臺灣健康成年人常模研究：多向語言功能失語症測驗之語文理解分測驗

Abstract

背景：在臨床工作上，具有語文理解困難之病患屢見不鮮。多向語言功能失語症測驗之語文理解分測驗，是被用以評估語意理解與語法理解的神經心理測驗工具。此外，此測驗具有使用方便、測量時間短及容易施測等優點。然而，目前臺灣缺乏多向語言功能失語症測驗之語文理解分測驗之常模資料。目的：本研究主要目的為建立臺灣健康成年人多向語言功能失語症測驗之語文理解分測驗之常模，主要目標為：一、探討人口學變項對測驗表現的影響；二、檢驗測驗的心理計量特性；三、探討本常模於臺灣健康成年人之適用性。方法：本研究以分層隨機抽樣之方式，一共收集325位16至90歲、教育程度為0至19年之臺灣健康成年人之測驗資料，同時隨機選取30位受試者進行魏氏成人智力量表第三版之詞彙、類同、常識、算術、記憶廣度分測驗，以作為效度檢驗使用。此外，同時隨機選取30位受試者進行再測信度檢驗。結果：教育程度與年齡為主要影響測驗表現的人口學變項，僅於閱讀理解測驗中顯示微弱的性別效果。本研究具有適當的再測信度、效標關聯效度及建構效度，提供之常模資料具有良好代表性、新進性及適切性。結論：本研究檢驗人口學變項對測驗表現之影響，並排除人口學變項之效果，以校正分數建立多向語言功能失語症測驗之語文理解分測驗之百分等級對照表，可供臨床工作者用以偵測語文理解能力之改變、區辨不同類型之失語症、評估語言復健之效果。

Background: Patients with verbal comprehension disturbances are common in clinical practice. The MAE Verbal Comprehension Tests are widely used tasks for measuring semantic and syntactic comprehension. Moreover, these tests were convenient to use, short administration time, and easy to administrate. However, there is currently a lack of representative normative data for the MAE Verbal Comprehension Tests in the Taiwanese population. Objective: The present study aimed to obtain normative data for the MAE Verbal Comprehension Tests. The specific objectives were as follows: (1) to assess influences of demographic variables on the performances on the tests, (2) to establish psychometric properties, and (3) to determine norm appropriacy. Methods: Three hundred and twenty five participants were recruited through stratified sampling by current age (ranging from 16 to 90 years old), education (ranging from 0 to 19 years), and area of residence. Thirty participants additionally completed the Vocabulary, the Similarities, the Information, the Arithmetic, and the Digit Span subtests of the WAIS-III to investigate the validity. Test-retest reliability was derived from a subgroup of thirty participants. Results: Education and Age effects were significant on most of the MAE Verbal Comprehension Tests, while a small gender effect was only showed on the Reading Comprehension subtest. The results also showed adequate test-retest reliability, criterion-related validity, and construct validity for the MAE Verbal Comprehension Tests. The normative data showed good representativeness, recency, and relevance. Conclusion: The present study determined the influences of demographic effects on the MAE Verbal Comprehension Tests, established appropriate normative data for evaluating semantic and syntactic comprehension, and provided a referential table for percentile ranks.