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Journal of Pediatric Psychology, Vol. 28, No. 3, 2003, pp. 191-196
© 2003 Society of Pediatric Psychology

Brief Report: Cross-Cultural Replication of an Anomalous Psychometric Pattern in Children With Type 1 Diabetes

Randi Streisand, PhD1, M. Catherine Cant, PhD2, Ru San Chen, PhD3, Lilliam Gonzalez de Pijem, PhD4 and Clarissa S. Holmes, PhD3,5

1 Children's National Medical Center, 2 The George Washington University, 3 Georgetown University, 4 University of Puerto Rico, 5 Virginia Commonwealth University

All correspondence should be sent to Randi Streisand, Children's National Medical Center, Dept. of Psychology, 111 Michigan Ave., NW, Washington, District of Columbia 20010. E-mail: rstreis{at}cnmc.org. Anne Kazak, PhD, ABPP, former Editor, served as accepting editor on this article.

Objective To replicate an anomalous psychometric profile previously documented in children with Type 1 diabetes living in the mainland United States with a cross-cultural sample selected from Puerto Rico. Methods Ninety-three Spanish-speaking children (M age = 12.8 years) with Type 1 diabetes living in Puerto Rico were administered the Puerto Rican version of the Wechsler Intelligence Scale for Children-Revised (WISC-R). The factor structure of the Puerto Rican sample's WISC-R was then compared to that of a United States sample (n = 95) in which an anomalous factor structure in children with diabetes was first documented. Results As in the United States sample, a four-factor IQ structure was obtained. Instead of the traditional three-factor structure of the WISC-R, the Perceptual Organization factor split into a Spatial Conceptual factor and an anomalous Visual Discrimination factor. Conclusions Results support previous findings and suggest anomalies in the psychometric profiles of children with Type 1 diabetes. Cross-cultural replication of the anomalous IQ factor structure, and atypical visual discrimination, suggests that differences are illness-related, and consideration may therefore be warranted when administering some subtests of the Wechsler scales to children with Type 1 diabetes.

Key words: psychometric profile; Type 1 diabetes; IQ.


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