title: Brief report: Cross-cultural replication of an anomalous psychometric pattern in children with type 1 diabetes.
abstract: 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.
authors.affiliation: Children's National Medical Center, Department of Psychology, Washington, DC 20010, USA. rstreis@cnmc.org
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
authors.forename: M Catherine
authors.initials: MC
authors.lastname: Cant
authors.forename: Ru San
authors.initials: RS
authors.lastname: Chen
authors.forename: Lilliam
authors.initials: L
authors.lastname: Gonzalez de Pijem
authors.forename: Clarissa S
authors.initials: CS
authors.lastname: Holmes
mesh_terms: D000293:Adolescent; D002648:Child; D003072:Cognition Disorders / Q000208:ethnology; D003431:Cross-Cultural Comparison; D003469:Culture; D003922:Diabetes Mellitus, Type 1 / Q000208:ethnology* / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D011594:Psychometrics; D011647:Puerto Rico / Q000208:ethnology; D014481:United States / Q000453:epidemiology