病前功能测试：你做得不对，但这有关系吗？
Test of Premorbid Functioning: You're Doing It Wrong, but Does It Matter?
作者信息
Shura Robert D, Ord Anna S, Martindale Sarah L, Miskey Holly M, Taber Katherine H
机构信息
Salisbury VA Medical Center, Salisbury, NC, USA.
Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA.
出版信息
Arch Clin Neuropsychol. 2020 May 14. doi: 10.1093/arclin/acaa025.
OBJECTIVE
Clarify procedures to correctly score Test of Premorbid Functioning (TOPF) and assess the accuracy of TOPF scores in the estimation of premorbid intellectual functioning.
METHOD
In this cross-sectional study, post-9/11 veterans (N = 233, 84.12% male) completed the TOPF, the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV), and performance validity measures.
RESULTS
All TOPF scores were significantly correlated with WAIS-IV FSIQ scores (range r = 0.56-.73). The degree of discrepancy between TOPF scores and FSIQ varied with 10%-17% of TOPF scores deviating from FSIQ scores by one SD or more.
CONCLUSIONS
Proper TOPF scoring procedures are presented. The TOPF Actual and Predicted scores were related to FSIQ. However, a higher percentage of Actual and Predicted scores were discrepant from FSIQ compared with the other three TOPF estimates, arguing against their use as independent premorbid estimates. Use of the TOPF as was designed is recommended.
目的
阐明正确对病前功能测试（TOPF）进行评分的程序，并评估TOPF分数在估计病前智力功能方面的准确性。
方法
在这项横断面研究中，9·11事件后的退伍军人（N = 233，84.12%为男性）完成了TOPF、韦氏成人智力量表第四版（WAIS-IV）以及效标效度测量。
结果
所有TOPF分数均与WAIS-IV的全量表智商（FSIQ）分数显著相关（相关系数r范围为0.56 - 0.73）。TOPF分数与FSIQ之间的差异程度各不相同，10% - 17%的TOPF分数与FSIQ分数相差一个标准差或更多。
结论
给出了正确的TOPF评分程序。TOPF的实际分数和预测分数与FSIQ相关。然而，与其他三种TOPF估计值相比，实际分数和预测分数与FSIQ存在差异的比例更高，这表明它们不宜用作独立的病前估计值。建议按设计用途使用TOPF。
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