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[Multiple-choice vocabulary intelligence test MWT in schizophrenia: valid measure of premorbid intelligence?]
Andreas Wittorf1, Georg Wiedemann2, Stefan Klingberg1
1Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen.
Objective:
The multiple-choice vocabulary intelligence test MWT (Mehrfachwahl-Wortschatz-Intelligenztest) as a measure of premorbid IQ is widely used in clinical practice and research in Germany. The study examined whether the MWT is actually insensitive to brain dysfunction and psychopathology in patients with schizophrenia.
Method:
81 post-acute patients with schizophrenia and 27 matched healthy controls completed the MWT at two points in time. At baseline, we further applied a neuropsychological test battery and a psychopathology rating.
Results:
The multiple linear regression analysis showed that the MWT-IQ of patients is significantly confounded by neuropsychological dysfunctions and psychopathology. The repeated measurement ANOVA pointed to a significant recovery effect of the MWT-IQ during clinical remission in the patient group.
Conclusion:
The results question the validity of the MWT as a measure of premorbid IQ in schizophrenia.
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