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Dysexecutive Functioning in Mild Cognitive Impairment: Derailment in Temporal Gradients
Journal article   Open access   Peer reviewed

Dysexecutive Functioning in Mild Cognitive Impairment: Derailment in Temporal Gradients

Joel Eppig, Denene Wambach, Christine Nieves, Catherine C. Price, Melissa Lamar, Lisa Delano-Wood, Tania Giovannetti, Brianne M. Bettcher, Dana L. Penney, Rod Swenson, …
Journal of the International Neuropsychological Society, v 18(1)
01 Jan 2012
PMID: 22014116
url
https://europepmc.org/articles/pmc3315354View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Psychiatry Psychology Science & Technology Social Sciences
Libon et al. (2010) provided evidence for three statistically determined clusters of patients with mild cognitive impairment (MCI): amnesic (aMCI), dysexecutive (dMCI), and mixed (mxMCI). The current study further examined dysexecutive impairment in MCI using the framework of Fuster's (1997) derailed temporal gradients, that is, declining performance on executive tests over time or test epoch. Temporal gradients were operationally defined by calculating the slope of aggregate letter fluency output across 15-s epochs and accuracy indices for initial, middle, and latter triads from the Wechsler Memory Scale-Mental Control subtest (Boston Revision). For letter fluency, slope was steeper for dMCI compared to aMCI and NC groups. Between-group Mental Control analyses for triad 1 revealed worse dMCI performance than NC participants. On triad 2, dMCI scored lower than aMCI and NCs; on triad 3, mxMCI performed worse versus NCs. Within-group Mental Control analyses yielded equal performance across all triads for aMCI and NC participants. mxMCI scored lower on triad 1 compared to triads 2 and 3. dMCI participants also performed worse on triad 1 compared to triads 2 and 3, but scored higher on triad 3 versus triad 2. These data suggest impaired temporal gradients may provide a useful heuristic for understanding dysexecutive impairment in MCI. (JINS, 2012, 18, 20-28)

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
Psychiatry
Psychology
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