Mitrushina M, Drebing C, Satz P, Van Gorp W, Chervinsky A, Uchiyama C
UCLA School of Medicine.
J Clin Psychol. 1994 Sep;50(5):753-8.
This study explored the relationship between three indices of intersubtest scatter and level of cognitive deterioration in a sample of 104 patients with dementia of Alzheimer's type, who ranged in age between 52 and 84 years. Scatter was highly related to education and premorbid level of functioning. Advancement of dementia was shown to be associated with decrease in scatter, which suggests caution in interpretation of high magnitude of inter-subtest scatter as an indication of brain dysfunction. Easy-to-calculate range of scatter proved to be adequate measure of scatter. Calculation of more complex indices, such as PVI, provides only minimal incremental gain.
本研究在104例年龄在52至84岁之间的阿尔茨海默型痴呆患者样本中,探讨了三个分测验离散度指标与认知衰退水平之间的关系。离散度与教育程度和病前功能水平高度相关。研究表明,痴呆进展与离散度降低有关,这表明在将高分测验间离散度解释为脑功能障碍指标时应谨慎。易于计算的离散度范围被证明是离散度的充分测量指标。计算更复杂的指标,如PVI,仅能带来最小的增量收益。