韦氏记忆测验、临床记忆量表在颅脑损伤后伤残鉴定的应用情况分析

目的:比较韦氏记忆测验和临床记忆量表在颅脑损伤患者的应用情况,探讨在该类患者的适用性.方法:对206例颅脑损伤恢复期患者作韦氏记忆测验、300例作临床记忆量表检测,并完成临床实际记忆损伤评估,对照分析结果.结果:①两个量表间记忆商数存在显著差异;②两个量表所得记忆商数都与临床实际评定存在较多不一致,韦氏记忆测验更明显.结论:①在正常或较轻的颅脑损伤后记忆损伤患者,两个量表有相似的检测结论,但在记忆损伤较严重的患者,临床记忆量表有更好的适用性;②不能仅依据测量工具的记忆商数,而要结合其它资料才能更准确地评估记忆功能状况.     

中国修订韦氏儿童智力量表

中国修订韦氏儿童智力量表（Ｃ－ｗＩＳＣ）是以韦氏儿童智力量表修订本（ＷＩＳＣ－Ｒ）为蓝本，对其中一些分测验和项目作了大幅度的更换．从全国六大区的城市和农村分别取样共计５６１３名６～１６岁的儿童。编制了城市和农村两套年龄常模，对该量表的信度、效度和与我国修订的韦氏成人智力量表（ＷＡＩＳ－ＲＣ）和幼儿智力量表（Ｃ－ＷＹＣＳＩ）在难度的衔接上作了研究。     

中国修订韦氏儿童智力量表与反应时的相关分析

中国修订韦氏儿童智力量表与反应时的相关分析陈秋明，蔡太生，解亚宁广西龙泉山医院湖南医科大学Ｈ．Ｊ艾森克认为智力测验所测的ＩＱ值负荷了文化、教育、家庭及社会经济状态等因素，亦负荷了与生物智力有关的生理，生化及遗传等因素［１］。反应时指被试从接受刺激至作...     

中国修订韦氏智力量表结果分析系统软件的编制与应用

近年来计算机在心理测量领域的应用已越来越广泛 ,目前已有许多测验或量表如ＭＭＰＩ、 16ＰＱ、ＳＣＬ -90等被编成软件直接在计算机上使用 ,但由于韦氏智力量表操作比较复杂 ,在计算机上直接测试存在困难 ,因此 ,要求先人工测试 ,然后将粗分输入计算机分析。这一工作自八十年代初期以来戴晓阳等人就作了初步尝试 ,先编制了简版软件 ,后又几经修改、完善。本文就最新版本(Ｗｉｎｄｏｅｓ 5 0版 )软件及其应用情况作一简要介绍 ,旨在帮助医学、教育等专业的心理学工作者及有关专业人员更好地运用该量表。对象与方法对象　软件的编程材料来…     

中国修订韦氏儿童智力量表与韦氏儿童智力量表修订本的比较研究

中国修订韦氏儿童智力量表与韦氏儿童智力量表修订本的比较研究龚建南，章希莹，龚劲松长沙市卫生防疫站，广州花都市中医院中国修订韦氏儿童智力量表（Ｃ－ＷＩＳＣ）［１］是以韦氏儿童智力量表修订本（ＷＩＳＣ－Ｒ）［２］为蓝本而修订的。我国这一新的修订本，根据我...     

词语记忆量表在军队离退休人员中的应用

目的:评估词语记忆量表在认知功能正常的军队离退休人员中的应用,并分析影响词语记忆量表得分的相关因素。方法:以军队干休所为单位,选取2846名简易精神状态检查(MMSE)在24分以上的老年人进行词语记忆量表检查,内容包括词语即刻回忆、延迟回忆、延迟再认(原词再认、新词再认),并分析性别、年龄、教育程度与词语记忆量表各项得分的相关性。结果:词语记忆量表的得分中,不同性别的新词再认得分差异无统计学意义(P>0.05),其余各项均是女性得分高于男性(均P<0.05);各项词语得分均随年龄增长呈下降趋势(均P<0.01);不同教育年限组的延迟再认得分差异无统计学意义(P>0.05),即刻回忆和延迟回忆得分随教育年限增长呈上升趋势(P<0.01)。词语记忆量表各项得分与M M SE得分均呈正相关(P<0.01)。85%的老年人延迟回忆信息保存达70%及以上。结论:使用词语记忆量表评估老年人的记忆功能要考虑性别、年龄、教育程度的影响。     

WMS在不同年龄老年群体中的应用分析

目的：探讨６０岁以上不同年龄老人记忆变化的规律，并验证ＷＭＳ现常模在不同年龄老年群体中的适用性。方法：采用ＷＭＳ为工具，测定６０例以上健康老年人的记忆状况，从６０岁开始每５岁以一个年龄组，共４组，每组５０人。结果：６０岁以上各年龄组总量表分和记忆商数的平均成绩均有随年龄增长而逐渐衰退的趋势，尤其中７０岁左右是记忆发展的一个关键时期，具体表现在心智、回忆、再生和理解记忆上的成绩年龄差异较显著。结论：     

儿童记忆发展的横断面研究

目的;本研究采用横断面法研究6－18岁儿童记忆能力随年龄发展的规律。方法：采用比例随机取样法,在长沙、湘潭、醴陵三地的4所小学,5所中学和1所中专抽取322名儿童,对入组儿童用多维记忆评估量表作个别记忆测查。结果：随年龄增长,各记忆测验和因子分均有显著增加（P＜0．001）,但不同测验和因子分增长的速率和达到峰值年龄不同,外显记忆、日常生活记忆和总记忆成绩在14前呈快速增长,每组的得分均显著高于前一组的得分（P＜0．05）,15岁后得分无明显增加,内隐记忆、自由回忆、再认记忆和记忆广度得分在12岁前呈连续增加（P＜0．05）,13岁后得分无显著改变。结论：儿童各种记忆能力都随年龄增长而发展,各种记忆快速发展的年龄,增长的速度和达到高峰的时期不尽相同。     

Multivariate genetic analysis of Wechsler Intelligence Scale for Children—Revised (WISC-R) factors

Wechsler Intelligence Scale for Children—Revised (WISC-R) factor scores (Verbal Comprehension, Perceptual Organization, and Freedom from Distractibility) were obtained from 574 twin pairs in the Colorado Reading Project and subjected to multivariate genetic analysis. Variances were partitioned into components common to the three WISC-R factors and to those specific to each factor. Substantial commonality, both genetic and environmental, was found among the three factors. The full model fit the data well, and estimates of heritability and environmentality indicated that about half of the phenotypic variance for each factor is due to additive genetic effects. These results were compared to those obtained in a previous twin study of the three Wechsler Adult Intelligence Scale (WAIS) factors by Tambset al. (1986).     

韦氏智力测验在智力残疾评定中的应用

目的了解智力测验在智力残疾评定中的作用,为残疾等级的评定提供客观指标。方法对被试进行韦氏智力量表测定,记录一般资料,由2名主治医师以上医生进行智残等级评定。对智力测验结果和医生评定的智残等级之间进行相关分析和一致性检验。结果由医生评定的智力残疾等级为三级和四级,没有一级和二级。智商值在36～68之间,平均49.23±8.49。对医生评定的智力残疾等级与智力测定等级结果进行一致性检验,加权Kappa系数Kw=0.52,P0.01,说明两种评定结果具有高度一致性。评残的轻重程度与言语智商、操作智商和全量表智商之间呈显著正相关(r分别为0.60、0.50、0.62,P0.01),智商值越高,残疾程度越轻。结论在智力残疾评定中辩证地使用智力测验结果,有助于为残疾等级的评定提供重要的客观指标。     

The relationship between the Wechsler Memory Scale-Revised scores and whole-brain structure in patients with schizophrenia and healthy individuals

Introduction: The Wechsler Memory Scale (WMS) is a standardised battery for assessing memory functions. We aimed to investigate the relationship between all WMS scores, including subtests, and whole-brain structure in a relatively large sample.

Methods: Participants were 93 patients with schizophrenia and 117 healthy individuals, all right-handed and of Japanese ethnicity, and matched for age and sex. Their memory functions were assessed using the WMS-Revised (WMS-R). Their grey and white matter structure was analyzed using voxel-based morphometry and diffusion tensor imaging.

Results: Verbal memory score correlated positively with volumes of the left parahippocampal gyrus and hippocampus, while general memory score correlated positively with volumes of the left parahippocampal and fusiform gyri and hippocampus (p?<?0.05, corrected), while there was no correlation with white matter fractional anisotropy values in healthy individuals. No correlation was observed between any WMS-R score and grey or white matter structure in patients.

Conclusions: Using whole-brain structural magnetic resonance imaging, we found several significant correlations between WMS-R scores and grey matter volume in the brains of healthy individuals, while no correlation was found in those of patients with schizophrenia.     

韦克斯勒记忆量表第四版中文版(成人版)的修订

目的:修订韦克斯勒记忆量表第四版(WMS-IV)中文版(成人版),并考察其效度和信度。方法:将全国16岁以上人口作为取样总体,以年龄、性别、教育程度为主要变量按比例分层取样,选取16~69岁有效样本1561人,应用WMS-IV中文版(成人版)对样本进行个别记忆测验。该量表包括5个基本分量表(逻辑记忆、词语配对、图形重置、视觉再现、空间叠加),用于导出5个指数分;还包含1个简明认知状况测验的可选分量表。同时施测韦氏成人智力量表第四版(WAIS-IV)中文版来检验效标效度。选取样本中95名被试间隔22天后重测WMS-IV中文版(成人版)。结果:验证性因子分析表明量表的二因素结构拟合较好(χ2/df=14.77/4,RM SEA=0.04,NFI=0.99,NNFI=0.99,RFI=0.99,AGFI=0.99,SRM R=0.02);各指数分与WAIS-IV中文版工作记忆指数的相关系数为0.50~0.64,各指数分及总记忆商与总智商的相关系数为0.61~0.73(均P<0.05)。各分量表得分、过程分、指数分及总记忆商的平均信度系数分别为0.79~0.93、0.67~0.86、0.93~0.97;分量表得分、指数分及总记忆商的重测信度分别为0.40~0.69、0.68~0.76、0.78;各再认分量表分类判定的一致性系数均>0.90;评分者一致性>0.95。结论:WM S-IV中文版(成人版)具有良好的效度和信度,可以在中国成人群体中进行应用。     

The diagnostic utility of the Rarely Missed Index of the Wechsler Memory Scale-Third Edition in detecting response bias in an adult male incarcerated setting

The purpose of this study was to utilize a known-group research design to evaluate the diagnostic utility of the Rarely Missed Index (RMI) of the Wechsler Memory Scale-Third Edition [Wechsler, D. (1997). Wechsler Adult Intelligence Test-3rd Edition. San Antonio, TX: The Psychological Corporation] in assessing response bias in an adult male incarcerated setting. Archival data from a sample of 60 adult male inmates who presented for neuropsychological testing were reviewed. Evaluees were assigned to one of two groups; probable malingerers (PM; n = 30) and a group of valid test responders (n = 30) (1999). Using the recommended cut-off score of 136 or less, the sensitivity of the RMI was extremely low at 33%. Its specificity was 83%. The positive predictive power of the RMI with the published base rate of 22.8 was 38%; with a negative predictive power of 81%. The positive predictive power of the RMI with a published base rate of 70.5 was 82%. The negative predictive power using a base rate of 70.5% was 34%. Results of the receiver operating characteristics (ROC) analysis indicated that the RMI score with a cut-off 136 or less performed only slightly better than chance in delineating probable malingerers from valid responders in this setting. Overall, the findings suggest that the RMI may not be a reliable index for detecting response bias in this setting and perhaps in similar settings.