Desenvolvimento do teste de planejamento Torre de Londres – versão brasileira (TOL-BR)
DOI:
https://doi.org/10.25118/2763-9037.2019.v9.45Palabras clave:
Avaliação neuropsicológica, funções executivas, planejamento cognitivoResumen
Funções executivas permitem ao indivíduo resolver problemas complexos e lidar com novos contextos. Dentre elas, o planejamento é considerado uma função de alta ordem que está fortemente relacionada aos circuitos frontoestriatais, cujos déficits podem ser encontrados em diversos transtornos, como autismo, transtorno do déficit de atenção com hiperatividade (TDAH) e depressão. Um dos principais instrumentos para avaliar planejamento é a Torre de Londres (ToL), que, apesar de boas qualidades, tem apresentado problemas como efeito teto e baixa capacidade discriminativa em indivíduos normais. O presente estudo visa avaliar as propriedades psicométricas de uma versão computadorizada, brasileira, da Torre de Londres (ToL-BR). Foram testadas todas as possibilidades de itens possíveis no instrumento (35); após as exclusões dos itens com baixo poder discriminativo (rpb ≤ 0,30), ficaram na ToL-BR um total de 19 itens. Os resultados preliminares, somados a estudos anteriores, sugerem que esse instrumento se mostra mais adequado para avaliar pessoas nos níveis inferior a médio das habilidades de planejamento.
Descargas
Citas
Diamond A. Executi ve functi ons. Annu Rev Psychol. 2013;64:135-68. DOI: https://doi.org/10.1146/annurev-psych-113011-143750
Langberg JM, Dvorsky MR, Evans SW. What specifi c facets of executi ve functi on are associated with academic functi oning in youth with att enti on-defi cit/hyperacti vity disorder? J Abnorm Child Psychol. 2013;41:1145-59. DOI: https://doi.org/10.1007/s10802-013-9750-z
Hayashi Y, Foreman AM, Friedel JE, Wirth O. Executi ve functi on and dangerous driving behaviors in young drivers. Transp Res Part F Traffi c Psychol Behav. 2018;52:51-61. DOI: https://doi.org/10.1016/j.trf.2017.11.007
Stro mba ck C, Lind T, Skagerlund K, Va stf ja ll D, Tingho g G. Does self-control predict fi nancial behavior and fi nancial well-being? J Behav Exp Finance. 2017;14:30-8. DOI: https://doi.org/10.1016/j.jbef.2017.04.002
Steel P, Svartdal F, Thundiyil T, Brothen T. Examining procrasti nati on across multi ple goal stages: a longitudinal study of temporal moti vati on theory. Front Psychol. 2018;9:327. DOI: https://doi.org/10.3389/fpsyg.2018.00327
De Luca CR, Leventer RJ. Developmental trajectories of executi ve functi ons across the lifespan. In: Anderson V, Jacobs R, Anderson JP, eds. Neuropsychology, neurology, and cogniti on. Executi ve functi ons and the frontal lobes: a lifespan perspecti ve. Milton Park: Taylor & Francis; 2008. p. 23-56.
Van den Heuvel OA, Groenewegen HJ, Barkhof F, Lazeron RH, van Dyck R, Veltman DJ. Frontostriatal system in planning complexity: a parametric functi onal magneti c resonance version of tower of London task. Neuroimage. 2003;18:367-74. DOI: https://doi.org/10.1016/S1053-8119(02)00010-1
Olde Dubbelink LM, Geurts HM. Planning skills in autism spectrum disorder across the lifespan: a meta-analysis and meta-regression. J Autism Dev Disord. 2017;47:1148-65. DOI: https://doi.org/10.1007/s10803-016-3013-0
Boyer BE, Geurts HM, Van der Oord S. Planning skills of adolescents with ADHD. J Atten Disord. 2018;22:46-57. DOI: https://doi.org/10.1177/1087054714538658
Martoni RM, de Filippis R, Cammino S, Giuliani M, Risso G, Cavallini MC, et al. Planning functioning and impulsiveness in obsessive-compulsive disorder. Eur Arch Psychiatry Clin Neurosci. 2018;268:471-81. DOI: https://doi.org/10.1007/s00406-017-0803-0
Gvirts HZ, Braw Y, Harari H, Lozin M, Bloch Y, Fefer K, et al. Executive dysfunction in bipolar disorder and borderline personality disorder. Eur Psychiatry. 2015;30:959-64. DOI: https://doi.org/10.1016/j.eurpsy.2014.12.009
Fu L, Xiang D, Xiao J, Yao L, Wang Y, Xiao L, et al. Reduced prefrontal activation during the Tower of London and Verbal Fluency Task in patients with bipolar depression: a multi-channel NIRS study. Front Psychiatry. 2018;9:214. DOI: https://doi.org/10.3389/fpsyt.2018.00214
Holt DV, Wolf J, Funke J, Weisbrod M, Kaiser S. Planning impairments in schizophrenia: specificity, task independence and functional relevance. Schizophr Res. 2013;149:174-9. DOI: https://doi.org/10.1016/j.schres.2013.06.018
Shallice T. Specific impairments of planning. Philos Trans R Soc Lond B Biol Sci. 1982;298:199-209. DOI: https://doi.org/10.1098/rstb.1982.0082
Owen AM, Downes JJ, Sahakian BJ, Polkey CE, Robbins TW. Planning and spatial working memory following frontal lobe lesions in man. Neuropsychologia. 1990;28:1021-34. DOI: https://doi.org/10.1016/0028-3932(90)90137-D
Nitschke K, Köstering L, Finkel L, Weiller C, Kaller CP. A Meta‐analysis on the neural basis of planning: activation likelihood estimation of functional brain imaging results in the tower of London task. Hum Brain Mapp. 2017;38:396-413. DOI: https://doi.org/10.1002/hbm.23368
Riccio CA, Wolfe ME, Romine C, Davis B, Sullivan JR. The tower of London and neuropsychological assessment of ADHD in adults. Arch Clin Neuropsychol. 2004;19:661-71. DOI: https://doi.org/10.1016/j.acn.2003.09.001
Franceschi M, Caffarra P, Savarè R, Cerutti R, Grossi E, Tol Research Group. Tower of London test: a comparison between conventional statistic approach and modelling based on artificial neural network in differentiating fronto-temporal dementia from Alzheimer’s disease. Behav Neurol. 2011;24:149-58. DOI: https://doi.org/10.1155/2011/754659
Giovagnoli AR, Parente A, Didato G, Deleo F, Villani F. Expanding the spectrum of cognitive outcomes after temporal lobe epilepsy surgery: a prospective study of theory of mind. Epilepsia. 2016;57:920-30. DOI: https://doi.org/10.1111/epi.13384
Boccia M, Marin D, D’Antuono G, Ciurli P, Incoccia C, Antonucci G, et al. The tower of London (ToL) in Italy: standardization of the ToL test in an Italian population. Neurol Sci. 2017;38:1263-70. DOI: https://doi.org/10.1007/s10072-017-2957-y
Michalec J, Bezdicek O, Nikolai T, Harsa P, Jech R, Silhan P, et al. A comparative study of tower of London scoring systems and normative data. Arch Clin Neuropsychol. 2017;32:328-38. DOI: https://doi.org/10.1093/arclin/acw111
Malloy-Diniz LF, Cardoso-Martins C, Nassif EP, Levy AM, Leite WB, Fuentes, D. Planning abilities of children aged 4 years and 9 months to 8 1/2 years: effects of age, fluid intelligence and school type on performance in the tower of London test. Dement Neuropsychol. 2008;2:26-30. DOI: https://doi.org/10.1590/S1980-57642009DN20100006
de Paula JJ, Neves F, Levy Â, Nassif E, Malloy-Diniz LF. Assessing planning skills and executive functions in the elderly: preliminary normative data for the tower of London test. Arq Neuropsiquiatr. 2012;70:828-30. DOI: https://doi.org/10.1590/S0004-282X2012001000015
Souza R, Ignácio FD, Cunha FC, Oliveira DL, Moll J. [Contributions to the neuropsychology of executive behavior: performance of normal individuals on the tower of London and Wisconsin tests]. Arq Neuropsiquiatr. 2001;59:526-31. DOI: https://doi.org/10.1590/S0004-282X2001000400008
Portella MJ, Marcos-Bars T, Rami-Gonzalez L, Navarro-Odriozola V, Gastó-Ferrer C, Salamero M. [Tower of London: mental planning, validity and the ceiling effect]. Rev Neurol. 2003;37:210-3. DOI: https://doi.org/10.33588/rn.3703.2003156
Luciana M, Collins PF, Olson EA, Schissel AM. Tower of London performance in healthy adolescents: the development of planning skills and associations with self-reported inattention and impulsivity. Dev Neuropsychol. 2009;34:461-75. DOI: https://doi.org/10.1080/87565640902964540
Borges A, Andrade CM, Timóteo AP, Schlottfeldt CG, Querino, EH, Godoy VP, et al. O teste da Torre de Londres: comparação entre a versãotradicional e a aplicação computadorizada. Rev Debates Psiquiatr. 2018;8:30-36.
Krikorian R, Bartok J, Gay N. Tower of London procedure: a standard method and developmental data. Journal of Clinical and Experimental Neuropsychology. 1994;16:840-50. DOI: https://doi.org/10.1080/01688639408402697
Humes GE, Welsh C, Retzlaff PD. Development of the Tower of London-revised. Assessment. 1998;5:355-60.
Schnirman GM, Welsh MC, Retzlaff PD. Development of the tower of London-revised. Assessment. 1998;4:355-60. DOI: https://doi.org/10.1177/107319119800500404
R Core Team. R: a language and environment for stati sti cal computi ng [Internet]. 2019. www.Rproject.org/
Revelle W. Psych: procedures for personality and psychological research [Internet]. 2019. CRAN.Rproject. org/package=psych
Lorenzo-Seva U, Ferrando PJ. Program FACTOR, v. 10.9.02. Soft ware program [Internet]. 2019 May 2. psico.fcep.urv.es/utilitats/factor/index.html
Timmerman ME, Lorenzo-Seva U. Dimensionality assessment of ordered polytomous items with parallel analysis. Psychol Methods. 2011;16:209-20. DOI: https://doi.org/10.1037/a0023353
Ferrando PJ, Lorenzo-SevaU. Assessing the quality and appropriateness of factor soluti ons and factor score esti mates in exploratory item factor analysis. Educ Psychol Meas. 2018;78:762-80. DOI: https://doi.org/10.1177/0013164417719308
Asparouhov T, Muthen B. Simple second order chi-square correcti on [Internet]. 2010 May 2. www.statmodel.com/download/WLSMV_new_chi21.pdf
Kline R. Principles and practi ce of structural equati on modeling. 4th ed. New York: The Guilford; 2015.
Rosseel Y. lavaan: an R package for structural equati on modeling [Internet]. 2012 May 24 [cited 2010 Feb 26]. www.jstatsoft.org/v48/i02/ DOI: https://doi.org/10.18637/jss.v048.i02
Epskamp S. semPlot: path diagrams and visual analysis of various SEM packages’ output [Internet]. 2019 [cited 2020 Feb 26]. cran.rproject. org/web/packages/semPlot/index.html
Andrich D. A rati ng formulati on for ordered response categories. Psychometrika. 1978;43:561-73. DOI: https://doi.org/10.1007/BF02293814
Masters GN. A Rasch model for parti al credit scoring. Psychometrika. 1982;47:149-74. DOI: https://doi.org/10.1007/BF02296272
Mair P, Hatzinger R, Maier MJ. eRm: Extended Rasch Modeling 1.0-0 [Internet]. 2019. erm.rforge. r-project.org/
Mair P, Hatzinger R, Verhelst ND. RaschSampler: rasch sampler. R package version 0.8-8 [Internet]. 2015. CRAN.R-Project.org/package=RaschSampler
Chalmers RP. mirt: a multi dimensional item response theory package for the R environment. J Stat Soft w. 2012;48:1-29. DOI: https://doi.org/10.18637/jss.v048.i06
Golino HF, Gomes CMA, Amantes A, Coelho G. Psicometria contemporânea: compreendendo os modelos Rasch. Belo Horizonte: Livraria do Psicólogo; 2019.
Raizner RD. Raising the ceiling: the tower of London-extended version. Dev Neuropsychol. 2002;21:1-14. DOI: https://doi.org/10.1207/S15326942DN2101_1
Anderson P, Anderson V, Lajoie G. The Tower of London test: validati on and standardizati on for pediatric populati ons. Clin Neuropsychol. 1996;10:54-65. DOI: https://doi.org/10.1080/13854049608406663
Debelak R, Egle J, Köstering L, Kaller CP. Assessment of planning ability: psychometric analyses on the unidimensionality and construct validity of the Tower of London (TOL-F). Neuropsychology. 2016;30:346-60. DOI: https://doi.org/10.1037/neu0000238
Descargas
Publicado
Cómo citar
Número
Sección
Licencia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Debates em Psiquiatria permite que el (los) autor (es) mantenga(n) sus derechos de autor sin restricciones. Permite al (los) autor (es) conservar sus derechos de publicación sin restricciones. Los autores deben garantizar que el artículo es un trabajo original sin fabricación, fraude o plagio; no infringe ningún derecho de autor o derecho de propiedad de terceros. Los autores también deben garantizar que cada uno atendió a los requisitos de autoría conforme a la recomendación del ICMJE y entienden que, si el artículo o parte de él es fallido o fraudulento, cada autor comparte la responsabilidad.
Reconocimiento-NoComercial 4.0 internacional (CC BY-NC 4.0) - Debates em Psiquiatria es regida por la licencia CC-BY-NC
Usted es libre de:
- Compartir — copiar y redistribuir el material en cualquier medio o formato
- Adaptar — remezclar, transformar y crear a partir del material
El licenciador no puede revocar estas libertades mientras cumpla con los términos de la licencia. Bajo las condiciones siguientes:
- Reconocimiento — Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios<. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace.
- NoComercial — No puede utilizar el material para una finalidad comercial.
No hay restricciones adicionales — No puede aplicar términos legales o medidas tecnológicas que legalmente restrinjan realizar aquello que la licencia permite.