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Learning and memory profiles in youth with perinatal stroke: a study of the Child and Adolescent Memory Profile (ChAMP)
Child Neuropsychology ( IF 2.2 ) Pub Date : 2021-08-10 , DOI: 10.1080/09297049.2021.1957089
Shane Virani 1, 2 , Carmen Rasmussen 3 , Nikola Zivanovic 1 , Lisa Smithson 4 , Jacqueline Pei 5 , John Andersen 3 , Jerome Y Yager 3 , Adam Kirton 1, 6, 7 , Brian L Brooks 1, 2, 6, 7, 8
Affiliation  

ABSTRACT

There is limited understanding of the effect of perinatal stroke on child and adolescent learning and memory abilities. This study sought to evaluate the clinical utility of the Child and Adolescent Memory Profile (ChAMP) in quantifying memory performance in youth with perinatal stroke. Children and adolescents aged 6–16 years old with a history of perinatal stroke (PS; n = 41) completed two subtests from the ChAMP (Lists and Objects). Age, sex, and ethnicity-matched healthy control (HC) data were obtained from the test publisher’s standardization data set. Participants with a history of PS performed significantly worse (p < .05) with medium effect size (ƞp2 ≥ .06) than HC on the ChAMP Screening Index and on all ChAMP Lists and Objects scaled scores. Classification accuracy for the ChAMP scores ranged from 57% to 68% with the area under the curve ranging from .62-.75. No significant group differences on ChAMP performance (p > .05) were found for stroke side (left versus right-sided) or for seizure history (present versus absent). This study supports the utility of the ChAMP in perinatal stroke patients by demonstrating significantly worse performance in verbal and visual memory than HC. Classification accuracy is limited, but supportive for the Screening Index and Objects Delayed scores. The ChAMP may be a useful tool for evaluating cognition in this population when taken alongside the context of other tests, background history, and clinical observations.



中文翻译:

围产期卒中青年的学习和记忆概况:儿童和青少年记忆概况 (ChAMP) 的研究

摘要

对于围产期卒中对儿童和青少年学习和记忆能力的影响了解有限。本研究旨在评估儿童和青少年记忆概况 (ChAMP) 在量化围产期卒中青年的记忆表现方面的临床效用。有围产期卒中病史的 6-16 岁儿童和青少年(PS;n = 41)完成了 ChAMP 的两个子测试(列表和对象)。从测试出版商的标准化数据集中获得年龄、性别和种族匹配的健康对照 (HC) 数据。有 PS 病史的参与者表现明显更差 (p < .05),效果中等 ( ƞ p 2 ≥ .06) 在 ChAMP 筛选指数和所有 ChAMP 列表和对象标度分数上高于 HC。ChAMP 分数的分类准确度范围为 57% 至 68%,曲线下面积范围为 0.62-0.75。对于中风侧(左侧与右侧)或癫痫发作史(存在与不存在),未发现 ChAMP 性能 (p > .05) 的显着组差异。这项研究通过证明在语言和视觉记忆方面的表现明显低于 HC,支持了 ChAMP 在围产期卒中患者中的效用。分类准确性有限,但支持筛选指数和对象延迟分数。当与其他测试、背景历史和临床观察的背景一起使用时,ChAMP 可能是评估该人群认知能力的有用工具。

更新日期:2021-08-10
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