精神科住院患者的TOPF和WRAT WR是否可互换?

Alexis S Rosen, Loren C King, Dominique I Kinney, Stephen R Nitch, David M Glassmire
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摘要

目的:探讨精神分裂症患者病前功能测验(TOPF)与宽范围成就测验-单词阅读亚测验(WRAT WR)是否可互换,以及两者与智力的关系。方法:在这个档案研究中,作者检查了住院法医州立医院的神经心理学转诊。接受韦氏成人智力量表第四版或韦氏简略智力量表第二版以及TOPF或WRAT WR的精神分裂症谱系障碍(SSD)患者被考虑纳入。最终样本包括119人(73.1%为男性)。结果:虽然大多数TOPF变量与WRAT WR之间存在线性关系,但它们的一致性较弱(一致性相关系数[CCC] 1 SD)在基于人口统计学的SS(即TOPF预测和简单无TOPF)中最高。基于性能的SS,特别是TOPF Actual和WRAT4 WR,与fsiq的差异分数>1 SD的最小。结论:在住院的ssd患者中,TOPF和WRAT WR不应互换使用。TOPF和WRAT WR与FSIQ存在差异,相对于基于绩效的变量,人口统计变量产生更高的SS。未来的研究需要确定哪一种测量方法更准确地评估住院ssd患者的智力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are TOPF and WRAT WR Interchangeable Measures among Psychiatric Inpatients?

Objective: To examine whether Test of Premorbid Functioning (TOPF) and Wide Range Achievement Test-Word Reading subtest (WRAT WR) are interchangeable measures, and the relationship between these measures and intelligence, among patients with schizophrenia.

Method: In this archival study, the authors examined neuropsychology referrals of an inpatient forensic state hospital. Patients with a schizophrenia spectrum disorder (SSD) who received the Wechsler Adult Intelligence Scale-Fourth Edition or the Wechsler Abbreviated Scale of Intelligence-Second Edition and either TOPF or WRAT WR were considered for inclusion. The final sample consisted of 119 individuals (73.1% male).

Results: Although there was a linear relationship between most TOPF variables and WRAT WR, their concordance was weak (concordance correlation coefficients [CCC] < 0.90). Poor concordance was also observed between current FSIQ and all standard scores (SS) derived from word reading measures. FSIQ-word reading measure discrepancy scores differed significantly from a hypothesized mean of 0 (mean discrepancy range = -7.42 to -16.60). Discrepancies greater than one standard deviation (>1 SD) were highest among demographics-based SS (i.e. TOPF Predicted and Simple without TOPF). Performance-based SS, particularly TOPF Actual and WRAT4 WR, had the fewest discrepancy scores >1 SD fromFSIQ.

Conclusions: TOPF and WRAT WR should not be used interchangeably among institutionalized patients with SSDs. TOPF and WRAT WR were discrepant from FSIQ, with demographic variables producing higher SS relative to performance-based variables. Future research is needed to determine which of these measures more accurately estimates intelligence among inpatients withSSDs.

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