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Journal of Pediatric Psychology, Vol. 27, No. 2, 2002, pp. 121-131
© 2002 Society of Pediatric Psychology

Quantifying Practice Effects in Longitudinal Research With the WISC-R and WAIS-R: A Study of Children and Adolescents With Hemophilia and Male Siblings Without Hemophilia

Patricia A. Sirois, PhD1, Michael Posner, MS2, James A. Stehbens, PhD3, Katherine A. Loveland, PhD4, Sharon Nichols, PhD5, Sharyne M. Donfield, PhD6, Terece S. Bell, PhD7, Suzanne D. Hill, PhD8 and Nancy Amodei, PhD9 the Hemophilia Growth and Development Study

1 Tulane University Health Sciences Center, 2 Boston University School of Public Health, 3 University of Iowa College of Medicine, Iowa City, 4 University of Texas Medical School, Houston, 5 University of California, San Diego, 6 Rho, Inc., Chapel Hill, North Carolina, 7 Childrens Hospital Los Angeles, 8 Williamsburg, Virginia, 9 University of Texas, San Antonio

All correspondence should be sent to Patricia A. Sirois, Department of Pediatrics, Tulane University Health Sciences Center, 1430 Tulane Avenue (TW-41), New Orleans, Louisiana 70112. E-mail: psirois{at}tulane.edu .

Objective: To quantify practice effects associated with annual administrations of WISC-R and WAIS-R in children and adolescents with and without hemophilia.

Methods: Participants were young men (age: 7-19; 80 with hemophilia, 30 siblings) enrolled in the Hemophilia Growth and Development Study. Participants with hemophilia completed age-appropriate Wechsler scales at baseline and at four annual follow-ups; the siblings, at baseline and one 2-year follow-up. Regression analyses were used to quantify average changes in scores, adjusting for variables related to test performance.

Results: Consecutive annual evaluations were free of significant practice effects for 4 years with the Verbal Scale and for 2 years with the Performance Scale. VIQ decreased, and PIQ increased over time. Baseline VIQ was related to changes in VIQ; baseline PIQ and number of test-specific retests were related to changes in PIQ.

Conclusions: The findings support use of Wechsler scales for annual evaluations to monitor cognitive development in children and adolescents.

Key words: longitudinal assessment; retest effects; WISC-R; WAIS-R; chronic illness; sibling comparisons.


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