簡明失語症測驗(CCAT)之編訂與應用

The Concise Chinese Aphasia Test(CCAT) and It's Applications

鍾玉梅(Yu-Mei Chung) ； 李淑娥(Shu-Er Lee) ； 張妙鄉(Miao-Hsiang Chang) ； 徐道昌(Tao-Chang Hsu)

《聽語會刊》 13期 (1998/06) Pp. 119-137

https://doi.org/10.6143/JSLHAT.1998.06.11

摘要

本篇的目的在介紹「簡明失語症測驗」(Concise Chinese Aphasia Test, CCAT)之內容、編訂過程、與應用方法，提供語言治療專業人員在臨床評估量診斷工具之參考。CCAT主要是以「台北榮總失語症測驗」為藍本，去蕪存菁重新編訂完成的測驗，共包括簡單應答、口語敘述、圖物配對、聽覺理解、語詞表達、閱讀理解、複誦句子、圖字仿寫、自讀書寫等九個分測驗；測驗時間平均約需三十分鐘；採用1-12分、多向度記分系統記錄患者的反應。並有甲乙兩式互為複本，可輪流施測，全面性評估患者的語言能力、進展、以及治療成效。
CCAT以70位正常人之施測結果訂出切截分數，作為鑑別正異常語言能力的依據，並以277位腦損傷患者之施測結果建立百分等級常模。CCAT的再測信度與複本信度均達.90以上，以「波士頓失語症測驗－中文版」各分測驗為效標的同時效度均達.63以上。各項分析顯示CCAT是相當可信而實用的失語症測驗。

並列摘要

The purposes of this study are to construct a concise Chinese aphasia test, based on the old version of EARD used in VGH-Taipei since 1978. The new test, called the Concise Chinese Aphasia Test(CCAT), consists of nine subtests: Simple Response; Expository Speech, Matching, Auditory Comprehension, Naming, Reading Comprehension, Repetition, Copying, and Spontaneous Writing. It takes about 30 minutes to finish all subtests. Responses are scored with a 12-point, multidimensional scoring system. An alternate-form is also constructed for evaluating the patient's progress and therapeutic effectiveness.
The cut-off points for identifying people with aphasia and related disorders are two standard deviations below the means of 70 normal subjects' raw scores. The CCAT is standardized and a percentile norms are based on 277 cerebrally impaired patients. The test-retest and alternate-form reliabilities (both above .90), and criterion-related validities (above .63 using the BDAE-Chinese Version as the criterion) are all satisfactory. In conclusion, the CCAT appears to be a reliable and useful test in assessing aphasic and related disorders of Chinese patients.