Diagnostic utility of the Thurstone Word Fluency Test in neuropsychological evaluations.
Diagnostic utility of the Thurstone Word Fluency Test in neuropsychological evaluations.
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瑟斯通词语流利度测试在神经心理学评估中的诊断效用。
DOI：
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
D. Hulihan
中科院分区：
文献类型：
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作者：
M. G. Pendleton;R. Heaton;R. Lehman;D. Hulihan
以往的研究发现，言语联想流畅性任务对大脑病变的存在敏感，对额叶和左半球病变的敏感性高于其他病灶。本研究探讨了瑟斯顿词语流畅性测试（TWFT），一种书面语言流畅性测试，在检测和定位脑病变的诊断效用。通过对203名脑损伤者和134名正常人的测试结果分析，我们发现脑损伤普遍影响了TWFT的成绩。同时，额叶比非额叶、左半球比右半球、左额叶比右额叶损害更严重。该试验不能区分局灶性额叶病变和弥漫性病变。逐步判别函数分析表明，TWFT添加到Halstead-Reitan电池区分局灶性额叶非额叶病变，但不区分左半球和右半球病变。只有明显受损的TWFT性能有偏侧意义。
Previous research has found that verbal associative fluency tasks are sensitive to the presence of cerebral lesions and more sensitive to frontal lobe and left hemisphere lesions than to other focal lesions. The present study investigated the diagnostic utility of the Thurstone Word Fluency Test (TWFT), a test of written verbal fluency, in detecting and localizing cerebral lesions. Using results from 203 brain-damaged and 134 normal subjects, we found that TWFT performance is affected by cerebral damage generally. At the same time, it is more impaired by frontal than by nonfrontal, by left than by right hemisphere, and by left frontal than by right frontal lesions. This test does not discriminate focal frontal from diffuse lesions. Stepwise discriminant function analyses indicated that the TWFT adds to the Halstead-Reitan Battery in discriminating focal frontal from nonfrontal lesions, but not in discriminating left hemisphere from right hemisphere lesions. Only markedly impaired TWFT performances had lateralizing significance.