Evidence map›Paper›PMID 40191401›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

Interrater reliability of the modified Tinkertoy test: A validation study in schizophrenia and control groups.

Yasuhisa Nakamura, Reiko Miyamoto, Akihiro Koreki, Sachiko Anamizu, Masaru Mimura

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yasuhisa NakamuraDepartment of Rehabilitation, Faculty of Health Sciences Nihon Fukushi University Aichi-ken Japan.ORCID 0009-0009-8486-022X
Reiko MiyamotoDivision of Occupational Therapy, Faculty of Health Sciences Tokyo Metropolitan University Tokyo Japan.
Akihiro KorekiDepartment of Neuropsychiatry Keio University School of Medicine Tokyo Japan.
Sachiko AnamizuDepartment of Psychiatry NHO Tochigi Medical Center Tochigi Japan.
Masaru MimuraDepartment of Neuropsychiatry Keio University School of Medicine Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Divergent thinking and executive function are critical components of cognitive performance, necessitating reliable assessment tools to guide clinical decision-making and research on cognitive deficits. This study aimed to evaluate the interrater reliability of the modified Tinkertoy test (m-TTT), a neuropsychological tool designed to assess these functions, particularly in individuals with schizophrenia. Methods: The interrater reliability of the m-TTT was assessed in a sample of 40 Japanese participants, including 20 individuals with schizophrenia (12 males, eight females; mean age = 42.4 [standard deviation, 12.6] years) and 20 healthy controls (12 males, eight females; mean age = 40.0 [standard deviation, 9.6] years). Performances were independently scored by two occupational therapists using a standardized framework. Relative reliability was evaluated using intraclass correlation coefficients (ICCs), and absolute reliability was examined using Bland-Altman analysis. Results: In the schizophrenia group, ICC values indicated high interrater reliability for complexity (0.979), creation process (0.881), and total (0.969) scores. Similarly, in the control group, ICC values were high for complexity (0.969), creation process (0.790), and total (0.934) scores. Bland-Altman analysis demonstrated no fixed or proportional bias; however, greater variability was observed at higher creation process scores in the control group. Conclusion: The results confirm the high interrater reliability of the m-TTT, supporting its utility as a robust tool for assessing cognitive deficits and guiding rehabilitation strategies in psychiatric contexts. However, the study's generalizability is limited by its Japanese-only sample, necessitating further validation across diverse populations and cultural settings.

Indexed as

divergent thinkingexecutive functioninterrater reliabilitymodified Tinkertoy testschizophrenia

Identifiers

PMID40191401
PMCPMC11968418

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