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Mora-Villalobos L, Brown-Mata G, Smith-Castro V, Ramos-Usuga D, Rivera D, Arango-Lasprilla JC. Normative Data Study of Verbal Fluency and Naming Tests in Elderly People in Costa Rica. Arch Clin Neuropsychol 2024:acae045. [PMID: 38855853 DOI: 10.1093/arclin/acae045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 05/01/2024] [Accepted: 05/23/2024] [Indexed: 06/11/2024] Open
Abstract
OBJECTIVE To generate normative data for the Verbal Fluency Test (VFT) and the Boston Naming Test (BNT) in the Costa Rican population. METHOD The sample consisted of 563 healthy older people (aged 59-90 years). Polynomial multiple regression analyses were run to evaluate the effects of the age, sex, and education variables on VFT and BNT scores. RESULTS The results showed a significant linear effect of education on the four-letter VF scores and an effect of sex on the letter P score, with females performing better than males. The explained variance ranged from 20.9% to 28.3%. A linear effect of age and education was also found for the four semantic VF scores, with scores decreasing with increasing age and lower education. The sex variable was significant for all semantic categories, with females performing better than males except in the animal category. The explained variance ranged from 21.7% to 30.9%. In the BNT, a linear effect of education was found, so that the more education, the better the score. In addition, a sex effect was also found, with males having higher scores than females. The predictors of the model explained 9.6% of the variance. CONCLUSIONS This is the first study that generates normative data for the VF and BNT in the Costa Rican population over 59 years of age based on demographic variables. The use of these normative data will help clinicians in Costa Rica to better understand language functioning in the elderly, allowing for better classification and diagnosis in the future.
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Affiliation(s)
- Lara Mora-Villalobos
- Center for Research in Cellular and Molecular Biology, University of Costa Rica, San Pedro de Montes de Oca, 2060 San José, Costa Rica
| | - Gloriana Brown-Mata
- Center for Research in Cellular and Molecular Biology, University of Costa Rica, San Pedro de Montes de Oca, 2060 San José, Costa Rica
| | - Vanessa Smith-Castro
- Institute for Psychological Research, University of Costa Rica, San Pedro de Montes de Oca, 2060 San José, Costa Rica
| | - Daniela Ramos-Usuga
- Biocruces-Bizkaia Health Research Institute, Cruces Plaza, 48903 Barakaldo, Spain
- Biomedical Research Doctorate Program, University of the Basque Country (UPV/EHU), Barrio Sarriena, s/n, 48940 Leioa
| | - Diego Rivera
- Department of Health Sciences, Public University of Navarre, Av. Cataluña, s/n, 31006 Pamplona, Spain
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), C. de Irunlarrea, 3, 31008 Pamplona, Spain
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Normative Data for Adult Mandarin-Speaking Populations: A Systematic Review of Performance-Based Neuropsychological Instruments. J Int Neuropsychol Soc 2022; 28:520-540. [PMID: 34372960 DOI: 10.1017/s1355617721000667] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
OBJECTIVES Normative data are essential for neuropsychological evaluations, but they are scarce for Mandarin-speaking populations, despite Mandarin being the language with the most native speakers. Several normative data studies have been reported in recent years for Mandarin speakers, who reside in different countries/regions (e.g., mainland China, Taiwan, and Singapore, etc.). This review aims to serve as a reference guide to appropriate norms when working with a Mandarin-speaking patient and to guide future endeavors in test validation and development in areas where studies to date fall short. METHOD We conducted a systematic review utilizing the PsycInfo, PubMed, and China Knowledge Resource Integrated databases as well as additional literature search through citations. We performed evaluations of the existing norms based on their test selection, cognitive domains covered, sample size, language, regions of participant recruitment, stratification by age/gender/education levels, and reporting of other psychometric properties. We focused on articles that included performance-based tests for adults but excluded those with purely clinical norms or from commercial publishers. RESULTS We reviewed 1155 articles found through literature search and identified 43 articles reporting normative data for this population that met our inclusion criteria. Sixty-five distinctive tests and 127 versions were covered. The results are presented within two detailed tables organized by articles and tests, respectively. CONCLUSIONS We discussed the strengths and limitations of these normative reports. Practitioners are recommended to utilize normative data that most closely approximate a test-taker's cultural and demographic backgrounds. Limitations of the current review are also discussed.
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Wang J, Lai Y, Jiang C, Bai Y, Xu B, Du X, Dong J, Ma C. Feasibility and Validity of Cambridge Neuropsychological Test Automated Battery in Mild Cognitive Impairment Screening for Patients with Atrial Fibrillation. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:1527292. [PMID: 35178112 PMCID: PMC8847012 DOI: 10.1155/2022/1527292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 01/06/2022] [Accepted: 01/25/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Atrial fibrillation (AF) is associated with the worsening of cognitive function. Strategies that are both convenient and reliable for cognitive screening of AF patients remain underdeveloped. We aimed to analyze the sensitivity and specificity of computerized cognitive screening strategies using subtests from Cambridge Neuropsychological Test Automated Battery (CANTAB) in AF patients. METHODS The Multitasking Test (MTT), Rapid Visual Information Processing (RVP), and Paired Associates Learning (PAL) subtests from CANTAB were performed in 105 AF patients. Traditional standard neuropsychological tests were used as a reference standard. Cognitive screening models using different CANTAB subtests were established using multivariable logistic regression. Further stepwise regression using the Akaike Information Criterion (AIC) was applied to optimize the models. Receiver operating characteristic curve analyses were used to study the sensitivity and specificity of these models. RESULTS Fifty-eight (55%) patients were diagnosed with mild cognitive impairment (MCI). MTT alone had reasonable sensitivity (82.8%) and specificity (74.5%) for MCI screening, while RVP (sensitivity 72.4%, specificity 70.2%) and PAL (sensitivity 70.7%, specificity 57.4%) were less effective. Stepwise regression of all available variables revealed that a combination of MTT and RVP brought about higher specificity (sensitivity 82.8%, specificity 85.8%), while PAL was not included in the optimal model. Moreover, adding education to the models did not result in improved validity for MCI screening. CONCLUSION The CANTAB subtests are feasible and effective strategies for MCI screening among AF patients independent of patients' education levels. Hence, they are practical for cardiologists or general practitioners.
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Affiliation(s)
- Jia Wang
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
| | - Yiwei Lai
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
| | - Chao Jiang
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
| | - Yu Bai
- Faculty of Science, The University of Sydney, Sydney, Australia
| | - Baolei Xu
- Department of Neurology, Beijing Anzhen Hospital, China
| | - Xin Du
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
| | - Jianzeng Dong
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
| | - Changsheng Ma
- Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Centre for Cardiovascular Diseases, Beijing Advanced Innovation Center for Big Data-Based Precision Medicine for Cardiovascular Diseases, Beijing, China
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Joung H, Yi D, Ahn H, Lee Y, Byun MS, Sung K, Han D, Lee DY. Normative Study of the Block Design Test for Adults Aged 55 Years and Older in Korean Aging Population. Psychiatry Investig 2021; 18:539-544. [PMID: 34130440 PMCID: PMC8256137 DOI: 10.30773/pi.2020.0408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 03/31/2021] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE The Block Design Test (BDT) is known to be an effective measure in diagnosing age-related cognitive decline of visuospatial function. The goal of this study is to investigate the effects of age, education years, and gender on the performance of the BDT and to provide normative data in Korean community-dwelling participants who are 55 to 90 years old. METHODS The participants were 432 non-demented adults aging from 55 to 90 years old. The BDT was administered to participants according to its manual. Multiple linear regressions and analyses of variance were conducted, including age, gender, and educations were used as covariates. RESULTS Age, educational years, and gender were found to be significantly associated with performance on the BDT. As age increased, BDT performance decreased. Educational years were associated with BDT performance. Men showed higher performance (29.9±10.3) compare to women (26.1±8.7). The BDT is influenced by age, educational years, and gender. CONCLUSION Unlike the previous study, the current study shows that gender has a significant influence in visuospatial ability in the old population. Present normative data will be useful for clinicians in evaluating aging participants with cognitive impairment.
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Affiliation(s)
- Haejung Joung
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
| | - Dahyun Yi
- Seoul National University Hospital Biomedical Research Institute, Republic of Korea
| | - Hyejin Ahn
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
| | - Younghwa Lee
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
| | - Min Soo Byun
- Department of Psychiatry, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Kiyoung Sung
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
| | - Dongkyun Han
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
| | - Dong Young Lee
- Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.,Institute of Human Behavioral Medicine, Medical Research Center Seoul National University, Seoul, Republic of Korea.,Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea
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Lin J, Li C, Li A, Liu X, Chen C, Gong X, Zhou D, Hong Z. Long-term cognitive and neuropsychiatric outcomes of anti-GABA BR encephalitis patients: A prospective study. J Neuroimmunol 2020; 351:577471. [PMID: 33418181 DOI: 10.1016/j.jneuroim.2020.577471] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/25/2020] [Accepted: 12/27/2020] [Indexed: 02/05/2023]
Abstract
Long-term cognitive and neuropsychiatric outcomes of anti-gamma-aminobutyric-acid B receptor (anti-GABABR) encephalitis are unclear. In this prospective study, 31 patients with anti-GABABR encephalitis were underwent cognitive and neuropsychiatric evaluations every 6 months. At 24 months' follow-up, cognitive impairments were observed in 80% of patients that mainly included deficits in memory, executive functions and nonverbal reasoning; and neuropsychiatric symptoms were observed in 50% of patients that mainly included depressive symptoms and irritation. The risk factors associated with cognitive deficits was age > 45 years. This study demonstrated that most patients with anti-GABABR encephalitis had persistent cognitive deficits and neuropsychiatric symptoms.
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Affiliation(s)
- Jingfang Lin
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Chen Li
- Department of Neurology, Nuclear Industry 416 Hospital, Chengdu, Sichuan, China
| | - Aiqing Li
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xu Liu
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Chu Chen
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Department of Neurology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China
| | - Xue Gong
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Dong Zhou
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Zhen Hong
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
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Branco LD, Cotrena C, Shansis FM, Fonseca RP. Cognitive abilities underlying performance on the modified card sorting test: novel and traditional scores. APPLIED NEUROPSYCHOLOGY-ADULT 2019; 28:544-555. [PMID: 31530030 DOI: 10.1080/23279095.2019.1663522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The Modified Card Sorting Test (MCST) is a widely used variation of the Wisconsin Card Sorting Test. It is faster to administer, less frustrating for respondents and less ambiguous in its scoring but has been criticized for its task impurity and low discriminability between control participants and clinical groups prone to executive dysfunction. This study aimed to examine the executive functions (EF) underlying traditional (number of categories completed, perseverative errors) and novel scores for the MCST, and compare their ability to differentiate between control and clinical samples. Novel and traditional MCST scores were compared between 94 control participants, 87 with bipolar disorder and 64 with major depression. The relationship between MCST scores and traditional EF tasks was examined through correlation and regression analyses. All MCST scores were associated with at least one measure of EF, the most common of which were the Trail Making or Hayling Tests. IQ predicted most scores on the MCST, save for nonperseverative errors and categorizing efficiency. Traditional and novel scores differentiated between clinical and control groups. These findings support the utility of the MCST in detecting executive dysfunction and highlight the importance of new scoring methods in increasing the specificity and interpretability of this task.
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Affiliation(s)
- Laura Damiani Branco
- Graduate Department of Psychology, School of Health Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Porto Alegre, Brazil
| | - Charles Cotrena
- Graduate Department of Psychology, School of Health Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Porto Alegre, Brazil
| | | | - Rochele Paz Fonseca
- Graduate Department of Psychology, School of Health Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Porto Alegre, Brazil
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Ho BL, Lin SF, Chou PS, Hsu CY, Liou LM, Lai CL. Impaired conflict monitoring in cognitive decline. Behav Brain Res 2019; 363:70-76. [PMID: 30695708 DOI: 10.1016/j.bbr.2019.01.043] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 01/24/2019] [Accepted: 01/25/2019] [Indexed: 11/26/2022]
Abstract
Resolving conflicts is an important cognitive ability of executive function, and it may decrease with cognitive decline. The flanker task is a practical test used to assess the ability to suppress responses that are inappropriate in a particular context. The aims of the present study were to investigate conflict monitoring of cognitive control in subjects with different levels of cognitive impairment, and clarify the usefulness of the flanker task in screening cognitive decline. We recruited 50 subjects with mild cognitive impairment (MCI) and 34 patients with Alzheimer's disease (AD), and 44 mentally healthy elderly subjects as a control group. To evaluate cognitive performance, each participant underwent a neuropsychological assessment using the Cognitive Abilities Screening Instrument and a modified flanker task. Compared with the normal controls and those with MCI, the patients with AD had a significantly lower accuracy rate and longer reaction time in both congruent and incongruent trials. The diagnosis of AD predicted significantly poorer performances on the flanker tasks. Furthermore, behavioral data of the patients with AD were significantly correlated with the results of neuropsychological tests. Our results indicated that executive cognitive deficits in conflict monitoring as detected by the flanker task were significantly impaired in the patients with AD. The flanker task could be a quick and easier alternative tool for screening AD among elderly people with suspicious cognitive impairment.
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Affiliation(s)
- Bo-Lin Ho
- Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, Kaohsiung Municipal Gangshan Hospital, Kaohsiung, Taiwan
| | - Sheng-Feng Lin
- School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan; Department of Clinical Pathology, Far Eastern Memorial Hospital, New Taipei, Taiwan
| | - Ping-Song Chou
- Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chung-Yao Hsu
- Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Li-Min Liou
- Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chiou-Lian Lai
- Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
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An Y, Feng L, Zhang X, Wang Y, Wang Y, Tao L, Lu Y, Qin Z, Xiao R. Patterns of cognitive function in middle-aged and elderly Chinese adults-findings from the EMCOA study. ALZHEIMERS RESEARCH & THERAPY 2018; 10:93. [PMID: 30219087 PMCID: PMC6138914 DOI: 10.1186/s13195-018-0421-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2018] [Accepted: 08/14/2018] [Indexed: 12/19/2022]
Abstract
Background The principal aim of this study was to demonstrate the gender-specific cognitive patterns among middle-aged and elderly Chinese adults, investigate the risk factors on global and domain-specific cognitive performance in men and women, respectively, and report demographically adjusted norms for cognitive tests. Methods The Effects and Mechanism of Cholesterol and Oxysterol on Alzheimer’s disease (EMCOA) study enrolled 4573 participants aged 50–70 years in three Chinese cities. All participants underwent an extensive neuropsychological test battery. Composite scores for specific domains were derived from principal component analysis (PCA). Multivariate linear regression models were used to determine gender-specific risk factors and demographically adjusted normative data. Results Three cognitive domains of verbal memory, attention/processing speed/executive function, and cognitive flexibility were extracted. A female advantage in verbal memory was observed regardless of age, whereas men tended to outperform women in global cognition and attention/processing speed/executive function. The effects of education on women were more substantial than men for general cognition and attention/processing speed/executive function. For all the cognitive tests, regression-based and demographically adjusted normative data were calculated. Conclusions There is a need for gender-specific intervention strategies for operationalizing cognitive impairment. Trial registration EMCOA, ChiCTR-OOC-17011882. Retrospectively registered on 5 July 2017. Electronic supplementary material The online version of this article (10.1186/s13195-018-0421-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yu An
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China
| | - Lingli Feng
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China.,Peking university First Hospital, Beijing, China
| | - Xiaona Zhang
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China
| | - Ying Wang
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China
| | - Yushan Wang
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China
| | - Lingwei Tao
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China
| | - Yanhui Lu
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China.,Linyi Mental Health Center, Linyi, Shandong, China
| | | | - Rong Xiao
- School of Public Health, Capital Medical University, No.10 Xitoutiao, You An Men Wai, Beijing, 100069, China.
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Gaertner B, Wagner M, Luck T, Buttery AK, Fuchs J, Busch MA. Normative data for the Digit Symbol Substitution Test in a population-based sample aged 65-79 years: Results from the German Health Interview and Examination Survey for Adults (DEGS1). Clin Neuropsychol 2018; 32:114-132. [PMID: 29911493 DOI: 10.1080/13854046.2018.1484168] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To provide normative data for the Digit Symbol Substitution Test (DSST) of the Wechsler Adult Intelligence Scale, 3rd edition (WAIS-III) in a population-based sample of community-dwelling older adults in Germany according to age, sex, and level of education. METHOD The sample comprised 1385 participants aged 65-79 years from the nationwide representative 'German Health Interview and Examination Survey for Adults' (DEGS1, 2008-2011). Participants with known cognitive impairment or dementia, other medical conditions affecting cognition, or currently using psychotropic drugs were excluded. Educational level was categorized as low, medium, and high according to the Comparative Analyses of Social Mobility in Industrial Nations (CASMIN) scale. Normative values for the DSST according to age, sex, and level of education were estimated by multiple linear regression using population weights. RESULTS Mean age was 71.1 years, 48.6% were men and low, medium, and high education levels were 62.8, 24.6, and 12.6%, respectively. Younger age, female sex, and higher level of education were significantly associated with higher DSST scores. Regression-based normative data for the DSST is provided according to age, sex, and level of education. In addition, a normative score calculator is provided. CONCLUSIONS These are the first age-, sex-, and education-specific normative data for older individuals for the DSST of the WAIS-III in Germany. These normative data will enable future population-level analyses on impaired cognitive function according to DSST.
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Affiliation(s)
- Beate Gaertner
- a Department of Epidemiology and Health Monitoring , Robert Koch Institute , Berlin , Germany
| | - Michael Wagner
- b Department of Psychiatry and Psychotherapy , University of Bonn , Bonn , Germany.,c German Center for Neurodegenerative Diseases (DZNE) , Bonn , Germany
| | - Tobias Luck
- d Department of Economic and Social Sciences , University of Applied Sciences Nordhausen , Nordhausen , Germany
| | - Amanda K Buttery
- a Department of Epidemiology and Health Monitoring , Robert Koch Institute , Berlin , Germany.,e Faculty of Life Sciences and Medicine , King's College London , London , UK
| | - Judith Fuchs
- a Department of Epidemiology and Health Monitoring , Robert Koch Institute , Berlin , Germany
| | - Markus A Busch
- a Department of Epidemiology and Health Monitoring , Robert Koch Institute , Berlin , Germany
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Arango-Lasprilla JC, Rivera D, Ramos-Usuga D, Vergara-Moragues E, Montero-López E, Adana Díaz LA, Aguayo Arelis A, García-Guerrero CE, García de la Cadena C, Llerena Espezúa X, Lara L, Padilla-López A, Rodriguez-Irizarry W, Alcazar Tebar C, Irías Escher MJ, Llibre Guerra JJ, Torales Cabrera N, Rodríguez-Agudelo Y, Ferrer-Cascales R. Trail Making Test: Normative data for the Latin American Spanish-speaking pediatric population. NeuroRehabilitation 2018; 41:627-637. [PMID: 29036847 DOI: 10.3233/nre-172247] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To generate normative data for the Trail Making Test (TMT) in Spanish-speaking pediatric populations. METHOD The sample consisted of 3,337 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Guatemala, Honduras, Mexico, Paraguay, Peru, and Puerto Rico) and Spain. Each participant was administered the TMT as part of a larger neuropsychological battery. The TMT-A and TMT-B scores were normed using multiple linear regressions and standard deviations of residual values. Age, age2, sex, and mean level of parental education (MLPE) were included as predictors in the analyses. RESULTS The final multiple linear regression models showed main effects for age on both scores, such that as children needed less time to complete the test while they become older. TMT-A scores were affected by age2 for all countries except, Cuba, Guatemala, and Puerto. TMT-B scores were affected by age2 for all countries except, Guatemala and Puerto Rico. Models indicated that children whose parent(s) had a MLPE >12 years of education needed less time to complete the test compared to children whose parent(s) had a MLPE ≤12 years for Mexico and Paraguay in TMT-A scores; and Ecuador, Mexico, Paraguay, and Spain for TMT-B scores. Sex affected TMT-A scores for Chile, Cuba, Mexico, and Peru, in that boys needed less time to complete the test than girls. Sex did not affect TMT-B scores. CONCLUSIONS This is the largest Spanish-speaking pediatric normative study in the world, and it will allow neuropsychologists from these countries to have a more accurate approach to interpret the TMT in pediatric populations.
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Affiliation(s)
- J C Arango-Lasprilla
- IKERBASQUE, Basque Foundation for Science, Bilbao, Spain.,BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain
| | - D Rivera
- BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain
| | - D Ramos-Usuga
- Research Center CERNEP, Almeria University, Almería, Spain
| | | | - E Montero-López
- CIMCYC-The Mind, Brain and Behaviour Research Centre, Universidad de Granada, Granada, Spain
| | - L A Adana Díaz
- Escuela de Psicología, Universidad de Las Américas, Quito, Ecuador
| | - A Aguayo Arelis
- Departamento de investigación, Psicología, Universidad Enrique Díaz de León., Guadalajara, Mexico
| | | | - C García de la Cadena
- Departamento de Psicología, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | | | - L Lara
- Universidad Autónoma de Chile, Talca, Chile
| | - A Padilla-López
- Laboratorio de Psicofisiología, Facultad de Ciencias Humanas, Universidad Autónoma de Baja California, Mexicali, México
| | | | | | - M J Irías Escher
- Escuela de Ciencias Psicológicas., Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras
| | | | | | - Y Rodríguez-Agudelo
- Instituto Nacional de Neurología y Neurocirugía, MVS, Ciudad de México, Mexico
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Abstract
BACKGROUND While normative data on neuropsychological performance provide baseline metrics for the assessment and diagnosis of mild cognitive impairment and dementia, a lack of comparative normative data in non-Caucasian populations makes it difficult to conduct similar evaluations and studies in individuals from diverse backgrounds. The current paper aims to provide normative data on a range of cognitive measures in a Korean general population sample and investigate various demographic and health variables associated with cognitive performance in this representative population. METHOD(S) The study population was 1,528 stroke and dementia-free individuals who participated in the Korean Genome and Epidemiology study (KoGES) (mean age 60.43 ± 7.30, 52.42% female). All participants underwent a comprehensive neuropsychological test battery that included verbal and visual memory, language, attention, and executive function measures. A health examination and a questionnaire-based interview were also administered. RESULTS The majority of cognitive test results were associated with age, education, and gender. In general, higher education and younger age was associated with better cognitive performance. Explained variance increased modestly in models that included measures of general health and depressive symptoms. CONCLUSION Normative data of cognitive performance in a community based Korean population are presented. These norms provide reference values in a non-Caucasian middle to older aged sample.
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Arango-Lasprilla JC, Rivera D. Normative data for Spanish-language neuropsychological tests: A step forward in the assessment of pediatric populations. NeuroRehabilitation 2017; 41:577-580. [PMID: 28946569 DOI: 10.3233/nre-001479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Juan Carlos Arango-Lasprilla
- BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain.,IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
| | - Diego Rivera
- BioCruces Health Research Institute, Cruces University Hospital, Barakaldo, Spain
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13
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Liang S, Deng W, Wang Q, Ma X, Li M, Brown MRG, Hu X, Li X, Greenshaw AJ, Li T. Performance of Verbal Fluency as an Endophenotype in Patients with Familial versus Sporadic Schizophrenia and Their Parents. Sci Rep 2016; 6:32597. [PMID: 27581658 PMCID: PMC5007652 DOI: 10.1038/srep32597] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 08/08/2016] [Indexed: 02/05/2023] Open
Abstract
What’s the neurocognitive deficit as an endophenotype to familial schizophrenia? Here, we investigate the neurocognitive endophenotype in first-episode patients with familial schizophrenia (FS) and sporadic schizophrenia (SS), and their parents. 98 FS patients and their 105 parents; 190 SS patients and their 207 parents; 195 controls matched with patients, and 190 controls matched with the patients’ parents, were assessed with the short version of the Wechsler Adult Intelligence Scale-Revised in China (WAIS-RC), the immediate and delayed logical memory tests from the Wechsler Memory Scale-Revised in China (WMS-RC), the Verbal Fluency Test (VFT), the Trail Making Test Parts A and B-Modified (TMA, TMB-M), and the Modified Wisconsin Card Sorting Test (WCST-M). The results showed that with age, gender, and education as covariates, after controlling for false discovery rates, the FS group and their parent group performed worse than the SS group and their parent group on VFT. No significant differences were found for other neurocognitive tests between the FS and SS patient groups, and their respective parent groups. Our findings suggest the patients with familial and sporadic schizophrenia and their respective parent groups may have a different genetic predisposition in relation to a cognitive endophenotype.
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Affiliation(s)
- Sugai Liang
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.,West China Brain Research Centre, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Wei Deng
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.,West China Brain Research Centre, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Qiang Wang
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Xiaohong Ma
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Mingli Li
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Matthew R G Brown
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G2B3, Canada
| | - Xun Hu
- Huaxi Biobank, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Xinmin Li
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G2B3, Canada
| | - Andrew J Greenshaw
- Department of Psychiatry, University of Alberta, Edmonton, AB T6G2B3, Canada
| | - Tao Li
- Department of Psychiatry and Psychiatric Laboratory, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.,West China Brain Research Centre, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
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14
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Arango-Lasprilla J, Rivera D, Longoni M, Saracho C, Garza M, Aliaga A, Rodríguez W, Rodríguez-Agudelo Y, Rábago B, Sutter M, Schebela S, Luna M, Ocampo-Barba N, Galarza-del-Angel J, Bringas M, Esenarro L, Martínez C, García-Egan P, Perrin P. Modified Wisconsin Card Sorting Test (M-WCST): Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation 2015; 37:563-90. [DOI: 10.3233/nre-151280] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- J.C. Arango-Lasprilla
- IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
- Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - D. Rivera
- Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - M. Longoni
- Clínica de rehabilitación Las Araucarias, Buenos Aires, Argentina
| | | | - M.T. Garza
- Facultad de Psicología Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - A. Aliaga
- Servicio Médico Legal, Ministerio de Justicia, Santiago, Chile
| | - W. Rodríguez
- Ponce Health Sciences University, Ponce, Puerto Rico
| | | | - B. Rábago
- Instituto Vocacional Enrique Díaz de León, Guadalajara, Mexico
| | - M. Sutter
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - S. Schebela
- Instituto de Prevención Social, Asuncion, Paraguay
| | - M. Luna
- Universidad Dr. José Matías Delgado, San Salvador, El Salvador
| | | | | | - M.L. Bringas
- International center for neurological Restoration CIREN, Havana, Cuba
| | - L. Esenarro
- Instituto de Neuropsicología y Demencias, Lima, Peru
| | - C. Martínez
- Departamento de Medicina de Rehabilitación, Nacional Autónoma de Honduras, Tegucigalpa, Honduras
| | - P. García-Egan
- Departamento de Psicología, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | - P.B. Perrin
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
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15
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Arango-Lasprilla J, Rivera D, Aguayo A, Rodríguez W, Garza M, Saracho C, Rodríguez-Agudelo Y, Aliaga A, Weiler G, Luna M, Longoni M, Ocampo-Barba N, Galarza-del-Angel J, Panyavin I, Guerra A, Esenarro L, García de la Cadena P, Martínez C, Perrin P. Trail Making Test: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation 2015; 37:639-61. [DOI: 10.3233/nre-151284] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- J.C. Arango-Lasprilla
- IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
- Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - D. Rivera
- Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - A. Aguayo
- Instituto Vocacional Enrique Díaz de León, Guadalajara, Mexico
| | - W. Rodríguez
- Ponce Health Sciences University, Ponce, Puerto Rico
| | - M.T. Garza
- Facultad de Psicología, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | | | | | - A. Aliaga
- Servicio Médico Legal, Ministerio de Justicia, Santiago, Chile
| | - G. Weiler
- Instituto de Prevención Social, Asunción, Paraguay
| | - M. Luna
- Universidad Dr, José Matías Delgado, San Salvador, El Salvador
| | - M. Longoni
- Clínica de rehabilitación Las Araucarias, Buenos Aires, Argentina
| | | | | | - I. Panyavin
- Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - A. Guerra
- Departamento de Psicología, Universidad de Camagüey Ignacio Agramonte Loynaz, Camaguey, Cuba
| | - L. Esenarro
- Departamento de Psicología, Universidad del Valle de Guatemala, Guatemala City, Guatemala
| | | | - C. Martínez
- Departamento de Medicina de Rehabilitación, Nacional Autónoma de Honduras, Tegucigalpa, Honduras
| | - P.B. Perrin
- Department of Psychology, Virginia Commonwealth University, Richmond, USA
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16
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Kiely KM, Butterworth P, Watson N, Wooden M. The Symbol Digit Modalities Test: Normative Data from a Large Nationally Representative Sample of Australians. Arch Clin Neuropsychol 2014; 29:767-75. [DOI: 10.1093/arclin/acu055] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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17
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Tripathi R, Kumar K, Bharath S, Marimuthu P, Varghese M. Age, education and gender effects on neuropsychological functions in healthy Indian older adults. Dement Neuropsychol 2014; 8:148-154. [PMID: 29213896 PMCID: PMC5619122 DOI: 10.1590/s1980-57642014dn82000010] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
It is essential to use culturally appropriate, sensitive and specific tests that reflect true cognitive performance. However, several factors including age, education and gender can influence neuropsychological test performance. Objective To examine the effects of age, education and gender on neuropsychological function in older adults using measures of global cognitive screening, attention, working memory, executive functions, memory, construction, language and parietal focal signs. Methods This is a cross sectional normative study of 180 community-dwelling normal older adults. All participants were screened with the Hindi Mental Status Examination (HMSE), Everyday Activities Scale for India (EASI), Edinburgh handedness inventory (EDI) and MINI Screen, and followed by a detailed neuropsychological assessment. Results Stepwise regression analysis revealed that education was associated with better performance on all the neuropsychological tests. Females performed significantly better on measures of memory. Further, most of the illiterate subjects, including low educated participants, refused to cooperate on measures of executive functioning. Conclusion Education was found to be the strongest determinant of neuropsychological test performance followed by age and gender. Our study demonstrates that Indian healthy normal older adults with low education perform poorly on measures of planning and working memory. Traditional measures of planning and working memory should be avoided or used cautiously in the presence of low education. There is an urgent need to develop tasks for measuring executive functions, especially in low educated Indian older adults.
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Affiliation(s)
- Ravikesh Tripathi
- Consultant Clinical Psychologist, Narayana Health, MS Medical Centre, Bangalore-99
| | - Keshav Kumar
- Additional Professor of Clinical Psychology, NIMHANS, Bangalore-560029
| | | | - P Marimuthu
- Additional Professor of Biostatistics, NIMHANS, Bangalore
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18
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Shindo A, Terada S, Sato S, Ikeda C, Nagao S, Oshima E, Yokota O, Uchitomi Y. Trail making test part a and brain perfusion imaging in mild Alzheimer's disease. Dement Geriatr Cogn Dis Extra 2013; 3:202-11. [PMID: 23888166 PMCID: PMC3721127 DOI: 10.1159/000350806] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND/AIMS The Trail Making Test (TMT) has long been used to investigate deficits in cognitive processing speed and executive function in humans. However, there are few studies that elucidate the neural substrates of the TMT. The aim of the present study was to identify the regional perfusion patterns of the brain associated with performance on the TMT part A (TMT-A) in patients with Alzheimer's disease (AD). METHODS Eighteen AD patients with poor performance on the TMT-A and 36 age- and sex-matched AD patients with good performance were selected. All subjects underwent brain single photon emission computed tomography. RESULTS No significant differences between the good and poor performance groups were found with respect to years of education and revised Addenbrooke's Cognitive Examination scores. However, higher z-scores for hypoperfusion in the bilateral superior parietal lobule were observed in the group that scored poorly on the TMT-A compared with the good performance group. CONCLUSION Our results suggest that functional activity of the bilateral superior parietal lobules is closely related to performance time on the TMT-A. Thus, the performance time on the TMT-A might be a promising index of dysfunction of the superior parietal area among mild AD patients.
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Affiliation(s)
- Aki Shindo
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Seishi Terada
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Shuhei Sato
- Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Chikako Ikeda
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Shigeto Nagao
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Etsuko Oshima
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Osamu Yokota
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Yosuke Uchitomi
- Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
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19
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Pavão Martins I, Maruta C, Freitas V, Mares I. Executive performance in older Portuguese adults with low education. Clin Neuropsychol 2012; 27:410-25. [PMID: 23259850 DOI: 10.1080/13854046.2012.748094] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Evaluation of executive functions is essential in clinical diagnosis, yet there are limited data regarding the performance of participants with low education. We present results on several measures of executive functions obtained in community-dwelling adults with an overall low education and study the effect of this variable in each test. A sample of 479 adults (64% female, mean age 66.4 years) was assessed by a battery comprising 13 measures of executive function (Trail Making Test; Symbol Search; Matrix reasoning; Semantic and phonemic verbal fluencies; Stroop test; and digit spans). Tests' psychometric properties and the effects of age, gender, and education were studied across education levels within each age group. Tests showed good psychometric properties. Education explained more variance than age in the majority of measures, with lower educational levels being significantly associated to worse scores. Tables are presented with mean scores, standard deviation, and the value of extreme percentiles for younger (50-65, N = 232) and older (>65 years, N = 247) × education (0-3, 4, 5-9, and >9 years) subgroups. Education-adjusted norms are necessary for an adequate interpretation of test results. The present data may be useful for clinicians caring for populations with low literacy.
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Affiliation(s)
- Isabel Pavão Martins
- Language Research Laboratory, UNIC, Instituto de Medicina Molecular, Lisbon Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
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20
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Ribi K. Cognitive complaints in women with breast cancer: cross-cultural considerations. Ann Oncol 2012; 23:2475-2478. [PMID: 22734011 DOI: 10.1093/annonc/mds182] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- K Ribi
- International Breast Cancer study Group (IBCSG) Coordinating Center, Bern, Switzerland.
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