DeCato C M, Meldrum D
Department of Mental Health Sciences, Hahnemann University, PA.
Percept Mot Skills. 1989 Jun;68(3 Pt 1):915-20. doi: 10.2466/pms.1989.68.3.915.
The Bender-Gestalt test has been one of the most popular clinical instruments for the past four decades. Much controversy has surrounded the use of this test as a screening instrument for organicity (brain dysfunction). Marley's Differential Diagnostic Scoring System was recently developed to improve the validity of the test for detecting organicity. The original standardization of the system reported very high interrater reliability. To provide an independent assessment of interscorer reliability, three raters were trained in the system and separately rated 40 protocols. Kappa coefficients for the three raters ranged from .94 to .98. Substantial interscorer reliability was obtained, Mdn = 92.5% for specific scores with three scores attaining 100% agreement, although some values were lower. These results suggest that there is a strong empirical basis for the scoring system and encourage further refinement of the scoring system to reflect central nervous system dysfunction.
在过去四十年里，本德尔-格式塔测验一直是最受欢迎的临床工具之一。围绕该测验作为器质性病变（脑功能障碍）筛查工具的使用存在诸多争议。马利的鉴别诊断评分系统最近被开发出来，以提高该测验检测器质性病变的有效性。该系统最初的标准化报告显示评分者间信度非常高。为了对评分者间信度进行独立评估，三名评分者接受了该系统的培训，并分别对40份测验记录进行评分。三名评分者的卡帕系数在0.94至0.98之间。获得了较高的评分者间信度，特定分数的中位数为92.5%，有三个分数达到了100%的一致性，尽管有些值较低。这些结果表明该评分系统有坚实的实证基础，并鼓励进一步完善评分系统以反映中枢神经系统功能障碍。
