Clinical and statistical approaches to the assessment of brain damage in children |
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Authors: | Dr. William J. McIntosh |
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Affiliation: | (1) Georgia State University, USA;(2) Veterans Administration Hospital, 1670 Clairmont Road, 30033 Decatur, Georgia |
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Abstract: | In an attempt at innovation in the clinical versus statistical prediction controversy, the present research examined three methods of assessing organic brain damage in a sample of sixty-eight 9- to 14-year-old children. Methods compared were clinical judgment (CP); existing actuarial norms (EAN); and derived statistical prediction (DSP), based on three psychological tests. The results were as follows: (a) None of the methods classified subjects significantly better than chance (p<.05); (b) there was no significant difference (p<.05) among the methods in terms of their rates of accurate classification; (c) CP based on combined tests did not result in higher predictive accuracy than those based on an individual test; (d) CP made after receiving feedback on accuracy showed an increase in number of correct classifications over prior CP; and (e) CP based on knowledge of the statistical prediction in addition to test data showed a higher rate of correct classification than DSP alone. |
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