Nj. Heyer et al., ANALYZING MULTIVARIATE NEUROBEHAVIORAL OUTCOMES IN OCCUPATIONAL STUDIES - A COMPARISON OF APPROACHES, Neurotoxicology and teratology, 18(4), 1996, pp. 401-406
Neurobehavioral studies often employ test batteries and confront issue
s of multiple testing and comparability between batteries. We have org
anized our battery of 12 tests into areas of neurobehavioral function
to reduce the number of reported results, provide greater statistical
power, and improve interpretability of the results. We explored severa
l different organizational and statistical methods of creating summary
scores including a priori groupings based upon clinical experience an
d factor analysis. We compared the sensitivity of these summary scores
to performance changes associated with exposure to styrene in the man
ufacture of reinforced plastics. Our results demonstrated dramatic inc
reases in power to detect exposure related changes compared to using i
ndividual test scores. Furthermore, the various methods provided gener
ally compatible and comparable results. We encourage other neurobehavi
oral investigators to pursue and refine this approach.