Forceville E J, Dekker M J, Aldenkamp A P, Alpherts W C, Schelvis A J
Instituut voor Epilepsiebestrijding: Psychologisch Laboratorium, Heemstede, The Netherlands.
J Intellect Disabil Res. 1992 Feb;36 ( Pt 1):45-59. doi: 10.1111/j.1365-2788.1992.tb00470.x.
In this study, WISC-R and WAIS subtest profiles of mentally retarded patients with epilepsy are analysed with respect to the Verbal-Performance IQ Discrepancy scores and rank order of mean subtest scores. The relative strengths and weaknesses in cognitive patterns of this sample are compared with subtest profiles mentioned in the literature on mentally retarded populations and samples of normal intelligent patients with epilepsy in order to determine the impact of epilepsy factors on cognition. The results indicate that people with mental retardation have problems with the verbal subtests Arithmetic, Vocabulary and Information, while patients with epilepsy have problems with Coding (Digit Symbol), Digit Span and Information. For this sample of mentally retarded patients with epilepsy, the most difficult subtests are Digit Span and Coding. The results concerning subtest profiles in different populations are discussed in light of the deleterious impact of epilepsy on cognition, which may superimpose the general effect of brain damage in mentally retarded patients. It is suggested that especially attentional processes, as measured with the subtest Coding, are vulnerable for epilepsy factors.
在本研究中，针对癫痫智障患者的韦氏儿童智力量表修订版（WISC-R）和韦氏成人智力量表（WAIS）子测验剖面图，分析了言语-操作智商差异分数以及平均子测验分数的排名顺序。将该样本认知模式中的相对优势和劣势，与文献中提及的智障人群以及正常智力癫痫患者样本的子测验剖面图进行比较，以确定癫痫因素对认知的影响。结果表明，智障者在算术、词汇和信息这些言语子测验方面存在问题，而癫痫患者在译码（数字符号）、数字广度和信息方面存在问题。对于这个癫痫智障患者样本来说，最难的子测验是数字广度和译码。鉴于癫痫对认知的有害影响，讨论了不同人群中子测验剖面图的结果，这种影响可能叠加在智障患者脑损伤的总体影响之上。研究表明，特别是用译码子测验所测量的注意力过程，易受癫痫因素的影响。
