韦氏智力全式与简式量表应用于特殊智力检查的分析

An analysis of the full version and the brief version of wechsler adult intelligence scale in special intelligence test

目的探讨成人韦氏智力量表(WATS)全式与简式在特殊智力检查中的差异,为临床选择提供理论依据。方法针对司法、劳动和残疾人联合会(以下简称"残联")等部门疑似智力缺损者,采用成人韦氏智力全式量表(WATS-RC)对被试者进行检测,从WATS-RC抽取相应项目组成简式量表(WATS-S),计算得分,转换成标准分后进行比较。结果 WATS-RS与5种WATS-S值比较差异在1.79～10.05,差异有统计学意义(P<0.05)。司法、残联、劳动相互之间智商差异有统计学意义(P<0.05)。与WATS-RS比较时WATS-S中的五合一(I、S、D、PC、PA)和四合一(I、V、PC、PA)符合率最高,分别为68.06%和51.26%。结论 WATS-S检查在做特殊智能测验时要慎重使用,须视患者情况而定。

Objective To explore the differences between the full version and brief version of Wechsler adult intelligence Scale（WAIS） in special intelligence test and provide theoretical foundation for diagnosis and treatment.Methods Full version of Wechsler Intelligence Scale for Adut Chinese Revised（WATS-RC）was used to examine the suspected retarded persons from judicial department,labor department and Disabled Persons′ Federation and then corresponding entries in WATS-RC were extracted to form five brief version.Scores of the full and brief version were standardized and compared.Results Significant differences（P0.05） in IQ scores between the full version and the brief version were found,and moreover,this study found that the IQ of the retarded differed from 1.79 to 10.05.At the same time,there were IQ differences（P0.05）among the retarded persons from judicial department,labor department and Disabled Persons′ Federation.Compared with the full version,the 5-in-one（I,S,D,PC,PA） and the 4-in-one（I,V,PC,PA）brief version had the highest coincidence rate（68.06% and 51.26% respectively）.Conclusion Great caution is needed in special intelligence testing with a brief Wechsler Intelligence Scale.And patients′ state must be taken into consideration.