Advanced Clinical Interpretation of the WAIS-IV and WMS-IV: Prevalence of Low Scores Varies by Level of Intelligence and Years of Education
Clinicians can use the base rates of low scores in healthy people to reduce the likelihood of misdiagnosing cognitive impairment. In the present study, base rates were developed for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV) and Wechsler Memory Scale—Fourth Edition (WMS-IV) using...
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Veröffentlicht in: | Assessment (Odessa, Fla.) Fla.), 2011-06, Vol.18 (2), p.156-167 |
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description | Clinicians can use the base rates of low scores in healthy people to reduce the likelihood of misdiagnosing cognitive impairment. In the present study, base rates were developed for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV) and Wechsler Memory Scale—Fourth Edition (WMS-IV) using 900 healthy adults and validated on 28 patients with moderate or severe traumatic brain injuries (TBIs). Results indicated that healthy people obtain some low scores on the WAIS-IV/WMS-IV, with prevalence rates increasing with fewer years of education and lower predicted intelligence. When applying the base rates information to the clinical sample, the TBI patients were 13 times more likely to be identified as having a low cognitive profile compared with the controls. Using the base rates information is a psychometrically advanced method for establishing criteria to determine low cognitive abilities on the WAIS-IV/WMS-IV. |
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In the present study, base rates were developed for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV) and Wechsler Memory Scale—Fourth Edition (WMS-IV) using 900 healthy adults and validated on 28 patients with moderate or severe traumatic brain injuries (TBIs). Results indicated that healthy people obtain some low scores on the WAIS-IV/WMS-IV, with prevalence rates increasing with fewer years of education and lower predicted intelligence. When applying the base rates information to the clinical sample, the TBI patients were 13 times more likely to be identified as having a low cognitive profile compared with the controls. 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In the present study, base rates were developed for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV) and Wechsler Memory Scale—Fourth Edition (WMS-IV) using 900 healthy adults and validated on 28 patients with moderate or severe traumatic brain injuries (TBIs). Results indicated that healthy people obtain some low scores on the WAIS-IV/WMS-IV, with prevalence rates increasing with fewer years of education and lower predicted intelligence. When applying the base rates information to the clinical sample, the TBI patients were 13 times more likely to be identified as having a low cognitive profile compared with the controls. Using the base rates information is a psychometrically advanced method for establishing criteria to determine low cognitive abilities on the WAIS-IV/WMS-IV.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alberta</subject><subject>Brain Injuries - diagnosis</subject><subject>Clinical Diagnosis</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognitive Ability</subject><subject>Confidence Intervals</subject><subject>Control Groups</subject><subject>Educational Status</subject><subject>Female</subject><subject>Head Injuries</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intelligence</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Memory</subject><subject>Memory Disorders - diagnosis</subject><subject>Memory, Short-Term</subject><subject>Middle Aged</subject><subject>Neurological Impairments</subject><subject>Patients</subject><subject>Psychometrics</subject><subject>Scores</subject><subject>Wechsler Adult Intelligence Scale</subject><subject>Wechsler Scales</subject><subject>Young Adult</subject><issn>1073-1911</issn><issn>1552-3489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFP3DAQha2qqFDaOwdU-dZTiieOY7u31WopixZRaWFRT5FjTyAom2ztZBG_gT9dhwUOlTjNSN97b-wZQo6A_QCQ8gSY5KABgHElOOQfyAEIkSY8U_pj7CNORr5PPodwzxiIXKtPZD9lOpOSiQPyNHFb01p0dNrUbW1NQ-dtj37jsTd93bW0q2h_h_RmMl8m8xU1raM3F2P7k_72uDUNRvuoWnQPdGk7j4GujK9jKR_pArfYjHRMbZr69lk9hvxB48NIZm6wz6O-kL3KNAG_vtRDcn06u5qeJYvLX_PpZJFYLmSflJKnVZUpXqbalia1LHNSaaaVsC5-WVQgS15al_JMaJfnVQYuV0aggtxBxg_J913uxnd_Bwx9sa6Dja8zLXZDKFSeC54xpqOS7ZTWdyF4rIqNr9fGPxbAivECxf8XiJZvL-FDuUb3ZnhdeRQc7wToa_uGZ-c6FaDSiJMdDuYWi_tu8G3cxfvz_gF00pWO</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Brooks, Brian L.</creator><creator>Holdnack, James A.</creator><creator>Iverson, Grant L.</creator><general>SAGE Publications</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Advanced Clinical Interpretation of the WAIS-IV and WMS-IV: Prevalence of Low Scores Varies by Level of Intelligence and Years of Education</title><author>Brooks, Brian L. ; Holdnack, James A. ; Iverson, Grant L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-b732ff483b29cba2c04d7890985cd1075f17b3bcd23459d66f41d68a5e816d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alberta</topic><topic>Brain Injuries - diagnosis</topic><topic>Clinical Diagnosis</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognitive Ability</topic><topic>Confidence Intervals</topic><topic>Control Groups</topic><topic>Educational Status</topic><topic>Female</topic><topic>Head Injuries</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intelligence</topic><topic>Male</topic><topic>Measures (Individuals)</topic><topic>Memory</topic><topic>Memory Disorders - diagnosis</topic><topic>Memory, Short-Term</topic><topic>Middle Aged</topic><topic>Neurological Impairments</topic><topic>Patients</topic><topic>Psychometrics</topic><topic>Scores</topic><topic>Wechsler Adult Intelligence Scale</topic><topic>Wechsler Scales</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brooks, Brian L.</creatorcontrib><creatorcontrib>Holdnack, James A.</creatorcontrib><creatorcontrib>Iverson, Grant L.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Assessment (Odessa, Fla.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brooks, Brian L.</au><au>Holdnack, James A.</au><au>Iverson, Grant L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ925182</ericid><atitle>Advanced Clinical Interpretation of the WAIS-IV and WMS-IV: Prevalence of Low Scores Varies by Level of Intelligence and Years of Education</atitle><jtitle>Assessment (Odessa, Fla.)</jtitle><addtitle>Assessment</addtitle><date>2011-06</date><risdate>2011</risdate><volume>18</volume><issue>2</issue><spage>156</spage><epage>167</epage><pages>156-167</pages><issn>1073-1911</issn><eissn>1552-3489</eissn><abstract>Clinicians can use the base rates of low scores in healthy people to reduce the likelihood of misdiagnosing cognitive impairment. In the present study, base rates were developed for the Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV) and Wechsler Memory Scale—Fourth Edition (WMS-IV) using 900 healthy adults and validated on 28 patients with moderate or severe traumatic brain injuries (TBIs). Results indicated that healthy people obtain some low scores on the WAIS-IV/WMS-IV, with prevalence rates increasing with fewer years of education and lower predicted intelligence. When applying the base rates information to the clinical sample, the TBI patients were 13 times more likely to be identified as having a low cognitive profile compared with the controls. Using the base rates information is a psychometrically advanced method for establishing criteria to determine low cognitive abilities on the WAIS-IV/WMS-IV.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20947705</pmid><doi>10.1177/1073191110385316</doi><tpages>12</tpages></addata></record> |
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subjects | Adolescent Adult Alberta Brain Injuries - diagnosis Clinical Diagnosis Cognition Disorders - diagnosis Cognitive Ability Confidence Intervals Control Groups Educational Status Female Head Injuries Humans Incidence Intelligence Male Measures (Individuals) Memory Memory Disorders - diagnosis Memory, Short-Term Middle Aged Neurological Impairments Patients Psychometrics Scores Wechsler Adult Intelligence Scale Wechsler Scales Young Adult |
title | Advanced Clinical Interpretation of the WAIS-IV and WMS-IV: Prevalence of Low Scores Varies by Level of Intelligence and Years of Education |
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