Golden C J, Kushner T, Lee B, McMorrow M A
Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Fl 33314, USA.
Int J Neurosci. 1998 Feb;93(1-2):141-50. doi: 10.3109/00207459808986419.
The Category Test (CT) and the Wisconsin Card Sort Test (WCST) have long been the major instruments used for the assessment of "frontal lobe" brain damage. These tests have often been used interchangeably by clinicians. However, research to date has disagreed on the extent to which these tests can be interpreted in a similar manner. The current paper examined the interrelationships between the tests in 112 mixed brain injured clients. The results showed relatively small correlations between the tests in the range of .4 to .6 which were eliminated when age, education, premorbid IQ (Vocabulary) and spatial skills (Block Design) were used as covariates. Regression analyses showed clear differences in which WAIS-R tests predicted each test, while factor analysis revealed little overlap between the tests except for a small relationship between the number of WCST categories completed and CT errors. The CT appeared to reflect spatial and spatial analysis skills while the WCST reflected verbal analysis and sequential skills. The results clearly indicate that the tests are not interchangeable and do not reflect the same underlying cognitive skills nor can they be interpreted in the same manner for neuropsychological purposes.
类别测验（CT）和威斯康星卡片分类测验（WCST）长期以来一直是评估“额叶”脑损伤的主要工具。临床医生经常交替使用这些测验。然而，迄今为止的研究对于这些测验在多大程度上能够以相似的方式进行解释存在分歧。本文研究了112名混合型脑损伤患者中这些测验之间的相互关系。结果显示，测验之间的相关性相对较小，在0.4到0.6之间，当将年龄、教育程度、病前智商（词汇）和空间技能（积木图案）作为协变量时，这些相关性就消除了。回归分析表明，在哪些韦氏成人智力量表修订版（WAIS-R）测验能够预测每项测验方面存在明显差异，而因子分析显示，除了完成的WCST类别数量与CT错误之间存在较小的关系外，这些测验之间几乎没有重叠。CT似乎反映了空间和空间分析技能，而WCST则反映了言语分析和顺序技能。结果清楚地表明，这些测验不可互换，不能反映相同的潜在认知技能，也不能出于神经心理学目的以相同的方式进行解释。
