WAIS-RC简式在神经症性障碍病人中的应用研究

Appling WAIS-RC short forms in neurotic patients.

目的 探讨中国修订韦氏成人智力量表（WAIS-RC）简式在神经症性障碍病人中的应用价值,对WAIS-RC简式进行效度检验。方法 选门诊和住院的神经症性障碍病人共56例,诊断符合ICD-10标准。每个被试者均完成WAIS-RC全式测验,全式智商由所有言语和操作分测验计算,简式智商采用回归法计算。结果 二合一简式与全式量表的智商相关系数是0.66～0.85,三合一简式是0.86～0.90,四合一简式是0.80～0.91,五合一简式是0.91～0.94,六合一简式是0.91。简式与全式智商均值比较除六合一简式未发现差异外,其余二合一至五合一简式均有1～2个分测验组合的简式智商结果与全式有差异。结论 本文结果支持简式对神经症性障碍病人的智力进行大致评估,选择六合一简式更好。但是当需要做出准确的智力判断时不能选用简式。

Objective To investigate the value of the WAIS-RC short forms in neurotic patients, and to examine the validity. Methods 56 neurotic patients diagnosed according to the ICD-10 criteria were included in the present study. Each patients was evaluated by a complete WAIS-RC. The full scale IQ was calculated using all verbal and performance subjects. All short forms IQ estimates were calculated and converted to a IQ score using regression formulas. Results Correlations between the short forms and the complete battery Full Scale IQs were 0.66-0.85 for the two-subtest, 0.86-0.90 for the three-subtest, 0.80-0.91 for the four-subtest, 0.91 - 0.94 for the five-subtest and 0.91 for the six-subtest. There was no significant difference in the six-subtest on the mean intelligence scores between full scale IQ and short forms IQ. However, the mean intelligence scores were significantly differed between the two methods with the other subtests. Conclusions The short form should not be used when precise IQ estimates are retired. However, the short form appears to be useful as a screening device to estimate intelligence in neurotic patients.