Miller Carol A, Gilbert Erin
Department of Communication Sciences and Disorders, The Pennsylvania State University, 308 Ford Building, University Park, PA 16802, United States.
J Commun Disord. 2008 Jul-Aug;41(4):358-71. doi: 10.1016/j.jcomdis.2008.02.003. Epub 2008 Feb 29.
Definitions of specific language impairment (SLI), for both research and clinical purposes, often state that nonverbal IQ scores must be within normal limits. This use of nonverbal IQ has been criticized on several grounds, including lack of equivalence between tests. In the current study, a sample of 204 adolescents with and without language impairment took two nonverbal IQ tests. Scores on the tests were compared, as was the classification of individuals into diagnostic categories according to the two tests. Results indicated that there were significant differences between test scores for clinical subgroups, and classification of individuals as having SLI varied substantially depending on the test used. The findings are interpreted as providing further evidence that nonverbal IQ should be used only cautiously, if at all, in defining SLI.
Readers will (1) understand problems with the use of nonverbal IQ criteria in diagnosis of SLI and (2) be able to cite data showing that different nonverbal IQ tests can lead to different diagnoses.
出于研究和临床目的,特定语言障碍(SLI)的定义通常规定非言语智商分数必须在正常范围内。基于多种原因,包括测试之间缺乏等效性,这种对非言语智商的使用受到了批评。在当前研究中,204名有语言障碍和无语言障碍的青少年样本接受了两项非言语智商测试。对测试分数进行了比较,同时也根据这两项测试将个体分类到诊断类别中。结果表明,临床亚组的测试分数存在显著差异,并且根据所使用的测试,将个体分类为患有SLI的情况有很大差异。这些发现被解释为进一步证明,在定义SLI时,如果要使用非言语智商,也应谨慎使用。
读者将(1)理解在SLI诊断中使用非言语智商标准存在的问题,以及(2)能够引用数据表明不同的非言语智商测试可能导致不同的诊断。