Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders
Main Author: | |
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Publication Date: | 2021 |
Other Authors: | , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10437/12434 |
Summary: | The Wisconsin Card Sorting Test (WCST) is a widely used neuropsychological instrument to assess executive functions related to cognitive flexibility and abstract reasoning. However, there is a lack of studies investigating the diagnostic precision of this instrument in sub- stance use disorders. In this study, we aimed at assessing the sensitivity and specificity of the WCST in discriminating the performance of participants with substance use disorder with cognitive deficits and participants from the general population without cognitive defi- cits. The sample comprised three groups of participants with substance use disorders (opi- oid use disorder in harm reduction with methadone maintenance; opioid use disorder in treatment in a therapeutic community; alcohol use disorder in a therapeutic community) and a normative group of healthy adults. The total sample consisted of 587 participants that were assessed with cognitive tests for executive functions, general cognitive function- ing, and self-reported depression. The results showed differences between groups in most WCST variables, providing evidence of discriminant validity for this test. Convergent validity was also established by weak to moderate correlations with general cognitive functioning. Cutoff points based on receiver operating characteristic (ROC) curves were calculated for the WCST variables. Overall, the WCST was sensitive to changes in cognitive flexibility and abstract reasoning that are key features of substance use disorders. |
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Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disordersABSTRACT REASONINGWISCONSIN CARD SORTING TESTCOGNITIVE FLEXIBILITYSUBSTANCE USE DISORDERSEXECUTIVE FUNCTIONSPSYCHOLOGYFUNÇÕES EXECUTIVASPSICOLOGIAThe Wisconsin Card Sorting Test (WCST) is a widely used neuropsychological instrument to assess executive functions related to cognitive flexibility and abstract reasoning. However, there is a lack of studies investigating the diagnostic precision of this instrument in sub- stance use disorders. In this study, we aimed at assessing the sensitivity and specificity of the WCST in discriminating the performance of participants with substance use disorder with cognitive deficits and participants from the general population without cognitive defi- cits. The sample comprised three groups of participants with substance use disorders (opi- oid use disorder in harm reduction with methadone maintenance; opioid use disorder in treatment in a therapeutic community; alcohol use disorder in a therapeutic community) and a normative group of healthy adults. The total sample consisted of 587 participants that were assessed with cognitive tests for executive functions, general cognitive function- ing, and self-reported depression. The results showed differences between groups in most WCST variables, providing evidence of discriminant validity for this test. Convergent validity was also established by weak to moderate correlations with general cognitive functioning. Cutoff points based on receiver operating characteristic (ROC) curves were calculated for the WCST variables. Overall, the WCST was sensitive to changes in cognitive flexibility and abstract reasoning that are key features of substance use disorders.2022-01-20T16:46:03Z2021-04-01T00:00:00Z2021-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10437/12434engFaustino, BrunoOliveira, JorgeLopes, Paulo Jorge Ferreirainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-09T14:09:29Zoai:recil.ensinolusofona.pt:10437/12434Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:16:28.170290Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
title |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
spellingShingle |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders Faustino, Bruno ABSTRACT REASONING WISCONSIN CARD SORTING TEST COGNITIVE FLEXIBILITY SUBSTANCE USE DISORDERS EXECUTIVE FUNCTIONS PSYCHOLOGY FUNÇÕES EXECUTIVAS PSICOLOGIA |
title_short |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
title_full |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
title_fullStr |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
title_full_unstemmed |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
title_sort |
Diagnostic precision of the Wisconsin Card Sorting Test in assessing cognitive deficits in substance use disorders |
author |
Faustino, Bruno |
author_facet |
Faustino, Bruno Oliveira, Jorge Lopes, Paulo Jorge Ferreira |
author_role |
author |
author2 |
Oliveira, Jorge Lopes, Paulo Jorge Ferreira |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Faustino, Bruno Oliveira, Jorge Lopes, Paulo Jorge Ferreira |
dc.subject.por.fl_str_mv |
ABSTRACT REASONING WISCONSIN CARD SORTING TEST COGNITIVE FLEXIBILITY SUBSTANCE USE DISORDERS EXECUTIVE FUNCTIONS PSYCHOLOGY FUNÇÕES EXECUTIVAS PSICOLOGIA |
topic |
ABSTRACT REASONING WISCONSIN CARD SORTING TEST COGNITIVE FLEXIBILITY SUBSTANCE USE DISORDERS EXECUTIVE FUNCTIONS PSYCHOLOGY FUNÇÕES EXECUTIVAS PSICOLOGIA |
description |
The Wisconsin Card Sorting Test (WCST) is a widely used neuropsychological instrument to assess executive functions related to cognitive flexibility and abstract reasoning. However, there is a lack of studies investigating the diagnostic precision of this instrument in sub- stance use disorders. In this study, we aimed at assessing the sensitivity and specificity of the WCST in discriminating the performance of participants with substance use disorder with cognitive deficits and participants from the general population without cognitive defi- cits. The sample comprised three groups of participants with substance use disorders (opi- oid use disorder in harm reduction with methadone maintenance; opioid use disorder in treatment in a therapeutic community; alcohol use disorder in a therapeutic community) and a normative group of healthy adults. The total sample consisted of 587 participants that were assessed with cognitive tests for executive functions, general cognitive function- ing, and self-reported depression. The results showed differences between groups in most WCST variables, providing evidence of discriminant validity for this test. Convergent validity was also established by weak to moderate correlations with general cognitive functioning. Cutoff points based on receiver operating characteristic (ROC) curves were calculated for the WCST variables. Overall, the WCST was sensitive to changes in cognitive flexibility and abstract reasoning that are key features of substance use disorders. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-01T00:00:00Z 2021-04-01 2022-01-20T16:46:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10437/12434 |
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http://hdl.handle.net/10437/12434 |
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eng |
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openAccess |
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