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韦氏智力简表与考夫曼简短智力测验在精神科住院患者中的同时效度

Concurrent validity of the Wechsler abbreviated scale of intelligence and the Kaufman brief intelligence test among psychiatric inpatients.

作者信息

Hays J Ray, Reas Deborah L, Shaw J Bryant

机构信息

University of Texas Houston Medical School, USA.

出版信息

Psychol Rep. 2002 Apr;90(2):355-9. doi: 10.2466/pr0.2002.90.2.355.

Abstract

This study examined the convergent and discriminant validity of the Wechsler Abbreviated Scale of Intelligence and the Kaufman Brief Intelligence Test for 85 psychiatric inpatients. The correlation between the WASI Full Scale and K-BIT Composite IQ scores was significant (r = .89, p < .001). Multitrait-multimethod analysis of the subtest scores showed that the K-BIT had higher internal consistency for its two subtests but, therefore, less differentiation of cognitive functioning than the brief Wechsler scale, as would be expected due to the larger number and diversity of the latter subtests. Correlations among the Wechsler scale subtests were lower than among those for the K-BIT, so the former may tap different cognitive functions and yield more clinically useful information than the latter. This brief Wechsler scale appears to be a valid screening measure of verbal, performance. and general intellectual ability for use with an inpatient psychiatric population when considerations of the setting or patient preclude administration of a longer measure of intellectual ability.

摘要

本研究考察了韦氏智力简表(Wechsler Abbreviated Scale of Intelligence)和考夫曼简明智力测验(Kaufman Brief Intelligence Test)在85名精神科住院患者中的聚合效度和区分效度。韦氏成人智力量表全量表(WASI Full Scale)得分与考夫曼简明智力测验综合智商(K-BIT Composite IQ)得分之间的相关性显著(r = .89,p < .001)。对各分测验分数进行的多特质多方法分析表明,考夫曼简明智力测验的两个分测验具有更高的内部一致性,但其认知功能的区分度低于韦氏简表,鉴于韦氏简表分测验数量更多、种类更多样,出现这种情况在意料之中。韦氏智力量表各分测验之间的相关性低于考夫曼简明智力测验各分测验之间的相关性,因此,与后者相比,前者可能测量了不同的认知功能,能产生更多具有临床实用价值的信息。当受环境或患者因素限制而无法使用更长的智力测验时,韦氏简表似乎是一种有效的筛查工具,可用于评估精神科住院患者的言语能力、操作能力和一般智力水平。

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