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Are TOPF and WRAT WR Interchangeable Measures among Psychiatric Inpatients?

Alexis S Rosen1, Loren C King1, Dominique I Kinney1

  • 1Department of Psychology, Department of State Hospitals-Patton, Patton, CA 92369, USA.

Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists
|January 16, 2022
PubMed
Summary

The Test of Premorbid Functioning (TOPF) and Wide Range Achievement Test-Word Reading subtest (WRAT WR) are not interchangeable for schizophrenia patients. These measures showed significant discrepancies with full-scale IQ, indicating caution in their use.

Keywords:
AssessmentIntelligenceSchizophrenia

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Area of Science:

  • Neuropsychology
  • Psychiatry
  • Cognitive Assessment

Background:

  • Assessing premorbid cognitive functioning is crucial for understanding intellectual decline in schizophrenia spectrum disorders (SSD).
  • The Test of Premorbid Functioning (TOPF) and Wide Range Achievement Test-Word Reading subtest (WRAT WR) are commonly used measures, but their interchangeability and relationship with current intelligence are debated.

Purpose of the Study:

  • To evaluate if the TOPF and WRAT WR are interchangeable measures in patients with SSD.
  • To examine the relationship between these premorbid functioning measures and current intelligence (Full Scale IQ - FSIQ).

Main Methods:

  • An archival study analyzed neuropsychology referrals from an inpatient forensic state hospital.
  • Included were 119 patients with SSD who underwent intelligence testing (WAIS-IV or WASI-II) and either TOPF or WRAT WR.

Main Results:

  • Concordance between TOPF and WRAT WR was weak (CCC < 0.90).
  • Both measures showed significant discrepancies with FSIQ, with demographic-based scores (TOPF Predicted/Simple) exhibiting larger differences than performance-based scores (TOPF Actual, WRAT4 WR).

Conclusions:

  • TOPF and WRAT WR are not interchangeable for institutionalized patients with SSDs.
  • Discrepancies between premorbid estimates and current FSIQ highlight the need for careful interpretation and further research to determine the most accurate intelligence estimation method in this population.