Psychometric intelligence in patients with traumatic brain injury: utility of a new screening measure

Arch Phys Med Rehabil. 1999 Mar;80(3):346-7. doi: 10.1016/s0003-9993(99)90150-8.

Abstract

Objective: To evaluate the validity of the General Ability Measure for Adults (GAMA) in a sample of patients with traumatic brain injury (TBI).

Design: Comparison with criterion standards of Wechsler Adult Intelligence Scale-Revised (WAIS-R) and measures of injury severity.

Setting: Regional rehabilitation center.

Participants: One-year prospective series of consecutive rehabilitation referrals, including 42 adult patients with TBI.

Main outcome measures: GAMA and WAIS-R IQ scores were obtained within 1 year after injury and compared with each other and with measures of injury severity.

Results: The GAMA demonstrated statistically significant covariance with the WAIS-R and was able to discriminate severe TBI from mild/moderate TBI. The correlation between the GAMA and length of coma fell just short of statistical significance.

Conclusions: The GAMA is sufficiently sensitive to the presence or absence of severe TBI but may not be sufficiently sensitive to the exact degree of injury severity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Damage, Chronic / diagnosis*
  • Brain Damage, Chronic / psychology
  • Brain Damage, Chronic / rehabilitation
  • Brain Injuries / diagnosis*
  • Brain Injuries / psychology
  • Brain Injuries / rehabilitation
  • Female
  • Glasgow Coma Scale
  • Humans
  • Intelligence Tests / statistics & numerical data*
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Wechsler Scales / statistics & numerical data