魏氏成人智力測驗第三版四因素短式測驗組合應用於台灣封閉 ...

研究背景：台灣版魏氏成人智力量表第三版為臨床上常用的評估工具，但臨床施測時間較長，實作時常受限於不同狀況（如臨床時間限制、患者生理狀況等），故需發展短式測驗 ... 資料載入處理中... 跳到主要內容 臺灣博碩士論文加值系統 ::: 網站導覽| 首頁| 關於本站| 聯絡我們| 國圖首頁| 常見問題| 操作說明 English |FB專頁 |Mobile 免費會員 登入| 註冊 功能切換導覽列 (178.128.221.219)您好！臺灣時間：2022/08/2200:20 字體大小：       ::: 詳目顯示 recordfocus 第1筆/ 共1筆  /1頁 論文基本資料 摘要 外文摘要 目次 參考文獻 紙本論文 QRCode 本論文永久網址: 複製永久網址Twitter研究生:蔡怡怡研究生(外文):Yi-YiTsai論文名稱:魏氏成人智力測驗第三版四因素短式測驗組合應用於台灣封閉創傷性腦傷與顳葉癲癇病人之效度研究論文名稱(外文):ValidityofFactor-BasedWAIS-IIIShortFormsforPatientswithTraumaticBrainInjuryandTemporalLobeEpilepsy指導教授:花茂棽口試委員:陳心怡、楊啟正口試日期:2012-06-14學位類別:碩士校院名稱:國立臺灣大學系所名稱:心理學研究所學門:社會及行為科學學門學類:心理學類論文種類:學術論文論文出版年:2012畢業學年度:100語文別:英文論文頁數:33中文關鍵詞:魏氏成人智力量表第三版、短式測驗組合、創傷性腦傷、顳葉癲癇外文關鍵詞:theWechslerAdultIntelligenceScale-III(WAIS-III)、ShortForm、TraumaticBrainInjury、TemporalLobeEpilepsy相關次數: 被引用:0點閱:711評分:下載:0書目收藏:1 研究背景：台灣版魏氏成人智力量表第三版為臨床上常用的評估工具，但臨床施測時間較長，實作時常受限於不同狀況（如臨床時間限制、患者生理狀況等），故需發展短式測驗組合常模協助臨床工作者以最短時間得到個體整體認知表現。

目前已有適用於台灣正常成人魏氏成人智力量表第三版短式測驗組合之常模，但尚未發展適用於台灣臨床患者的短式測驗組合。

目的：驗證台灣版魏氏成人智力量表第三版四因素短式測驗組合應用於兩種台灣臨床常見診斷--封閉型創傷性腦傷與顳葉癲癇病人的適用性。

方法：本研究採回溯性分析，以台大醫院神經科2005至2011年常見疾病診斷中，患者族群較為年輕的封閉型創傷性腦傷與顳葉癲癇，並完成台灣版魏氏成人智力量表第三版的兩組患者為研究對象（分別為81人與51人），以各種心理計量特質、時間限制，以及比例與線性方程式的質性估計程序比較四因素短式測驗組型應用於此兩種患者的適用性。

首先檢驗國內目前已有適用於台灣正常人樣本的五種短式測驗組合，進一步檢驗其他三十一組短式組合。

結果：本研究顯示兩種估計方式應用於兩組患者的測驗組合分析中，有一半以上可產生百分之七十以上的估計準確度，亦均會產生明顯膨脹的變異數。

比較發現兩種估計方式無明顯優劣，因此同時將兩種估計方式納入分析中。

在檢驗適用於台灣正常成人樣本的五種短式組合中，並未發現適用於此兩種患者的組合，進一步分析其他短式測驗組合。

創傷性腦傷患者的「常識-圖形設計-算數-符號尋找」組型，以及顳葉癲癇患者的「詞彙-矩陣推理-算數-數符替代」和「類同-圖形設計-記憶廣度-符號尋找」組型，整體而言是相對較佳的估計組型。

結論：本研究提供相對的心理計量特質，協助我們面對此兩種患者時，可選擇不同的魏氏成人智力量表第三版的短式測驗組合。

此外，即使是良好心理計量特質的短式測驗組合，仍有明顯的錯誤分類率，且受限於回溯性分析，患者資料不齊全，使用者需注意以短式測驗組合，來估計患者全量表智商，僅作為篩選之用途。

Background:TheWechslerAdultIntelligenceScale-III(WAIS-III)isoneofthemostcommonlyusedmeasures,butitsadministrationtimeforthefullbatteryislongduetovariouspracticalconstrains(suchaslimitedtimeorindividual’sfatigueandinattention).Therefore,ashortformoftheWAIS-IIIcouldbeusedtoshortentheadministrationtimewhenonlyabriefintelligencescreeningisrequired.Currently,therearefiveavailabletetradssuitablefornormalindividualsinTaiwan.However,theissueofwhetherthesetetradscanbefullygeneralizedtopatientpopulationsremainsunclear.Objective:Toassesstheappropriatenessoffactor-basedshortformsoftheWAIS-IIIforTaiwaneseoutpatientswithtraumaticbraininjuryandtemporallobeepilepsy.Methods:Thepresentstudywasretrospectiveinnature.Thesampleconsistedof132individualsfromtheoutpatientclinicattheNationalTaiwanUniversityHospitalfrom2005to2011.Twopatientgroups,81individualswithahistoryofTBIand51withTLE,wererecruited.Variouspsychometricprocedures,timeconstrains,andqualitiesofestimationamongproratingandlinearequatingprocedures,werecomparedamongallpossiblefactor-basedshortformcombinationsforpatientswithtraumaticbraininjuryandtemporallobeepilepsy.WeexaminedtheapplicabilityoffiveavailabletetradsfornormalTaiwanesetobothpatientgroups,andthenfurtherinvestigatedpsychometricqualitiesoftheremaining31tetrads.Results:Morethanhalfoftheestimatesbasedonbothestimationproceduresforpatientgroupsshowedinflatedvariances,althoughtheyhadavailableestimationaccuracy.Resultsofbothestimationprocedureswereaboutthesame;thus,weconsideredbothestimatedproceduressimultaneouslyinourstudy.Fivetetradsappropriatefornormalindividualswerenotfeasibleforusewithourpatientgroups.Withregardtoapplicationtoclinicalpatientgroups,theInformation-BlockDesign-Arithmetic-SymbolSearchformwasrecommendedforthetraumaticbraininjurypatientgroup,andtheVocabulary-MatrixReasoning-Arithmetic-DigitSymbolSubstitutionformandtheSimilarities-BlockDesign-DigitSpan-SymbolSearchformforthetemporallobeepilepsypatientgroup,duetotheirgoodpsychometricproperties.Conclusion:Resultsofthisstudyhelpsclinicalpractitionerschoosefeasiblefactor-basedtetradsforbothpatientgroupsbyprovidingtheirrelativepsychometricquality.Usersarecautionedtousetheseshortformsonlyforscreeningpurposebecauseevenpreferredtetradshadsubstantialmisclassification,andmedicalinformationofourpatientswasnotcompletelycollectedduetoretrospectivestudy. 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