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通过明尼苏达多相人格测验(MMPI)和雷顿 - 霍尔斯特德成套神经心理测验所测量的人格功能障碍和大脑功能的单侧化缺陷。

Personality dysfunction and lateralized deficits in cerebral functions as measured by the MMPI and Reitan-Halstead Battery.

作者信息

Louks J, Calsyn D, Lindsay F

出版信息

Percept Mot Skills. 1976 Oct;42(43):655-9. doi: 10.2466/pms.1976.43.2.655.

Abstract

Previous research using the MMPI has failed to show personality differences between right and left hemispheric brain-damaged patients. The purposes of the present study were, first to determine whether lateralized deficits in cortical functioning as measured by neuropsychological testing are systematically associated with neurotic-psychotic distinctions on the MMPI. Secondly, we wished to determine the strength of predictive association in the relationship between lateralized functional deficits and personality organization. A localization key (Russell, et al., 1972) was applied to the "Reitan-Battery" test results for 94 patients who were referred for neuropsychological testing. Based on this approach, 15 pairs of patients were selected who were "left" or "right" hemispheric dysfunctional in terms of test performance. Pairs were matched for age and "average impairment rating" (Russell, et al., 1972). Their MMPIs were also designated "neurotic" or "psychotic" using the Goldberg Psychotic Index (Goldberg, 1972). The results suggest that patients with deficits in left hemisphere functions tend to score in the psychotic range and patients with deficits in right hemispheric functions tend to score in the neurotic range of the MMPI Goldberg Index. In this set of data there was a 38% reduction in error of predicting neurotic-psychotic category but knowing whether the patient was left or right hemispheric dysfunctional in terms of neuropsychological tests.

摘要

以往使用明尼苏达多相人格调查表(MMPI)的研究未能显示出右脑损伤患者和左脑损伤患者之间的人格差异。本研究的目的,首先是确定通过神经心理学测试所测量的皮质功能的偏侧化缺陷是否与MMPI上的神经症-精神病区分存在系统关联。其次,我们希望确定偏侧化功能缺陷与人格组织之间关系的预测关联强度。将一个定位关键指标(拉塞尔等人,1972年)应用于94名接受神经心理学测试患者的“雷坦成套测验”结果。基于这种方法,根据测试表现选择了15对患者,他们分别存在“左”或“右”半球功能障碍。这些配对在年龄和“平均损伤评分”(拉塞尔等人,1972年)方面进行了匹配。他们的MMPI也使用戈德堡精神病指数(戈德堡,1972年)被指定为“神经症性”或“精神病性”。结果表明,左半球功能有缺陷的患者在MMPI戈德堡指数上往往得分在精神病范围内,而右半球功能有缺陷的患者往往得分在神经症范围内。在这组数据中,在根据神经心理学测试了解患者是左半球还是右半球功能障碍的情况下,预测神经症-精神病类别的误差降低了38%。

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