魏氏成人智力測驗第三版短式測驗組合應用於台灣阿茲海默氏症與帕金森氏症病人之效度研究

魏氏成人智力量表第三版在台灣是臨床神經心理評估基本的檢查之一，但目前在台灣仍未有完整檢驗簡短測驗組型應用在阿茲海默氏症病人和帕金森氏症病人可行性之研究。本研究目的為比較應用於此兩組病人所有可能之魏氏成人智力量表第三版以四因素為基礎之測驗組型，以「線性方程式」與「比例分配」兩種方式估算且比較多種心理計量特性。結果顯示兩種計算方式在兩病人組皆可產生合宜之估計，然而約一半之簡短式測驗組型產生變異數膨脹。在兩病人組中，包含「類同」、「圖形設計」和「符號尋找」分測驗之簡短式測驗組型估計之正確度較不佳，「常識-矩陣推理-算術-數字符號」與「常識-圖畫補充-算術-數字符號」皆能合宜估計實際智商。此外亦推薦「常識-矩陣推理-記憶廣度-數字符號」、「詞彙-矩陣推理-算術-數字符號」、「詞彙-圖畫補充-算術-數字符號」、「詞彙-圖畫補充-記憶廣度-數字符號」應用於帕金森氏症病人。

關鍵字

魏氏成人智力量表第三版；簡短式測驗組型；阿茲海默氏症；帕金森氏症；線性方程式；比例分配

並列摘要

Background: The Chinese version of the Wechsler Adult Intelligence Scale—Third Edition (WAIS-III) is the basic measure in clinical neuropsychological evaluations in Taiwan. Abbreviation of the WAIS-III is necessary due to clinical constraints, particularly in assessing patients with Alzheimer’s disease (AD) and Parkinson’s disease (PD). However, various tetrad combinations have not yet been comprehensively examined in patients with AD and PD in Taiwan. Objective: To compare applications of all available factor-based tetrad combinations based upon linear equating and prorating procedures for IQ estimations in patients with AD and PD. Methods: All tetrads were selected from one subtest of each WAIS-III index. Administration time and psychometric properties including reliability and validity were investigated in all combinations of factor-based tetrads based upon the linear equating and prorating procedures. Results: The two procedures could generate reasonable estimations though half of the estimations showed inflated variance in the clinical sample. In both patient groups, tetrads involving the Similarities, Block Design, and Symbol Search showed poorer estimation accuracy. The tetrad of Information-Matrix Reasoning-Arithmetic-Digit Symbol Substitution and Information-Picture Completion-Arithmetic-Digit Symbol Substitution were applicable to both patient groups. In addition, the tetrads of Information-Matrix Reasoning-Digit Span-Digit-Symbol Substitution, Vocabulary-Matrix Reasoning-Arithmetic-Digit Symbol Substitution, Vocabulary-Picture Completion-Arithmetic-Digit Symbol Substitution, Vocabulary-Picture Completion-Digit Span-Digit Symbol Substitution for patients with PD are also feasible. Conclusion: Both the linear equating and the prorating procedures could generate reasonable IQ estimations when applied to AD and PD patients. These proposed tetrads for screening purposes and interpreting the results with further neurocognitive evaluations is recommended.

並列關鍵字

Wechsler Adult Intelligence Scale—Third Edition ； short form ； Alzheimer’s disease ； Parkinson’s disease ； linear equating ； prorating

參考文獻

Chen, H. Y., Hua, M. S., Zhu, J. J. & Chen, Y. H. (2008). Selection of Factor-Based WAIS-III Tetrads in the Taiwan Standardization Sample: A guild to clinical practice. Chinese Journal of Psychology, 50, 91-109

Chiang, S. K., Tam, W. C., Pan, N. C., Chang, C. C., Chen, Y. C., Pyng, L. Y., Lin, C. Y. (2007). The Appropriateness of Blyler's and Four Subtests of the Short Form of the Wechsler Adult Intelligence Scale-III for Chronic Schizophrenia. Taiwanese Journal of Psychiatry, 21, 26-36

Blyler, C. R., Gold, J. M., Iannone, V, N., & Buchanan, R. W. (2000). Short form of the WAIS-III for use with patients with schizophrenia. Schizophrenia Research, 46, 209-215.

Brown, R. G. & C. D. Marsden (1986). Visuospatial function in Parkinson's disease. Brain, 109, 987-1002.

Caine, D., & Hodges, J. R. (2001). Heterogeneity of semantic and visuospatial deficits in early Alzheimer's disease. Neuropsychology, 15, 155-164.

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魏氏成人智力測驗第三版短式測驗組合應用於台灣阿茲海默氏症與帕金森氏症病人之效度研究

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