Children's word fluency strategies.

Two word fluency tasks, the FAS letter fluency task and the "animal" semantic fluency task, were administered to 130 healthy Swedish-speaking children between 6 and 15 years of age. The main aim was to gather normative data on these word fluency tasks for Swedish-speaking children. Another purpose was to examine the switching and clustering strategies used, along with the occurrence of erroneous responses, in relation to demographic data and number of words retrieved. Both phonological and semantic analyses of switching and clustering were conducted. Higher age was found to be related to a more effective use of phonological and semantic switching and clustering strategies. The reference data resulting from this study may be of clinical value in examinations of children with various diagnoses, including language impairment.

Swedish norms for word fluency tests: FAS, animals and verbs.

Verbal fluency tests are useful measures of acquired language impairment and cognitive decline of various etiologies. The aim of this study was to provide normative data for the Swedish population on the three verbal fluency tests, FAS, Animals and Verbs. A group of 165 healthy participants ranging from 16 to 89 years of age were assessed with the verbal fluency tests and tests of level of intellectual functioning. The sample was stratified by education, age and gender. Level of education had a substantial influence on the performance on verbal fluency, most clearly so in FAS and Verbs. Intellectual level had a positive and significant correlation with all measures of word fluency. Moreover, there was an interaction between age and gender such that women aged between 30 and 64 years outperformed elderly men on FAS and Verbs. Guidelines for instructions and scoring in Swedish are given in the article.

Estimation of premorbid cognitive function based on word knowledge: the Swedish Lexical Decision Test (SLDT).

In clinical neuropsychology, the present status of a patient is evaluated in relation to the assumed premorbid status. However, in Sweden, existing methods to assess premorbid status are far from optimal. In the present study, the design and evaluation of a Swedish Lexical Decision Test (SLDT) for premorbid global cognitive function (i.e., premorbid intelligence) is described. The design was based on the empirical finding that, in general adult population, word knowledge is strongly associated with measures of global cognitive functioning. Linear stepwise regression analysis demonstrated that SLDT findings accounted for 48% of the variance of global cognitive function as assessed by the Full Scale Intelligence Quotient (FSIQ) from the Wechsler Adult Intelligence Scale Revised (WAIS-R). Demographic variables alone accounted for 31% and a combination of SLDT results and demographics accounted for 60%. Psychometric properties are presented using data from 109 healthy individuals stratified according to age, gender, and level of education. In addition, a case of Alzheimer's disease is presented to illustrate the relationship between SLDT performance and cognitive function. Finally, the theoretical foundation for the relationship between word knowledge and global cognitive function is discussed.

The Boston Naming Test in Swedish: normative data.

The purpose of the present study was to introduce a Swedish version of the Boston Naming Test and to offer normative data based on a sample of native Swedish-speaking healthy adults stratified concerning age, gender, and length of education. The subjects were assessed with other lexical tests and half of the group also performed tests of global cognitive function. A semantic analysis of the responses was performed and the typical Swedish naming of the pictures of BNT was investigated. The results showed that long education, high performance on tests of global cognitive ability (FSIQ), verbal fluency, and other lexical tests had a significant positive association to a good performance on BNT whereas age and gender had a minor influence. The response analysis showed that the more difficult an item was, the more variations in the response pattern. To conclude, the Boston Naming Test is appropriate for use in a Swedish-speaking context and an effective test for assessment of naming ability.

Confabulation and memory in patients with Alzheimer's disease.

Confabulation occurs in many brain diseases and concomitant with various cognitive disturbances. The purpose of the present study was to describe semantic features of confabulation and to investigate the relationship between these features and aspects of memory in Alzheimer's disease (AD). A group of 15 AD patients were asked questions aiming to evoke confabulations. The answers were analyzed with focus on semantic remoteness to the target answers into four different categories that made it possible to study the genesis of confabulation. Cognitive tests measuring episodic and semantic memory, priming as well as global cognitive functioning were performed, and the results were related to semantic features of confabulation. Results showed that semantic remoteness to the target answers was positively related to poor performance on Mini Mental State Examination but not to item recall, word fluency, or priming. It appears that difficulties with retrieval of recent autobiographical memories may have resulted in substitution of correct information with remote autobiographical memories, that is primary dysdeictic confabulations.