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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25926
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor花茂棽(Mau-Sun Hua)
dc.contributor.authorChih-Chieh Kaoen
dc.contributor.author高至潔zh_TW
dc.date.accessioned2021-06-08T06:57:08Z-
dc.date.copyright2009-07-23
dc.date.issued2009
dc.date.submitted2009-07-19
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25926-
dc.description.abstract尼爾森修訂版卡片分類測驗(MCST)改善了威斯康辛卡片分類測驗計分不易以及指導語過於模糊等缺點,是最廣為被使用於執行功能評估的工具之一,然而,目前台灣尚未建立該測驗常模及心理計量資料。本研究目的在評估尼爾森修訂版卡片分類測驗於台灣中老年人使用上之心理計量特性、探討該測驗表現與人口學變項之關係,進一步建立台灣中老年人尼爾森修訂版卡片分類測驗的常模資料。本研究一共收集了台灣地區426位45歲至88歲、教育程度0年至18年的健康中老年人於尼爾森修訂版卡片分類測驗的常模資料,同時收集路徑描繪測驗、彩色路徑描繪測驗、語意流暢性測驗、類同分測驗、矩陣推理分測驗等資料來檢驗尼爾森修訂版卡片分類測驗之效度。其中30位受試者於三個月後進行再測,以檢驗尼爾森修訂版卡片分類測驗之再測信度。本研究結果如下:1. 該測驗與人口學變項之關係上,完成類別總數和年齡呈現負相關與教育程度呈現正相關; 固著型錯誤數與非固著型錯誤數和年齡呈現正相關與教育程度呈現負相關; 但性別與測驗表現的所有分數指標則無顯著相關。2. 心理計量特性方面,該測驗具有.56至.68的再測信度與良好的效度。3. 常模建立方面,本研究以迴歸分析的方式建立校正公式,排除人口學變項對測驗表現的影響,並建立各指標校正分數之百分等級對照表以供參照。綜合上述研究結果,說明MCST於45歲至88歲的健康中老年人使用上有良好的心理計量特性,而本研究提供的常模資料具有代表性與適切性。未來擬以臨床病人為對象,配合神經影像學資料加以佐證,探討MCST在臨床使用上敏感度與特異性之議題,並訂定適當切截點。zh_TW
dc.description.abstractThe Modified Card Sorting Test(MCST), a modified version of the Wisconsin Card Sorting Test, proposed by Nelson(1976) is one of the most widely used tests for the evaluation of executive function. However, related studies on the MCST and the normative data for the test are scant in Taiwan. The objectives of this study were to evaluate the reliability and validity of MCST in Taiwanese healthy older adults, collect normative data for MCST in healthy older adults in Taiwan, and to examine the relationship between the test performance and demographic variables. The MCST was administered to 426 healthy individuals aged 45 to 88 years, with education level varied from 0 to 18 years. The Trail Making Test, the Color Trail Test, the Semantic Associated of Verbal Fluency, and Similarity and Matrix Reasoning subtests from the WAIS-III (Chinese version) were also administered to examine the validity of the MCST. Thirty of these 426 participants were retested 3 months later for examining the reliability of the MCST. The results revealed that the complete categories were positively correlated with education, but negatively correlated with age. The perseverative errors and the nonperseverative errors were positively correlated with age, but negatively correlated with education. However, no significant correlation was observed between the index scores and sex. Stability coefficients of the MCST ranged from .56 to .68, and the correlations between the MCST and the criterion validity tests were significant. Regression coefficients derived from demographic variables were used to adjust raw scores, and percentile rank norms for these adjusted scores were established. In conclusion, the MCST showed good test-retest reliability and validity, and the normative data are applicable for the healthy individuals aged from 45 to 88 years. For the effective use of the MCST in clinical settings, further studies of specific clinical populations are required.en
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Previous issue date: 2009
en
dc.description.tableofcontents目次
第一章 緒論…………………………………………………………1
第一節 研究動機與研究背景………………………………………1
第二節 研究目的與研究問題………………………………………4
第二章 尼爾森修訂版卡片分類測驗相關文獻回顧………………6
第一節 測驗簡介及心理計量相關研究……………………………6
第二節 人口學變項及智力相關研究…………………………… 13
第三節 國內外相關常模研究…………………………………… 18
第三章 研究方法………………………………………………… 21
第一節 研究對象………………………………………………… 21
第二節 測量工具………………………………………………… 23
第三節 施測程序及記錄指標…………………………………… 25
第四節 統計軟體與統計方法…………………………………… 25
第四章 研究結果………………………………………………… 27
第一節 研究對象基本資料與測驗表現………………………… 27
第二節 信度與效度……………………………………………… 28
第三節 人口學變項與MCST之關係……………………………… 31
第四節 建立常模………………………………………………… 46
第五章 討論與建議……………………………………………… 50
第一節 MCST之心理計量特性…………………………………… 50
第二節 MCST與人口學變項之關係……………………………… 53
第三節 MCST台灣中老年人常模………………………………… 56
第四節 研究貢獻與限制………………………………………… 59
第五節 結論與建議……………………………………………… 60
附註 ………………………………………………………………… 62
參考文獻 …………………………………………………………… 63
附錄 ………………………………………………………………… 69
附錄一 基本問卷及健康狀況調查表 ………………………… 69
附錄二 參與研究同意書 ……………………………………… 70
附錄三 MCST施測指導語 ……………………………………… 71

表目次
表一. MCST信度相關研究結果整理……………………………… 9
表二. MCST之臨床病人研究整理………………………………… 11
表三. MCST各指標與人口學變項相關研究結果整理…………… 16
表四. 常模樣本台灣各區預計及實際取樣人數及比例………… 22
表五. 各年齡組分區預計收取樣本比例與實際收樣比例……… 22
表六. 結合教育程度組及年齡組後各細格預計收取樣本比例
與實際收樣比例…………………………………………… 22
表七. 分組人口學變項資料及MCST各計分指標之中位數與分
佈範圍……………………………………………………… 27
表八. 再測信度組資料…………………………………………… 29
表九. MCST各指標之再測信度…………………………………… 29
表十. MCST各指標與效標測驗之相關性(rho)……………… 30
表十一.MCST各指標與人口學變項及智力間相關性……………… 32
表十二.年齡組及教育程度組各指標克–瓦二氏單因子等級變
異數分析…………………………………………………… 32
表十三.各年齡組間、各教育程度組間事後比較………………… 33
表十四.不同教育程度下各年輪組間之校正後克-瓦二氏單因子
等級變異數分析…………………………………………… 35
表十五.不同教育程度下各年齡組間事後比較…………………… 36
表十六.不同年齡層中各教育程度組間之克-瓦二氏單因子等級
變異數分析………………………………………………… 40
表十七.不同年齡層中各教育程度組間事後比較………………… 41
表十八.固著型錯誤數百分等級對照表…………………………… 48
表十九.非固著型錯誤數百分等級對照表………………………… 49
表二十.完成類別總數百分等級範圍對照表……………………… 49

圖目次
圖一. 各年齡組CAT中位數………………………………………… 33
圖二. 各年齡組PE中位數 ………………………………………… 34
圖三. 各年齡組NPE中位數………………………………………… 34
圖四. 1-6年教育程度下各年齡組別CAT中位數 ………………… 36
圖五. 1-6年教育程度下各年齡組別PE中位數…………………… 37
圖六. 1-6年教育程度下各年齡組別NPE中位數 ………………… 37
圖七. 7-9年教育程度下各年齡組別PE中位數…………………… 37
圖八. 13年以上教育程度下各年齡組別PE中位數 ……………… 38
圖九. 各教育程度組CAT中位數 ……………………………………39
圖十. 各教育程度組PE中位數………………………………………39
圖十一. 各教育程度組NPE中位數…………………………………… 39
圖十二. 55-64歲年齡層各教育程度組CAT中位數……………………42
圖十三. 55-64歲年齡層各教育程度組PE中位數 ……………………42
圖十四. 55-64歲年齡層各教育程度組NPE中位數……………………42
圖十五. 65-74歲年齡層各教育程度組CAT中位數……………………43
圖十六. 65-74歲年齡層各教育程度組PE中位數 ……………………43
圖十七. 65-74歲年齡層各教育程度組NPE中位數……………………43
圖十八. 75-84歲年齡層各教育程度組CAT中位數……………………44
圖十九. 75-84歲年齡層各教育程度組PE中位數 ……………………44
圖二十. 各教育程度與各年齡組於CAT指標之中位數 ………………45
圖二十一.各教育程度與各年齡組於PE指標之中位數 ………………46
圖二十二.各教育程度與各年齡組於NPE指標之中位數………………46
dc.language.isozh-TW
dc.title台灣正常中老年人尼爾森修訂版卡片分類測驗之常模研究zh_TW
dc.titleA Normative Study on Nelson’s Modified Card Sorting Test in Healthy Middle Age and Elderly Individuals in Taiwanen
dc.typeThesis
dc.date.schoolyear97-2
dc.description.degree碩士
dc.contributor.oralexamcommittee邱銘章,陳心怡
dc.subject.keyword威斯康辛卡片分類測驗,尼爾森修訂版卡片分類測驗,執行功能,常模,人口學變項,信度,效度,校正分數,zh_TW
dc.subject.keywordWisconsin Card Sorting Test (WCST),Modified Card Sorting Test (MCST),executive function,normative data,demographic variables,reliability,validity,adjusted score,en
dc.relation.page72
dc.rights.note未授權
dc.date.accepted2009-07-20
dc.contributor.author-college理學院zh_TW
dc.contributor.author-dept心理學研究所zh_TW
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