WISC-Ⅳ与C-WISC诊断儿童智力障碍的一致性  

The consistency of C-WISC and WISC-Ⅳ in diagnostic mental retardation in children

作　　者：刘秀勤 李韵 陈丽清 陈素真 杨丽容 朱惠娟 王文强 

机构地区：[1]福建省厦门市仙岳医院心理评估与心理干预室,厦门361012 [2]福建省厦门市仙岳医院儿童青少年心理科,厦门361012

出　　处：《中华行为医学与脑科学杂志》2017年第1期51-54,共4页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的 探讨C-WISC与WISC-Ⅳ中文版在6～16岁精神发育迟滞及边缘智力儿童智商测查结果中的一致性.方法 以DSM-Ⅳ-R为标准诊断为精神发育迟滞及边缘智力的6～16岁儿童80名.采用C-WISC、WISC-Ⅳ中文版对其进行测试.结果 6～16岁精神发育迟滞及边缘智力儿童的总智商测验结果C-WISC[（65.49±12.83）分]和WISC-Ⅳ中文版中[（64.86±10.10）分]差异无统计学意义（t=-0.591,P＞0.05）.言语智商[（64.96±13.14）分]比言语理解指数[（68.26±10.99）分]低,差异有统计学意义（t=3.029,P＜0.05）.操作智商[（72.48±14.04）分]比知觉推理指数[（69.35±11.75）分]高,差异具有统计学意义（t=-2.488,P＜0.05）.C-WISC中的分类、编码、木块图分数比WISC-Ⅳ中类同、译码、积木分数高,差异具有统计学意义（P＜0.05）.C-WISC中的领悟、数字广度与WISC-Ⅳ理解、背数差异无统计学意义（P＞0.05）.在智力诊断分级方面差异无统计学意义（x2=0.427,P＞0.05）.结论 C-WISC与WISC-Ⅳ中文版在6～ 16岁精神发育迟滞及边缘智力儿童智商测查结果中一致性好,C-WISC与WISC-Ⅳ中文版均可用于6～16岁精神发育迟滞及边缘智力儿童的辅助诊断.Objective To compare the difference between C-WISC and WISC-Ⅳ in the diagnosis of IQ in the children diagnosed with mental retardation（MR） or borderline intellectual funcition（BIF）.Methods 80 children aged 6-16 years were enrolled in this study.All of them were diagnosed with MR or BIF based on the criteria of DSM-Ⅳ-R.Then,C-WISC and WISC-Ⅳ were used to measure the IQ.Results There was no significant difference in the scores of full IQ between C-WISC and WISC-Ⅳ in these children （（65.49±12.83） vs （64.86±10.10）,t=-0.591,P〉0.05）.The score of verbal intelligence quotient in the C-WISC was significantly lower than the corresponding score in the WISC-Ⅳ （（64.96± 13.14） vs （68.26 ± 10.99）,t=3.029,P〈0.05）.The score of performance intelligence quotient in the C-WISC was significantly higher than the corresponding score in the WISC-Ⅳ （（72.48±14.04） vs （69.35±11.75）,t=-2.488,P〈0.05）.The scores of similarities,coding,and block design in the C-WISC were significantly higher than the corresponding score in the WISC-Ⅳ （P〈0.05））.There was no significant difference in the scores of comprehension and digit span between the two methods （P〉0.05）.There was also no significant difference in MR hierarchical diagnosis between the two methods （x2=0.427,P9〉0.05）.Conclusion There is no significant difference between C-WISC and WISC-Ⅳ in the diagnosis of IQ in the children aged 6-16 years who were diagnosed with MR or BIF.Both C-WISC and WISC-Ⅳ can be used to diagnose the MR and marginal intelligence for the children aged 6-16 years.

关 键 词：韦氏儿童智力第四版中文版 中国修订韦氏儿童智力量表 精神发育迟滞 边缘智力 一致性 WISC-Ⅳ 

分 类 号：R749.94[医药卫生—神经病学与精神病学]