汉语词语阅读测验的应用研究

目的 探讨作为病前智力检测方法的汉语词语阅读测验(CWRT)的临床试应用情况.方法 373名研究对象来源于上海市区五个社区的健康中老年人,年龄55～85岁、教育程度在初中及初中以上、简明精神状态量表(MMSE)24分.共34名被试同时完成CWRT和韦氏成人智力量表中文修订版(WAIS-RC).CWRT主要分析指标:阅读50个字和50个词,阅读正确数分别记为CWRT-Ⅰ和CWRT-Ⅱ.结果 CWRT-Ⅰ、CWRT-Ⅱ与教育程度有显著的相关性(r=0.462,0.489,均P<0.01),与年龄的相关性无显著性,男性的表现明显好于女性.CWRT-Ⅰ与WAIS检测的总智商的相关系数为0.79.对于不同性别和教育程度的正常中老年人,提供了CWRT-Ⅰ和CWRT-Ⅱ的均数和标准差.结论 CWRT难度适中,与WAIS检测的总智商的相关性高,可以作为病前智力的评估工具.

A primary cliulcal study for the Chinese words reading test

Objective To draw up the Chinese Words Reading Test and try to use it as way of premorbid intelligence. Methods 373 health middle-elderly people as study subjects, from five communities in Shanghai city, are between age 55 and 85, and their edueational background is junior high school or above, and their MMSE scores are more than 24 points. 34 of the cases have finished CWRT and Weehsler Adult Intelligence Scale (WAIS) Chinese Revised edition. The main analysis indicators of CWRT: CWRT-Ⅰ for number of right reading 50 characters and CWRT-Ⅱ for 50 words. Results Both CWRT-Ⅰ and CWRT-Ⅱ are relative to education level( r = 0.462,0.489, and P < 0.01), while the correlation with age is not signifieant. Performance of the male participants are better than that of the female. The coefficient of correlation between scores of CWRT-Ⅰ and full IQ of WAIS is 0.79. The mean and standard deviation of scores of CWRT-Ⅰ and CWRT-Ⅱ for the normal elder people with different education levels and gender are provided. Conclusion CWRT is not very diffieuh or easy, and is highly relative to score of WAIS. So it can be used as an evaluating tool for premorbid intelligence.