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1 results

  • Verbal fluency as a screening tool for mild cognitive impairment
  • Michelle McDonnell, Lauren Dill, Stella Panos, Stacy Amano, Warren Brown, Shadee Giurgius, Gary Small, Karen Miller
  • Journal: International Psychogeriatrics / Volume 32 / Issue 9 / September 2020
  • Published online by Cambridge University Press: 01 July 2019, pp. 1055-1062
  • Print publication: September 2020
  • View abstract
    Objectives:

    The goal of this study was to evaluate the ability of semantic (animal naming) and phonemic (FAS) fluency in their ability to discriminate between normal aging, amnestic-Mild Cognitive Impairment (a-MCI), and Alzheimer’s disease (AD).

    Design:

    We used binary logistic regressions, multinomial regressions, and discriminant analysis to evaluate the predictive value of semantic and phonemic fluency in regards to specific diagnostic classifications.

    Setting:

    Outpatient geriatric neuropsychology clinic.

    Participants:

    232 participants (normal aging = 99, a-MCI = 90, AD = 43; mean age = 65.75 years).

    Measurements:

    Mini-mental State Examination (MMSE), Controlled Oral Word Association Test

    Results:

    Results indicate that semantic and phonemic fluency were significant predictors of diagnostic classification, and semantic fluency explained a greater amount of the discriminant ability of the model.

    Conclusions:

    These results suggest that verbal fluency, particularly semantic fluency, may be an accurate and efficient tool in screening for early dementia in time-limited medical settings.