Reitan R M
J Clin Psychol. 1985 Mar;41(2):245-53. doi: 10.1002/1097-4679(198503)41:2<245::aid-jclp2270410219>3.0.co;2-d.
Relationships between measures of general intelligence (Wechsler-Bellevue Verbal IQ, Performance IQ, and Full-scale IQ) and a measure designed to reflect adequacy of brain functions (Halstead Impairment Index) were studied using a control group and groups with left, right and generalized cerebral lesions. The results confirmed earlier findings of (1) differential levels of Verbal and Performance intelligence depending on damage of the left or right cerebral hemisphere; and (2) the greater general sensitivity of the Impairment Index than IQ values to brain damage. Comparative data suggested particularly that IQ values may underestimate brain-dependent adaptive abilities among non-brain-damaged subjects. A significant relationship between IQ values and the Impairment Index was present. This finding permitted evaluation of use of a differing cut-off Impairment Index, as an indicator of cerebral damage, depending on the subject's IQ level. The results suggested that increased accuracy in classifying subjects as brain-damaged might be achieved using a cutting Impairment Index of .4 or greater when the IQ value is 100 or more and .5 or greater when the IQ value is below 100.
使用一个对照组以及患有左侧、右侧和广泛性脑损伤的组,研究了一般智力测量指标(韦克斯勒 - 贝尔维尤言语智商、操作智商和全量表智商)与一个旨在反映脑功能充分性的测量指标(霍尔斯特德损伤指数)之间的关系。结果证实了早期的研究发现:(1)言语智力和操作智力的水平因左侧或右侧大脑半球损伤而有所不同;(2)损伤指数比智商值对脑损伤更具总体敏感性。比较数据特别表明,在非脑损伤受试者中,智商值可能低估了依赖大脑的适应能力。智商值与损伤指数之间存在显著关系。这一发现使得根据受试者的智商水平,能够评估使用不同的损伤指数临界值作为脑损伤指标的情况。结果表明,当智商值为100或更高时,使用0.4或更高的损伤指数临界值,以及当智商值低于100时,使用0.5或更高的损伤指数临界值,可能会提高将受试者分类为脑损伤的准确性。