中国临床心理学杂志

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

作者：丁树明高北陵蔡敏英李映萍盛璐

分类号：R395.1

出版年,卷(期):页码：2009,17(4):457-458

摘要：

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。

Objective: To compare performances of Wechsler Memory Scale(WMS) and Clinical Memory Scale(CMS), to explore applicability of WMS and CMS in the different degree traumatic brain injured patients. Methods: 206 patients were tested with WMS and 300 with CMS, and completed clinical diagnosis for all, to compare the performances. Results: ① There was no significant differences in the MQ between the two groups in the normal?marginal memory impairment, there were significant differences in the mild memory impairment. ②There were remarkable variance between the MQ and the clinical diagnosis, WMS was even more variant. Conclusion: ①There is similar outcome between WMS and CMS in the patients with normal?marginal memory impairment, CMS shows more applicable in the patients with more severe mem - ory impairment. ②It is not correct to diagnose memory defect degree with MQ without more clinical information.

基金项目：

深圳市科技计划基金资助项目(200802084)

作者简介：

参考文献：

[1] 龚耀先，等．修订韦氏记忆量表手册（成人本）．湖南医科大学，1989
[2] 许淑莲，等．临床记忆量表手册．中国科学院心理究所，1996
[3] 高北陵，等．二项必选数字记忆测验对伪装记忆损伤的鉴别作用．中国临床心理学杂志，2001，4：245-248
[4] Wrightson P，Gronwall D． Mild head injury． Oxford Univer- sity Press，1999．1-82
[5] 张津津，等．脑外伤后的认知障碍．心理科学，1993，16：270-273
[6] Schmitter-Edgecombe M． Effects of divided attention on im- plicit and explicit memory performance following severe closed head injury．Neuropsychology，1996，10(2)：155-167

服务与反馈：

【文章下载】【加入收藏】