| 摘要: |
| ［摘要］ 目的 对照研究Das-Naglieri认知评估系统(DN：CAS)、Raven渐进矩阵测验(Raven)和河内塔实验在学习困难儿童认知功能评价中的临床价值。方法 应用DN：CAS、Raven和河内塔实验分别对342名（一、三和五年级分别为104、92、146名）儿童进行认知功能评价，并进行统一分级的数学语文标准化测试，同时收集儿童相关数据：性别、年龄、学校、年级、父母职业、父母文化程度；将数学和语文测验得分后10%的儿童分别定为数学学习困难者（数困）和语文学习困难者（语困），两者测验得分同时都处于后10%的儿童定为数学语文学习困难者（双困）；把三种认知功能评价结果和其他相关数据作为儿童数学语文标准化测试结果的影响因子先进行单因素分析，然后进行多元回归分析、拟合优度分析和似然比计算。结果 （1）单因素分析河内塔测验结果对各型发生的学习困难学生没有相关性，儿童DN：CAS和Raven测验结果与学习各型困难发生有相关性；（2）多元回归分析结果表明儿童DN：CAS和Raven测验结果与学习各型困难发生有相关性；（3）拟合优度分析，DN：CAS和Raven测试结果对数困生、语困生和双困生预测结果的准确率分别为45.2%、55.2%、60.0%和32.2%、34.5%、46.7%；（4）似然比分析结果，DN：CAS和Raven测试结果对数困生、语困生和双困生诊断数困生阳性似然比分别为0.81、1.23、1.5和0.48、0.53、0.88；DN：CAS和Raven测试结果对数困生、语困生和双困生诊断数困生阴性似然比分别为141.9、70.42、141.86和54.56、39、99。结论 DN:CAS和Raven两种诊断工具比较，DN:CAS诊断的准确率可能更高。 |
| 关键词: Das-Naglieri认知评估系统 Raven渐进矩阵测验(Raven) 儿童 认知功能 |
| DOI：10.3969/j.issn.1674-3806.2010.11.06 |
| 分类号:R 338.2 |
| 基金项目:国家创新基金资助项目（编号:08C26224502242）；国家自然科学基金资助项目(编号:30470581)；南宁市科技攻关项目（编号:200902039A） |
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| Study on Das-Naglieri cognitive assessment system in the evaluation of the primary school students′ cognitive function |
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QIN Ling, DENG Ci-ping,WU Xin,et al.
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The People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To study the cognitive function evaluation in children with learning difficulties through Das-Naglieri cognitive assessment system (DN：CAS), Raven′s Progressive Matrices (Combined Raven Test, CRT) and the Tower of Hanoi. Methods The cognitive function of 342 children (first, third and fifth grade primary school students who were 104, 92, 146 respectively) were evaluated by DN：CAS, CRT and the Tower of Hanoi and were measured at Maths and Chinese with unified classified standardized test. The data of children including gender, age, school, grade, parent occupation, and parental education were collected. 10% of the poorest achievement in Maths, in Chinese, in both Maths and Chinese were named the students with Maths learning difficulties(MLD), Chinese learning difficulties(CLD), double learning difficulties(DLD) respectively. Results of the three kinds of cognitive functioning measurements and the relevant data as the impact factors of children′s Maths and Chinese test were analyzed by univariate, multivariate logistic regression, the goodness of fit and likelihood ratio respectively. Results （1）Univariate analysis results of the Tower of Hanoi were not associated with learning difficulties in all types of students, and DN:CAS and CRT results were associated with learning difficulties in all types of students. （2）Multiple logistic regression analysis showed DN:CAS and CRT results were associated with learning difficulties in all types of students. （3）Goodness of fit analysis showed the prediction accuracy of DN:CAS and CRT results on MLD, CLD and DLD were 45.2%, 55.2%, 60.0% and 32.2%, 34.5%, 46.7% respectively. （4） Likelihood ratio analysis showed positive likelihood ratio (LR+) of DN：CAS and CRT on MLD, CLD and DLD were 0.81, 1.23, 1.5 and 0.48, 0.53, 0.88 respectively, and negative likelihood ratio(LR-) were 141.9, 70.42, 141.86 and 54.56, 39, 99 respectively. Conclusion DN：CAS is more precise than CRT on the primary school students′ cognitive function evaluation. |
| Key words: Das-Naglieri cognitive assessment system Raven Children Cognitive function evaluation |
