RESUMO
OBJECTIVE: This study developed and gained insight in an auditory Stroop test, implementable in cognitive hearing sciences. METHODS: An auditory Stroop test was developed and performed in 178 participants, aged between 18 and 69 years. This Auditory Stroop test consisted of two tests: Stroop-tones and Stroop-words whereby the pitch of pure-tones and spoken words (i.e., the words high and low) had to be identiï¬ed by high or low, respectively. An interference score was calculated as a measure of verbal executive functioning. Regression models were conducted to examine the eï¬ect of age, sex, education, awakeness, hearing, as well as visual and verbal working memory, and processing speed on the auditory Stroop scores. Normative data were obtained per age decade. RESULTS: Compared to the visual counterparts, the auditory Stroop outcomes were better predicted by verbal working memory and processing speed. A trend was observed showing a decrease in performances with increasing age. No other participant-related variables had a signiï¬cant relationship with the auditory Stroop test. CONCLUSION: This auditory Stroop test was considered a good test for measuring executive functioning using auditory stimuli. Implementing this auditory Stroop test within cognitive hearing sciences will contribute to unravel the auditory-cognitive perspective of speech understanding.
OBJETIVO: Este estudio desarrolló y alcanzó un claro entendimiento en una prueba auditiva de Stroop, implementable en las ciencias auditivas cognitivas. MÉTODOS: Se desarrolló un test auditivo de Stroop y se aplicó en 178 participantes entre los 18 y los 69 años de edad. Este test auditivo de Stroop constaba dos pruebas, a saber: Stroop-tonos y Stroop-palabras. El tono de los tonos puros y de las palabras habladas (es decir, las palabras alto y bajo) tenían que ser identiï¬cadas por alto o bajo, respectivamente. Se calculó una puntuación de interferencia como medida del funcionamiento ejecutivo verbal. Se realizaron modelos de regresión para examinar el efecto de la edad, el sexo, la educación, la vigilia, la audición, así como la memoria de trabajo visual y verbal y la velocidad de procesamiento en todas las puntuaciones auditivas de Stroop. Se obtuvieron datos normativos por década. RESULTADOS: Los resultados del Stroop auditivo podrían predecirse mejor por la memoria de trabajo verbal y la velocidad de procesamiento en comparación con las contrapartes visuales. Se observó una tendencia que mostraba una disminución de los resultados con el aumento de la edad. Ninguna otra variable relacionada con los participantes parecía tener una relación signiï¬cativa con la prueba auditiva de Stroop. CONCLUSIÓN: Este test auditivo de Stroop se consideró una buena prueba para medir el funcionamiento ejecutivo utilizando estímulos auditivos. La aplicación de esta prueba auditiva de Stroop dentro de las ciencias auditivas cognitivas contribuirá a desentrañar la perspectiva auditivo-cognitiva de la comprensión del habla.
RESUMO
OBJECTIVE: To assess the neuropsychological and behavioral profiles of school-aged children treated for atrial septal defect, secundum type (ASD-II) with open-heart surgery or catheterization. STUDY DESIGN: Patients (n = 48; mean age, 9 years, 3 months) and a matched healthy group (mean age, 9 years, 2 months) were evaluated with a shortened intelligence scale (Wechsler Intelligence Scale for Children, third edition, Dutch version) and a developmental neuropsychological test battery (Developmental Neuropsychological Assessment, second edition, Dutch version). Parents completed behavioral checklists (Achenbach Child Behavior Checklist for Children aged 6-18). Hospitalization variables were retrieved from medical files for studying associations with long-term neurodevelopment. RESULTS: Compared with the healthy matched controls, patients treated for ASD-II had significantly lower scores on subtasks underlying such Developmental Neuropsychological Assessment, second edition, Dutch version domains as Attention and Executive Functioning, Language, Working Memory, Sensorimotor Functioning, Social Cognition, and Visuospatial Information Processing. Only subtle differences, mainly in Visuospatial Information Processing, were found between the surgical repair and transcatheter repair groups. Socioeconomic status, longer hospital stay, and larger defect size were associated with neurocognitive outcome measures. Parents of patients reported more thought problems, posttraumatic stress problems, and lower school performance compared with parents of healthy peers. CONCLUSION: After treatment for ASD-II, children display a range of neuropsychologic difficulties that may increase their risk for learning problems and academic underachievement. Differences related to treatment were not found. Our results suggest that neurodevelopmental and behavioral follow-up at school age is warranted in this group.
Assuntos
Cateterismo Cardíaco/métodos , Procedimentos Cirúrgicos Cardíacos/métodos , Comportamento Infantil/psicologia , Comunicação Interatrial/cirurgia , Adolescente , Cateterismo Cardíaco/psicologia , Procedimentos Cirúrgicos Cardíacos/psicologia , Criança , Feminino , Comunicação Interatrial/psicologia , Humanos , Masculino , Testes NeuropsicológicosRESUMO
OBJECTIVE: As surgical management of children with congenital heart disease (CHD) advanced, developmental outcome became the main focus of contemporary research. In this study, we specify the cognitive profile of children with CHD, 6 to 12 years postoperatively. STUDY DESIGN: Patients with CHD (n = 43, mean age 8 years, 8 months) and healthy controls (n = 43, mean age 8 years, 11 months), were examined with an abbreviated intelligence scale (Wechsler Intelligence Scale for Children-3rd edition, Dutch version) and a developmental neuropsychological assessment battery (NEPSY [a developmental NEuroPSYchological assessment]). RESULTS: We identified significantly lower scores for the CHD group on Estimated Full Scale IQ (P < .01). Neuropsychological assessment revealed lower scores for the CHD group on the cognitive domains of Sensorimotor Functioning (P < .001), Language (P < .001), Attention and Executive Functioning (P < .05), and Memory (P < .05). Children with CHD displayed more impulsive test behavior than healthy peers. No differences on IQ or cognitive domains were found between the cyanotic and the acyanotic CHD group. CONCLUSIONS: Six to 12 years postoperatively, children with CHD display a neuropsychological profile with mainly mild motor deficits and subtle difficulties with language tasks. Attention/executive functioning and memory also appear involved but to a lesser degree. Long-term follow-up of children with surgically corrected CHD, even when hemodynamically successful, is warranted, as they are at risk for neurodevelopmental delay at school age.