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The Clinical Utility of the NAB Judgment Subtest Among Individuals Diagnosed With Schizophrenia Spectrum Disorder Within a Forensic Inpatient Setting
Assessment ( IF 3.5 ) Pub Date : 2021-07-01 , DOI: 10.1177/10731911211027637
Scott Roye 1 , C Adam Coffey 1 , Stephen R Nitch 1 , David M Glassmire 1 , Dominique I Kinney 1
Affiliation  

Executive functioning (EF) has been identified as a significant predictor in determining competence to stand trial. Individuals deemed incompetent to stand trial are provided a limited time frame before conservatorship is considered, thus, treatment providers practicing within inpatient facilities have a responsibility to efficiently identify factors that may lead to prolonged hospitalizations, in order to avoid delays in a defendant’s legal proceedings. Although previous studies have demonstrated the utility of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Index Score in predicting length of stay (LOS), the Neuropsychological Assessment Battery (NAB) Judgment subtest provides a measure of executive function, which is a domain not captured by the RBANS. The current study examined the relationship between both the RBANS and NAB Judgment performance as predictors of LOS among 63 individuals diagnosed with schizophrenia spectrum disorders undergoing competency restoration treatment. Additionally, sensitivity analyses were used to determine cutoff scores for individuals requiring additional competency services. Results indicated that the NAB Judgment subtest was more predictive of LOS than the RBANS Total Index Score. Additionally, a raw score of ≤9 on NAB Judgment was indicative of increased LOS. These results highlight the utility of the NAB Judgment subtest within a forensic inpatient setting.



中文翻译:

NAB 判断分测​​试在法医住院环境中诊断为精神分裂症谱系障碍的个体中的临床效用

执行功能 (EF) 已被确定为确定受审能力的重要预测因素。在考虑接管之前,被认为无能力接受审判的个人在有限的时间范围内被提供,因此,在住院设施内执业的治疗提供者有责任有效地确定可能导致住院时间延长的因素,以避免延误被告的法律诉讼。尽管先前的研究已经证明了可重复神经心理状态评估电池 (RBANS) 总指数评分在预测住院时间 (LOS) 方面的效用,但神经心理评估电池 (NAB) 判断子测试提供了执行功能的测量,即RBANS 未捕获的域。目前的研究在 63 名被诊断患有精神分裂症谱系障碍并接受能力恢复治疗的个体中检查了 RBANS 和 NAB 判断表现作为 LOS 预测因子之间的关系。此外,敏感性分析用于确定需要额外能力服务的个人的截止分数。结果表明,NAB 判断子测试比 RBANS 总指数得分更能预测 LOS。此外,NAB 判断的原始分数≤9 表示 LOS 增加。这些结果突出了 NAB 判断子测试在法医住院环境中的实用性。敏感性分析用于确定需要额外能力服务的个人的截止分数。结果表明,NAB 判断子测试比 RBANS 总指数得分更能预测 LOS。此外,NAB 判断的原始分数≤9 表示 LOS 增加。这些结果突出了 NAB 判断子测试在法医住院环境中的实用性。敏感性分析用于确定需要额外能力服务的个人的截止分数。结果表明,NAB 判断子测试比 RBANS 总指数得分更能预测 LOS。此外,NAB 判断的原始分数≤9 表示 LOS 增加。这些结果突出了 NAB 判断子测试在法医住院环境中的实用性。

更新日期:2021-07-02
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