臺灣健康成人之書寫測驗常模研究

A Normative Study on the Battery of Writing Tests in Healthy Individuals in Taiwan

程柏雅(Po-Ya Cheng)

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/NTU201610388

摘要

背景：書寫障礙或稱失寫症（agraphia）是腦傷、中風、失智症患者常見的認知障礙之一。然而國內有關書寫語文的研究以及標準化且俱有良好信、效度的書寫評估工具皆甚是缺乏。本研究之書寫測驗組，是一套可以完整評估書寫各個面向的神經心理測驗工具，測量面向包含自發性書寫、聽寫以及抄寫能力。目前臺灣尚未有此測驗組之適切的常模資料。目的：本研究主要目的為建立臺灣健康成人書寫測驗組的常模資料，並探討人口學變項對書寫測驗表現的影響，及檢驗本測驗組的心理計量特性。方法：本研究採分層抽樣，以年齡、教育程度、性別、地理位置等變項分組，收集319位台灣健康成年人於書寫測驗組的常模資料。其中30位參與者於2至4個月後進行再測，以檢驗再測信度；另外30位參與者則額外接受其他神經心理測驗，以其資料檢驗效標關聯效度。結果：教育程度與年齡會影響大部份書寫測驗的表現，而教育程度的影響大於年齡的影響，性別雖影響聽寫句子與抄寫字詞的表現，但效果量非常小，可能是由於男性參與者書寫時較草率而造成微小的差異。研究結果顯示本測驗組俱有良好的再測信度、校標關聯效度及建構效度。結論：本書寫測驗組俱有良好的信效度，且常模資料俱有良好的代表性、新近性及適切性。本研究檢驗人口學變項對測驗表現之影響，並提供校正人口學變項影響後的常模資料，以供研究者與臨床工作者使用。

關鍵字

書寫測驗 ； 書寫語文能力 ； 失寫症 ； 常模研究 ； 人口學變項 ； 信效度

並列摘要

Background: Agraphia (disorders of writing) is a common symptom in clinical patients, but there is a lack of validated and standardized Chinese writing test for research and clinical practice in Taiwan. The Battery of Writing Tests is a comprehensive assessment tool, consisting of three types of tests: spontaneous writing, writing to dictation, and copying. Objective: The present study aimed to construct a representative Taiwanese norm for the Battery of Writing Tests. Psychometric properties and influences of demographical variables on the performance of the writing tests were investigated. Method: We recruited 319 healthy adults stratified by age, educational level, gender, and area of residence. A subgroup of 30 participants was retested at least 2 months later for test-retest reliability examination. Another subgroup of 30 participants completed other neuropsychological tests for validity examination. Results: Education and age significantly influenced writing performance, and the effect of education was larger than that of age. Gender affected performance on two writing tests, but the effect size was very small. Our results revealed adequate test-retest reliability and construct validity of the Battery of Writing Tests. The normative data showed good representativeness, recency and relevance. Conclusion: The Battery of Writing Tests had adequate reliability and validity. Our study provided representative and demographic-corrected normative data for research and clinical settings.

並列關鍵字

Writing test ； written language ； agraphia ； normative study ； demographic variables ； reliability and validity

參考文獻

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