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青春期后糖尿病患者的疾病状况及韦氏儿童智力量表修订版(WISC-R)的因子结构异常

Postpubertal disease status in diabetes and factor structure anomaly on the WISC-R.

作者信息

Holmes C S, Dunlap W P, Chen R S, Cornwell J, Weissman L, Obach M, Frentz J

机构信息

Department of Psychology, Tulane University, New Orleans, LA 70118.

出版信息

J Clin Exp Neuropsychol. 1993 Sep;15(5):843-8. doi: 10.1080/01688639308402600.

DOI:10.1080/01688639308402600
PMID:8276940
Abstract

Diabetic children have been found to display an anomalous factor structure on the Wechsler Intelligence Scale for Children-Revised (WISC-R) (Holmes, Cornwell, Dunlap, Chen, & Lee, 1992). The present study sought to extend this finding with a larger cross-regional sample of children to determine which, if any, demographic or disease factor(s) might be related to the anomalous structure. Results revealed that groups of older (> = 12 years) children and those with late disease onset (> = 5 years) exhibited an anomalous four-factor structure in which the traditional Perceptual Organization factor (II) split into two factors: Picture Completion and Picture Arrangement formed a visual discrimination factor; and Block Design and Object Assembly created a spatial conceptual factor. It is postulated that diabetic performance on this visual discrimination factor may reflect mild visual neuropathies, often associated with adolescence and postpubertal disease status.

摘要

研究发现,患糖尿病的儿童在韦氏儿童智力量表修订版(WISC-R)上呈现出异常的因子结构(霍姆斯、康韦尔、邓拉普、陈和李,1992年)。本研究试图通过一个更大的跨地区儿童样本来扩展这一发现,以确定哪些人口统计学或疾病因素(如果有的话)可能与这种异常结构有关。结果显示,年龄较大(≥12岁)的儿童组以及疾病发病较晚(≥5岁)的儿童组呈现出一种异常的四因子结构,其中传统的知觉组织因子(II)分裂为两个因子:图片完成和图片排列形成一个视觉辨别因子;积木图案和图形拼凑创建了一个空间概念因子。据推测,糖尿病儿童在这个视觉辨别因子上的表现可能反映了轻度视觉神经病变,这通常与青春期和青春期后的疾病状态有关。

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