Gass C S, Russell E W
J Clin Psychol. 1985 Sep;41(5):664-70. doi: 10.1002/1097-4679(198509)41:5<664::aid-jclp2270410513>3.0.co;2-x.
This study investigated the emotional adjustment of patients (N = 31) with left hemisphere damage (LHD) as a function of the degree of impairment in verbal intelligence as measured by the Wechsler Adult Intelligence Scale. A multivariate comparison was made of the composite MMPI profiles of three groups of LHD patients classified according to Verbal IQ. The three groups produced fairly similar composite profiles, which indicated the presence of mild dysphoria, dissatisfaction, withdrawal, decreased initiative, and mild somatic preoccupations. Significant correlations emerged between the degree of verbal-intellectual disability and MMPI F, PT, SC, and SI. However, when the variance in MMPI scores due to premorbid status (education) was partialled out, these correlations dropped to nonsignificant levels. These findings failed to support previous studies that linked verbal deficits with emotional disturbance, and they underscore the importance of premorbid intelligence in the psychological adjustment to organic impairment.
本研究调查了31名左半球损伤(LHD)患者的情绪调适情况,该情况是韦氏成人智力量表所测言语智力损伤程度的一个函数。对根据言语智商分类的三组LHD患者的MMPI综合剖面图进行了多变量比较。这三组产生了相当相似的综合剖面图,表明存在轻度烦躁不安、不满、退缩、主动性降低和轻度躯体关注。言语智力残疾程度与MMPI的F、PT、SC和SI之间出现了显著相关性。然而,当排除病前状态(教育程度)导致的MMPI分数方差时,这些相关性降至不显著水平。这些发现未能支持先前将言语缺陷与情绪障碍联系起来的研究,它们强调了病前智力在对器质性损伤的心理调适中的重要性。