Sensitivity and specificity of the 3-item memory test in the assessment of post traumatic amnesia

Primary objective: To investigate how the type of stimulus (pictures or words) and the method of reproduction (free recall or recognition after a short or a long delay) affect the sensitivity and specificity of a 3-item memory test in the assessment of post traumatic amnesia (PTA). Methods: Daily te...

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Veröffentlicht in:Brain injury 2009-01, Vol.23 (4), p.345-352
Hauptverfasser: Andriessen, Teuntje M. J. C., de Jong, Ben, Jacobs, Bram, van der Werf, Sieberen P., Vos, Pieter E.
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container_end_page 352
container_issue 4
container_start_page 345
container_title Brain injury
container_volume 23
creator Andriessen, Teuntje M. J. C.
de Jong, Ben
Jacobs, Bram
van der Werf, Sieberen P.
Vos, Pieter E.
description Primary objective: To investigate how the type of stimulus (pictures or words) and the method of reproduction (free recall or recognition after a short or a long delay) affect the sensitivity and specificity of a 3-item memory test in the assessment of post traumatic amnesia (PTA). Methods: Daily testing was performed in 64 consecutively admitted traumatic brain injured patients, 22 orthopedically injured patients and 26 healthy controls until criteria for resolution of PTA were reached. Subjects were randomly assigned to a test with visual or verbal stimuli. Short delay reproduction was tested after an interval of 3-5 minutes, long delay reproduction was tested after 24 hours. Sensitivity and specificity were calculated over the first 4 test days. Results: The 3-word test showed higher sensitivity than the 3-picture test, while specificity of the two tests was equally high. Free recall was a more effortful task than recognition for both patients and controls. In patients, a longer delay between registration and recall resulted in a significant decrease in the number of items reproduced. Conclusions: Presence of PTA is best assessed with a memory test that incorporates the free recall of words after a long delay.
doi_str_mv 10.1080/02699050902791414
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Results: The 3-word test showed higher sensitivity than the 3-picture test, while specificity of the two tests was equally high. Free recall was a more effortful task than recognition for both patients and controls. In patients, a longer delay between registration and recall resulted in a significant decrease in the number of items reproduced. 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Short delay reproduction was tested after an interval of 3-5 minutes, long delay reproduction was tested after 24 hours. Sensitivity and specificity were calculated over the first 4 test days. Results: The 3-word test showed higher sensitivity than the 3-picture test, while specificity of the two tests was equally high. Free recall was a more effortful task than recognition for both patients and controls. In patients, a longer delay between registration and recall resulted in a significant decrease in the number of items reproduced. 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J. C.</creatorcontrib><creatorcontrib>de Jong, Ben</creatorcontrib><creatorcontrib>Jacobs, Bram</creatorcontrib><creatorcontrib>van der Werf, Sieberen P.</creatorcontrib><creatorcontrib>Vos, Pieter E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Brain injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andriessen, Teuntje M. J. 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source Taylor & Francis; MEDLINE; Taylor & Francis Medical Library - CRKN
subjects Adolescent
Adult
Aged
Aged, 80 and over
Amnesia - diagnosis
Amnesia - etiology
Bone and Bones - injuries
Brain Injuries - complications
Case-Control Studies
Female
Humans
Male
memory test
Mental Recall
Middle Aged
Netherlands
Neuropsychological Tests - standards
Post traumatic amnesia
Sensitivity and Specificity
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - etiology
traumatic brain injury
Young Adult
title Sensitivity and specificity of the 3-item memory test in the assessment of post traumatic amnesia
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