2015, Number 5
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Salud Mental 2015; 38 (5)
Exploración de las propiedades psicométricas de la Batería Montreal de Evaluación de Amusia en una muestra de sujetos con epilepsia de lóbulo temporal
Toledo-Fernández A, Salvador-Cruz J
Language: Spanish
References: 27
Page: 311-319
PDF size: 205.11 Kb.
ABSTRACT
Background
The Montreal Battery of Evaluation of Amusia (MBEA) is a newly developed
instrument to assess music perception and memory, associated
to temporal lobe functioning. The non-symptomatic temporal lobe
epilepsy is a prevalent condition in Mexico, and it gives an opportunity
to test the MBEA, considering the fact that epileptic seizures can
cause neuropsychological impairment according to lobar localization
and hemispherical lateralization of the epileptogenic foci.
Objective
To explore the psychometric and diagnostic properties of the MBEA.
Method
Two non-probabilistic samples of 31 control subjects and 22 cases
with non-symptomatic temporal lobe epilepsy were assessed with the
MBEA. Data from the original validation were used to compare with
the control group.
Results
Analysis with t test showed significantly lower performances in the
case group relative to controls, and a general lower performance of
controls compared to the norm. There was no significant difference
in performance between cases with left epileptogenic foci and cases
with right epileptogenic foci. ROC curve analysis showed questionable
properties of sensitivity and specificity in the MBEA.
Discussion and conclusion
Impairments in music perception were found in cases, although theoretical
inconsistences with respect to relation between impaired
functions were also detected. The performance of the control group
relative to the norm aims to the continuation of the validation process,
considering cultural differences. The MBEA seems to be a poor measure
in terms of sensibility and specificity for the detection of amusic
impairments in subjects with non-symptomatic temporal lobe epilepsy,
and its utility for determining hemispheric lateralization of epileptogenic
foci remains uncertain.
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