Abstract：
OBJECTIVE: Acculturation is not thought to reflect one\'s brain function; however, numerous studies have shown that less acculturated adults perform worse on neuropsychological tests. This study systematically reviews the effect of acculturation on neuropsychological tests in healthy adults.
METHODS: This systematic review was registered in Prospero (CRD42020196578) with the defined review procedures. It included studies with healthy adults and relational data between neuropsychological test scores and acculturation. 13,945 studies were screened studies and 8 met inclusion criteria.
RESULTS: After accounting for demographic factors (including education), acculturation was a positive predictor of performance on tests of dementia screening, processing speed, attention, executive functioning, language, and memory. This relationship remained after accounting for both demographic factors and English Fluency, and specifically on tests of IQ, language, and visuoconstruction.
CONCLUSIONS: These results support measuring and considering acculturation when interpreting both verbal and \"non-verbal\" test results. At a minimum acculturation should be factored into test selection, normative selection, and clinical judgment. Looking forward it is hoped that new norms and tests will be developed to eliminate the effect of one\'s culture on test performance.
METHODS: This systematic review was registered in Prospero (CRD42020196578) with the defined review procedures. It included studies with healthy adults and relational data between neuropsychological test scores and acculturation. 13,945 studies were screened studies and 8 met inclusion criteria.
RESULTS: After accounting for demographic factors (including education), acculturation was a positive predictor of performance on tests of dementia screening, processing speed, attention, executive functioning, language, and memory. This relationship remained after accounting for both demographic factors and English Fluency, and specifically on tests of IQ, language, and visuoconstruction.
CONCLUSIONS: These results support measuring and considering acculturation when interpreting both verbal and \"non-verbal\" test results. At a minimum acculturation should be factored into test selection, normative selection, and clinical judgment. Looking forward it is hoped that new norms and tests will be developed to eliminate the effect of one\'s culture on test performance.
摘要：
目的：文化适应被认为不能反映一个人的大脑功能；然而，大量研究表明，文化程度较低的成年人在神经心理学测试中表现较差。本研究系统地回顾了文化适应对健康成年人神经心理学测验的影响。
方法：该系统综述在Prospero（CRD42020196578）中注册，具有定义的综述程序。它包括对健康成年人的研究以及神经心理学测试分数和文化适应之间的关系数据。13,945项研究为筛选研究，8项符合纳入标准。
结果：在考虑了人口因素（包括教育）之后，文化适应是痴呆症筛查测试中表现的积极预测指标，处理速度,注意,执行功能，语言,和记忆。在考虑了人口因素和英语流利度之后，这种关系仍然存在。特别是智商测试，语言,和视觉构造。
结论：这些结果支持在解释语言和“非语言”测试结果时测量和考虑文化适应。在最低限度的文化适应应考虑到测试选择，规范选择，和临床判断。展望未来，希望将开发新的规范和测试，以消除一个人的文化对测试性能的影响。
方法：该系统综述在Prospero（CRD42020196578）中注册，具有定义的综述程序。它包括对健康成年人的研究以及神经心理学测试分数和文化适应之间的关系数据。13,945项研究为筛选研究，8项符合纳入标准。
结果：在考虑了人口因素（包括教育）之后，文化适应是痴呆症筛查测试中表现的积极预测指标，处理速度,注意,执行功能，语言,和记忆。在考虑了人口因素和英语流利度之后，这种关系仍然存在。特别是智商测试，语言,和视觉构造。
结论：这些结果支持在解释语言和“非语言”测试结果时测量和考虑文化适应。在最低限度的文化适应应考虑到测试选择，规范选择，和临床判断。展望未来，希望将开发新的规范和测试，以消除一个人的文化对测试性能的影响。
