up. Agreement in classification of impairment (z = -1) or normal performance was calculated for the two tests (kappa). Significant change over time was also analyzed for both versions of the test (paired-samples t test). RESULTS:The results revealed positive and significant correlations between both measures as well as a significant agreement in the classification of patients as having deficits or not. Moreover, the WCST-128 and the WCST-64 showed similar ability to identify changes over time. CONCLUSIONS:Our findings showed strong associations between scores derived from the two test and support the comparability of both versions when analyzing cross-sectional or longitudinal data. The findings support the use of the WCST-64 in evaluations of executive deficits of patients with moderate and severe TBI.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

del Valle-del Valle G,Puerta-Cuestas MV,Renau-Hernández O,Noguera-Escalera P,García-Blázquez MC,Ferri-Salvador N,Chirivella-Garrido J,Ferri-Campos J,Noé-Sebastián E

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

142-6

issue

3

eissn

0210-0010

issn

1576-6578

pii

rn2007236

journal_volume

46

pub_type

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