H.R.成人成套神经心理测验在我国的修订

THE CHINESE REVISION OF HALSTEAD—REITAN NEUROPSYCHOLOGICAL TEST BATTERY FOR ADULTS

本文是修订Halstead—Reitan成套神经心理测验(H·R·B)成人本的总结。从15个省市取样,正常组885名,脑病组350例。根据测验结果按性别和年龄制定了各分测验的划界分,按划界分计算了两组受试的损伤指数(DQ)。并制定了脑病损的诊断和定侧的标准。按此标准对样本病人进行了脑损伤的诊断和定侧。诊断符合率为80.3％,右侧病损的符合率为70.8％,左侧为45.7％。分测验的重则相关系数分别为0.93—0.39。

This paper is a'summary on the work of the revision of Halstead-Reitan Battery for Adults in China. Due to convenience and Chinesecultural background, some instruments and subtests or items were modi-fied. Samples consisted of two groups, one group included 885 normalscollected from six main areas in China and the other included 350patients suffering from different kinds of brain lesions. Normals appro-ximated patients in sex,age and education. Means and standard deviatio-ns of results of ten subtests such as Category Test, Tactual PerformanceTest (TPT), etc, were. computed separetely in two groups, by which thecut-off scores of each subtest ahd the impairment index were determined,these are the norms of our battery. Neurological diagnostic validity of our battery were demonstrated intwo ways: one used impairment index combining with the results ofsensory-perceptural disturbance test and aphasia test to diagnose the 350subjects with brain damage in which 218 subjects' diagnoses were identi-fied by this approach; the other used the lateral hemisphere signs ofthis battery to separate the right hemisphere lesion versue left versusdiffuse for a cross-validity, among 55 patients with focal brain damage24 were in the right cerebral hemisphere and 31 in the left. The hitrate for the right hemisphere lesion were 17 of 24 and 14 of 31 for theleft, 51 normals were tested on the same subtests such as TPT, RhythmTest, Tapping Test, Speech Sound Test and Category Test with aninterval of ten days for test-retest correlation for respectively. validityand reliability is discussed by the writer.