Regression-based normative techniques account for variability in test performance associated with multiple predictor variables and generate expected scores based on algebraic equations. Using this approach, we show that estimated IQ, based on oral word reading, accounts for 1–9% of the variability beyond that explained by individual differences in age, sex, race, and years of education for most cognitive measures. These results confirm that adding estimated “premorbid” IQ to demographic predictors in multiple regression models can incrementally improve the accuracy with which regression-based norms (RBNs) benchmark expected neuropsychological test performance in healthy adults. It remains to be seen whether the incremental variance in test performance explained by estimated “premorbid” IQ translates to improved diagnostic accuracy in patient samples. We describe these methods, and illustrate the step-by-step application of RBNs with two cases. We also discuss the rationale, assumptions, and caveats of this approach. More broadly, we note that adjusting test scores for age and other characteristics might actually decrease the accuracy with which test performance predicts absolute criteria, such as the ability to drive or live independently. (JINS, 2009, 15, 1012–1022.)

The semantic fluency task is a widely used assessment tool for evaluating memory-related cognitive deficits in neurological and neuropsychiatric disorders. The present study investigates individual differences in performance on this task in a normal population. The aim is to explore handedness differences in switching and clustering tendencies when performing this task. Consistent with our prediction, when asked to produce as many animal names as possible in 1 min, mixed handers demonstrated greater switching between different subcategories of animals than strong handers. These findings are interpreted in terms of the more diffuse spread of activation among conceptual representations in the right hemisphere, and greater access to right hemisphere processes in mixed handers. The findings have implications for the research communities using the semantic fluency task, irrespective of whether or not they are looking at handedness differences per se. (JINS, 2009, 15, 1023–1027.)

In most individuals, language production and visuospatial skills are subserved predominantly by the left and right hemispheres, respectively. Functional Transcranial Doppler (fTCD) provides a noninvasive and relatively low-cost method for measuring functional lateralization. However, while the silent word generation task provides an accurate and reliable paradigm for investigating lateralization of language production, there is no comparable gold-standard method for measuring visuospatial skills. Thirty undergraduate students (19 females) completed a task of spatial memory while undergoing fTCD recording. Participants completed this task at two different time points, separated by between 26 to 155 days. The relative activation between hemispheres averaged across all participants was found to be consistent across testing sessions. This was observed at the individual level also, with a quantitative index of lateralization showing high reproducibility. These findings indicate that the use of the spatial memory task with fTCD is a robust methodology for examining laterality of visuospatial skills. (JINS, 2009, 15, 1028–1032.)