Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-23T17:17:22.661Z Has data issue: false hasContentIssue false

Clustering and Switching Strategies During Verbal Fluency Performance Differentiate Alzheimer's Disease and Healthy Aging

Published online by Cambridge University Press:  07 October 2011

Nicole Haugrud*
Affiliation:
Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan
Margaret Crossley
Affiliation:
Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan
Mirna Vrbancic
Affiliation:
Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan Clinical Health Psychology, Royal University Hospital, Saskatoon, Saskatchewan
*
Correspondence and reprint requests to: Nicole Haugrud, Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. E-mail: nicole.haugrud@usask.ca

Abstract

Clustering and switching strategies during phonemic and semantic verbal fluency tasks as defined by Troyer et al. (1997), Abwender et al. (2001), and Lanting et al. (2009) were compared using archival data to determine which scoring procedures best differentiate healthy older adults (n = 26) from individuals with early-stage Alzheimer's disease (AD, n = 26). Total word production showed the largest group difference, especially for semantic fluency. The AD group produced fewer switches when compared to the healthy control group, whereas the groups did not differ in cluster size. The AD group also accessed fewer novel semantic subcategories, presumably due to reduced access to semantic memory storage rather than lower processing speed. Clustering and switching scores on the phonemic task did not add information above total words produced, consistent with previous research indicating these variables are most informative in relation to semantic fluency. (JINS, 2011, 17, 1153–1157)

Type
Brief Communications
Copyright
Copyright © The International Neuropsychological Society 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abwender, D.A., Swan, J.G., Bowerman, J.T., Connolly, S.W. (2001). Qualitative analysis of verbal fluency output: Review and comparison of several scoring methods. Assessment, 8, 323336. doi:10.1177/107319110100800308CrossRefGoogle ScholarPubMed
Beatty, W.W., Testa, J.A., English, S., Winn, P. (1997). Influences of clustering and switching on the verbal fluency performance of patients with Alzheimer's disease. Aging, Neuropsychology, and Cognition, 4, 273279. doi:10.1080/13825589708256652CrossRefGoogle ScholarPubMed
Benton, A.L., Hamsher, K. (1989). Multilingual aphasia examination. Iowa City, Iowa: AJA Associates.Google Scholar
Braaten, A.J., Parsons, T.D., McCue, R., Sellers, A., Burns, W.J. (2006). Neurocognitive differential diagnosis of dementing diseases: Alzheimer's dementia, vascular dementia, frontotemporal dementia, and major depressive disorder. International Journal of Neuroscience, 116, 12711293. doi:10.1080/00207450600920928Google Scholar
Crossley, M., D'Arcy, C., Rawson, N. (1997). Letter and category fluency in community-dwelling Canadian seniors: A comparison of normal participants to those with dementia of the Alzheimer or vascular type. Journal of Clinical and Experimental Neuropsychology, 19, 5262. doi:10.1080/01688639708403836Google Scholar
Epker, M.O., Lacritz, L.H., Munro Cullum, C. (1999). Comparative analysis of qualitative verbal fluency performance in normal elderly and demented populations. Journal of Clinical and Experimental Neuropsychology, 21, 425434. doi:10.1076/jcen.21.4.425.890CrossRefGoogle ScholarPubMed
Folstein, M.F., Folstein, S.E., McHugh, P.R. (1975). Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198. doi:10.1016/0022-3956%2875%2990026-6Google Scholar
Haugrud, N., Lanting, S., Crossley, M. (2010). The effects of age, sex and Alzheimer's disease on strategy use during verbal fluency tasks. Aging, Neuropsychology, & Cognition, 17, 220239. doi:10.1080/13825580903042700Google Scholar
Henry, J.D., Crawford, J.R. (2004). A meta-analytic review of verbal fluency performance following focal cortical lesions. Neuropsychology, 18, 284295. doi:10.1037/0894-4105.18.2.284CrossRefGoogle ScholarPubMed
Henry, J.D., Crawford, J.R., Phillips, L.H. (2004). Verbal fluency performance in dementia of the Alzheimer's type: A meta-analysis. Neuropsychologia, 42, 12121222. doi:10.1016/j.neuropsychologia.2004.02.001CrossRefGoogle ScholarPubMed
Lanting, S., Haugrud, N., Crossley, M. (2009). The effects of age and sex on clustering and switching during speeded verbal fluency tasks. Journal of the International Neuropsychological Society, 15, 196204. doi:10.1017/S1355617709090237CrossRefGoogle ScholarPubMed
McDowd, J., Hoffman, L., Rozek, E., Lyons, K.E., Pahwa, R., Burns, J., Kemper, S. (2011). Understanding verbal fluency in healthy aging, Alzheimer's disease, and Parkinson's disease. Neuropsychology, 25, 210225. doi:10.1037/90021531CrossRefGoogle ScholarPubMed
McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., Stadlan, M. (1984). Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's disease. Neurology, 34, 939944.Google Scholar
Sailor, K., Antoine, M., Diaz, M., Kuslansky, G., Kluger, A. (2004). The effects of Alzheimer's disease on item output in verbal fluency tasks. Neuropsychology, 18, 306314. doi:10.1037/0894-4105.18.2.306Google Scholar
Spreen, O., Strauss, E. (1991). A compendium of neuropsychological tests: Administration, norms and commentary. New York: Oxford University Press.Google Scholar
Troster, A.I., Fields, J.A., Testa, J.A., Paul, R.H., Blanco, C.R., Hames, K.A., Beatty, W.W. (1998). Cortical and subcortical influences on clustering and switching in the performance of verbal fluency tasks. Neuropsychologia, 36, 295304. doi:10.1016/S0028-3932%2897%2900153-XGoogle Scholar
Troyer, A. (2000). Normative data for clustering and switching on verbal fluency tasks. Journal of Clinical and Experimental Neuropsychology, 22, 307378. doi:10.1076/1380-3395(200006)22:3;1-V;FT370CrossRefGoogle ScholarPubMed
Troyer, A.K., Moscovitch, M., Winocur, G. (1997). Clustering and switching as two components of verbal fluency: Evidence from younger and older healthy adults. Neuropsychology, 11, 138146. doi:10.1037/0894-4105.11.1.138CrossRefGoogle ScholarPubMed
Troyer, A.K., Moscovitch, M., Winocur, G., Leach, L., Freedman, M. (1998). Clustering and switching on verbal fluency tests in Alzheimer's and Parkinson's disease. Journal of the International Neuropsychological Society, 4, 137143. doi:10.1017/S1355617798001374CrossRefGoogle ScholarPubMed
Wilkinson, G.S. (1993). Wide range achievement test – revision 3. Wilmington, DE: Jastak Association.Google Scholar