A five- to fifteen-year follow-up study of infantile psychosis. IV. Patterns of cognitive ability.
A five- to fifteen-year follow-up study of infantile psychosis. IV. Patterns of cognitive ability.
复制标题
婴儿精神病的五至十五年随访研究。
DOI：
--
复制
发表时间：
1970
期刊：
影响因子：
--
通讯作者：
M. Rutter
中科院分区：
文献类型：
--
作者：
L. Lockyer;M. Rutter
在1950年至1958年间在莫德斯利医院就诊的63名被明确诊断为婴儿精神病的儿童被分别在年龄、性别、智商和就诊年份方面与临床上非精神病儿童的对照组进行匹配。这两组人都在1963-2004年接受了重新检查，并接受了个别的精神、神经、社会和心理评估。在随访中(平均年龄15岁7个月)，精神病儿童在言语能力测试中得分较低，在操作测试中得分较高。他们在积木设计、物体装配和数字广度测试中表现出一种独特的WISC分测验模式，即在积木设计、物体组装和数字广度分测验中得分很高，而在理解方面得分很低；这种模式在语言发育迟缓儿童中表现得更加明显。在语言能力较差的聋哑儿童和语言发育障碍的儿童中，也发现了类似的韦克斯勒表现量表得分模式。这被解释为一种假设，即婴儿精神病是在语言和声音感知的中枢障碍的基础上发展起来的。
精神病儿童作为一个群体，其社会能力低于对照组。在精神病患者中，平均智商显著低于他们的非语言智商，而在对照组中，这两个分数大致相同。
Sixty-three children with an unequivocal diagnosis of infantile psychosis who attended the Maudsley Hospital between 1950 and 1958 were individually matched for age, sex, IQ and year of attendance with a control group of clinic children with non-psychotic disorders. Both groups were re-examined in 1963–4 and given individual psychiatric, neurological, social and psychological assessments. At follow-up (mean age 15 years 7 months) the psychotic children showed low scores on tests of verbal ability and higher scores on performance tests. They showed a characteristic WISC subtest pattern of high scores on the Block Design, Object Assembly and Digit Span subtests combined with a very low score on Comprehension; this pattern was more marked among the children with a pronounced language retardation. Similar patterns of Wechsler Performance Scale scores have been found in deaf children with poor language and in children with developmental disorders of language. This was interpreted in terms of the hypothesis that infantile psychosis develops on the basis of a central disorder of language and of perception of sounds.
The psychotic children as a group were inferior to the controls in terms of social competence. Among the psychotics the mean SQ was significantly lower than their Non-Verbal IQ, whereas, among the controls, the two scores were approximately the same.