臺灣健康成人之視覺命名測驗及物體命名測驗常模研究

A Normative Study on the Visual Naming Test and the Object Naming Test in Healthy Taiwanese Adults

吳瑋庭(Wei-Ting Wu)

指導教授 ： 花茂棽

國立臺灣大學/理學院/心理學研究所/碩士(2016年)

https://doi.org/10.6342/NTU201600919

摘要

背景：命名障礙常見於中風、癲癇及神經退化性疾患患者。本研究之命名測驗組包含視覺命名測驗及物體命名測驗，是一套用來評估口語表達功能的神經心理測驗工具，亦作為觀察患者語言功能有無變化之工具；且同時具有測量時間短、指導語簡單以及包含多種類型與難度題項之優點，然而目前台灣缺乏此測驗組之常模資料。目的：本研究主要目的為建立台灣健康成年人命名測驗組之常模，主要目標為：一、探討人口學變項對命名測驗表現的影響；二、檢驗命名測驗組的心理計量特性；三、本常模於台灣成年人之適用性。方法：本研究共收集台灣322位16至90歲、教育程度0至18年之台灣成年人於命名測驗組之常模資料，同時分層隨機取30位受試者進行魏氏成人智力量表第三版之詞彙及類同分測驗等資料以檢驗其效度。此外，比較臨床病人與健康成年人在本測驗之表現以檢驗效度。部分樣本同時收集再測資料以進行信度檢驗。結果：教育程度為主要影響測驗表現的人口學變項，年齡及性別則無顯著影響。此外，研究顯示本測驗組具有良好的建構效度及中等程度的再測信度。而其常模資料具有良好代表性、新進性與適切性。結論：本研究檢驗人口學變項對命名測驗組表現之影響，且提供人口學變項效果校正後之常模資料及切截點。儘管命名測驗組之再測信度不如預期，結果仍顯示其具有良好的效度。未來應重複驗證臺灣樣本於命名測驗組之再測信度，並建構質性計分系統，以利於臨床上測量口語表達能力之變化、偵測失語症症狀之出現及評估神經認知復健之成效。

關鍵字

視覺命名測驗 ； 物體命名測驗 ； 神經心理測驗 ； 口語表達測驗 ； 常模研究 ； 人口學變項 ； 信效度 ； 校正分數

並列摘要

Background: Naming impairment is mostly found in patients with stroke, epilepsy and neurodegenerative diseases. The Battery of Naming Tests, which includes the Visual Naming Test of the Multilingual Aphasia Examination and the Object Naming Test of the Neurosensory Center Comprehensive Examination for Aphasia, is a good task for measuring both oral expression performance and core linguistic functions. In addition, this battery has several advantages, such as a short administration time, simple instructions, and items of different categories and levels. However, there is currently a lack of normative data for the Battery of Naming Tests in the Taiwanese population. Objective: The present study aimed to obtain normative data for the Battery of Naming Tests. The specific objectives were as follows: (1) to assess the influence of demographic variables on test performance, (2) to establish psychometric properties, and (3) to determine norm appropriacy. Methods: Participants (N = 322) were recruited through stratified sampling by current age (ranging from 16 to 90 years old), education (ranging from 0 to 18 years), and area of residence. Thirty participants also completed the Vocabulary and Similarities subtests of the WAIS-III for investigation of the validity, and a clinical patient group was also recruited for verification of the validity. Test-retest reliability was derived from a subgroup of thirty participants. Results: Education significantly influenced performance of naming tests. The results also showed that the Battery of Naming Tests had sound construct validity and moderate test-retest reliability. The normative data showed good representativeness, recency, and relevance. Conclusion: The present study determined the influence of demographic effects on performance on the Battery of Naming Tests, established appropriate normative data, and developed a reference table for percentile ranks and a cut-off point. Despite the moderate test-retest reliability, this study verified the adequate validity of the Battery of Naming Tests. Further investigations on the test-retest reliability and the qualitative scoring system appear necessary in order to detect changes in oral expression and aphasic symptoms, and monitor the outcome of neurocognitive rehabilitation.

並列關鍵字

the Visual Naming Test ； the Object Naming Test ； neuropsychological assessment ； oral expression tests ； normative data ； demographic variables ； reliability ； validity ； adjusted score

參考文獻

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