Level versus pattern of neuropsychological performance among schizophrenic and diffusely brain-damaged patients

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Differences in both mean level and pattern of neuropsychological test performance were examined among groups of carefully screened schizophrenic and acute and chronic diffusely brain-damaged patients (24 Ss in each group). This was done separately for the WAIS subtests and the 12 average impairment rating (AIR) variables derived from the Halstead-Reitan Neuropsychological Test Battery. The schizophrenics performed at a significantly higher level than brain-damaged Ss on both test batteries. Subsequent deficit pattern analyses and coefficients of profile pattern similarity revealed very little difference among the 3 groups in their patterns of performance on the WAIS and AIR batteries. Discriminant function analyses were employed to estimate the diagnostic utility of level vs pattern of performance on the WAIS and AIR in discriminating schizophrenics from brain-damaged Ss. Results suggest that mean level of performance can be used to discriminate clearly defined schizophrenic and diffusely brain-damaged groups, but that pattern analysis offers little additional information. (38 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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