Prorating WAIS - IV summary scores for patients with relapsing-remitting multiple sclerosis

• Published in: International journal of neuroscience 2016-11, Vol.126 (11), p.1025-1029
• Main Authors: Ryan, Joseph J., Umfleet, Laura Glass, Gontkovsky, Samuel T.
• Format: Article
• Language: English
• Subjects: Adult; Cognitive Dysfunction - diagnosis; Cognitive Dysfunction - etiology; Female; Humans; intelligence; Male; Middle Aged; multiple sclerosis; Multiple Sclerosis, Relapsing-Remitting - complications; Multiple Sclerosis, Relapsing-Remitting - diagnosis; proration; Psychometrics - standards; WAIS - IV; Wechsler Scales - standards
• ISSN: 0020-7454; 1543-5245; 1563-5279
• DOI: 10.3109/00207454.2015.1101596

We evaluated the utility of prorating appropriate combinations of two, six and eight Wechsler Adult Intelligence Scale - Fourth Edition (WAIS - IV) subtests for estimating the Verbal Comprehension Index (VCI), Perceptual Reasoning Index (PRI), Full Scale IQ (FSIQ) and General Ability Index (GAI) in a sample of individuals diagnosed with multiple sclerosis (MS). Forty-eight outpatients completed the WAIS - IV and Wechsler Memory Scale - Fourth Edition (WMS - IV) as part of a comprehensive neuropsychological battery. Means for age, education and duration of diagnosis were 42.35, 14.21 and 8.30 years, respectively. Paired t-tests showed no significant differences between prorated and standard means for VCI (93.46 vs. 93.73), PRI (90.19 vs. 89.44), FSIQ (88.53 vs. 88.47) or GAI (90.56 vs. 90.65). Correlations between prorated and standard composites were ≥0.89 in every instance. Correlations between the standard and prorated composites and education, disability status and WMS - IV indexes did not reveal a single contrast, where the correlations were significantly different. The present findings support the use of the two-subtest VCI and PRI composites and the eight-subtest FSIQ and four-subtest GAI in the assessment of patients with MS.