Differential impacts of age of acquisition on letter and semantic fluency in Alzheimer's disease patients and healthy older adults

The degree to which the typical age of acquisition (AoA) of words and word frequency have separable influences on verbal production tasks has been strongly debated. To examine the overlap between these factors in verbal fluency tasks, the performance of Alzheimer's disease (AD) patients (N = 34) and normal elderly controls (N = 36) was compared on semantic (e.g., vegetables) and letter (e.g., words that begin with F) fluency tasks. These comparisons revealed that words generated for the semantic fluency task had an earlier AoA while words generated for the letter fluency task had a higher word frequency. Differences in AoA between AD patients and controls were larger for semantic than letter fluency. These results suggest that AoA has an effect on verbal production that is independent of word frequency and that AoA has a semantic locus.     

Verbal Knowledge as a Compensation Determinant of Adult Age Differences in Verbal Fluency Tasks over Time

The aim of this study was to determine whether verbal knowledge can compensate for the age-related decline in word production during a fluency test. We assessed the performance of 20 young and 20 old subjects in standard letter and semantic fluency tasks over time (T1: 0–30 s vs. T2: 31–60 s). The number of words produced, switching, and clustering components (Troyer et al. Neuropsychology, 11(1): 138–146, 1997) were investigated. Correlations between age and cognitive factors (processing speed, executive functions, and vocabulary level) were analyzed. The results revealed a knowledge compensation mechanism in elderly subjects, but only in letter fluency productions. It only occurred during the second period and was related to an increase in the clustering component and a positive correlation between age and vocabulary level. The differences between letter and semantic fluency performances are discussed in terms of the nature of the non-semantic and semantic components involved in these tasks.     

Differential impacts of age of acquisition on letter and semantic fluency in Alzheimer's disease patients and healthy older adults

The degree to which the typical age of acquisition (AoA) of words and word frequency have separable influences on verbal production tasks has been strongly debated. To examine the overlap between these factors in verbal fluency tasks, the performance of Alzheimer's disease (AD) patients (N?=?34) and normal elderly controls (N?=?36) was compared on semantic (e.g., vegetables) and letter (e.g., words that begin with F) fluency tasks. These comparisons revealed that words generated for the semantic fluency task had an earlier AoA while words generated for the letter fluency task had a higher word frequency. Differences in AoA between AD patients and controls were larger for semantic than letter fluency. These results suggest that AoA has an effect on verbal production that is independent of word frequency and that AoA has a semantic locus.     

Category size effects in semantic and letter fluency in Alzheimer's patients

Many studies have found that patients with Alzheimer's disease (AD) perform significantly worse than normal controls on verbal fluency tasks. Moreover, some studies have found that AD patients' deficits compared to controls are more severe for semantic fluency (e.g., vegetables) than for letter fluency (e.g. words that begin with F). These studies, however, have not taken category size into account. A comparison of AD patients and age-matched controls on three semantic and three letter categories revealed that both the size and type of a category significantly predicted AD patients' deficits on verbal fluency tasks. These results suggest that the verbal fluency of AD patients will be most attenuated on large semantic categories.     

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.     

语音回路和视空间模板对音位流畅性和语义流畅性的影响

采用双任务范式,通过四种次任务考察了工作记忆两个子系统－语音回路和视空间模板对音位流畅性和语义流畅性的影响。实验1表明,主动产生系列发音和被动聆听声音判断对音位流畅性影响更大,表明音位流畅性更依赖于语音回路。实验2表明,字形匹配和字形旋转判断对语义流畅性影响更大,表明语义流畅性更依赖于视空间模板。研究还表明,被试完成音位流畅性任务的策略更易受语言的特点影响,完成语义流畅性任务的策略更易受概念系统的特性影响     

Category and letter fluency in semantic dementia, primary progressive aphasia, and Alzheimer's disease

This study examined the impact of various degenerative dementias on access to semantic knowledge and the status of semantic representations. Patients with semantic dementia, primary progressive aphasia, and Alzheimer's disease were compared with elderly controls on tasks of category and letter fluency, with number of words generated, mean lexical frequency and errors recorded. The findings are consistent with the view that category and letter fluency rely on both common and unique cognitive processes. Fluency tasks, with the richness of data obtained, are valuable in distinguishing different dementia syndromes from one another.     

Verbal fluency over time as a measure of automatic and controlled processing in children with ADHD

The performance of ADHD children on semantic category fluency (SCF) versus initial letter fluency (ILF) tasks was examined. For each participant, word production was recorded for each 15-s time slice on each task. Performance on both fluency tasks was compared to test the hypothesis that children with ADHD are characterized by a performance deficit on the ILF task because performance on this task is less automated than performance on the SCF. Children classified with ADHD (N = 20) were compared to children with other psychopathology (N = 118) and healthy controls (N = 130). Results indicated that the groups could not be differentiated by the total number of words produced in 60 s in either fluency task. As hypothesized, a significant interaction of group by productivity over time by type of fluency task was found: ADHD children had more problems finding words in the first 15 s of the IFL than did children in the other two groups, and as compared with their performance on the SCF. Results were taken to indicate that children with ADHD symptoms show a delay in the development of automating skills for processing abstract verbal information.     

注意控制和短时存储对音位流畅性和语义流畅性的影响

工作记忆的中央执行系统具有注意控制和短时存储的功能。采用双任务范式,探讨了中央执行系统的注意控制和短时存储对言语流畅性的影响。实验1考察了中央执行系统的转换和抑制功能对音位流畅性和语义言语流畅性的影响。结果表明,中央执行系统的转换和抑制功能对两种言语流畅性的影响相当。实验2考察了中央执行系统的注意控制资源和短时存储资源对两种言语流畅性的影响。结果表明,语义流畅性更依赖于短时存储资源,音位流畅性更依赖于注意控制资源。研究还发现,被试完成语义流畅性任务的策略更易受概念系统的特性影响,完成音位流畅性任务的策略更易受语言的特点影响。在实验研究的基础上,作者提出了工作记忆影响言语流畅性的理论模型     

The Effects of Age,Sex and Alzheimer's Disease on Strategy Use During Verbal Fluency Tasks

ABSTRACT

Clustering and switching strategies during phonemic and semantic verbal fluency tasks were investigated in healthy adults (n = 193, 86 males, 20–90 years) in young, middle-aged, young–old, and old–old age groups (Study 1). Older groups produced fewer total words and lower switching scores; males relied more on clustering and females on switching to produce equivalent output. In Study 2, early Alzheimer's disease participants, compared to healthy older adults, (n = 26 per group) produced fewer total words and smaller average clusters. Sex, age, and clinical differences on switching and clustering strategies support a dual processing model of verbal fluency.     

Sex differences in verbal fluency: the role of strategies and instructions

Sex differences in verbal fluency performance and strategies are highly controversial, nevertheless suggesting a slight female advantage at least for phonemic fluency. A tendency of increased clustering of words into phonemic and semantic subcategories in men and increased switching between those categories in women has been suggested. In spatial tasks, it has been demonstrated that changes in instructions favoring a certain cognitive strategy can alter sex differences in performance. Such an approach has, however, not been attempted previously with verbal tasks. In the present investigation, 19 women in their luteal cycle phase and 23 men performed a phonemic and a semantic fluency task with three different instructions, one neutral, one emphasizing the clustering, and one emphasizing the switching of words. While under neutral instructions no sex differences were observed in verbal fluency performance and strategies, sex differences in switching and overall performance were observed in semantic fluency with an instruction requiring a switching strategy. Furthermore, correlation analyses suggested that the importance of strategies for overall performance differed between women and men. While only switching, but not clustering was related to overall verbal fluency performance in all tasks under all instructions, this relationship was driven by women in the phonemic task, but by men in the semantic task. These results highlight the importance of a consistent methodology in sex difference research. Slight variations in instructions may in part explain inconsistencies regarding sex differences in verbal fluency between previous studies.     

Monitoring the Changing Status of Semantic Memory in Alzheimer's Disease: An Evaluation of Several Process Measures

The deficits in generating correct words on verbal fluency tasks exhibited by patients with Alzheimer's disease (AD) are accompanied by fewer switching responses, smaller phonemic and semantic cluster sizes, and greater than normal percentages of errors and category labels. On category fluency tasks, patients generate a greater proportion of words that are prototypical of their semantic class. To determine whether any of these supplementary measures of verbal fluency performance might be useful in revealing processes involved in the decline of semantic memory in AD, we studied 219 patients with AD and 115 elderly control participants longitudinally. Previously reported group differences between patients and controls were replicated, but changes in average cluster size, error rates, and prototypicality were not related to changes in overall severity of dementia and test-retest stability was only modest. The change in the percentage of labels generated on the Supermarket task was related to changes in dementia severity, but test-retest stability on this measure was quite low. All of these process measures appear to reflect only the current status of the patient's attention to the task and access to semantic knowledge, but they do not forecast future performance. The numbers of switching responses on the fluency tasks were sensitive to differences between clinically deteriorated and clinically stable patients and showed fairly high test-retest stability. However, the number of switching responses is so highly correlated with the number of correct words that it contributes little to the understanding of the processes involved in the progressive decline in performance on fluency tasks by patients with AD.     

Verbal Fluency,Semantics, Context and Symptom Complexes in Schizophrenia

Lexical-semantic access and retrieval was examined in 15 adults diagnosed with schizophrenia and matched controls. This study extends the literature through the inclusion of multiple examinations of lexical-semantic production within the same patient group and through correlating performance on these tasks with various positive and negative clinical symptoms. On tasks of verbal fluency, meaning generation, sentence production using contextual information and confrontation naming, participants with schizophrenia made significantly more semantic errors on naming tasks; produced fewer meanings for homophones; produced fewer items on semantic, phonological, cued and switching fluency tasks; and produced more errors on sentence production tasks when compared to healthy controls. Significant correlations were also observed between ratings of psychomotor poverty and measures of semantic production and mental inflexibility. This study has provided additional evidence for deficits in lexical-semantic retrieval which are not due to underlying semantic store degradation, do not involve phonological based retrieval, and at the level of sentence generation appear to vary as a function of the contextual constraints provided.     

Semantic and Phonemic Verbal Fluency in Blinds

A person who has suffered the total loss of a sensory system has, indirectly, suffered a brain lesion. Semantic and phonologic verbal fluency are used for evaluation of executive function and language. The aim of this study is evaluation and comparison of phonemic and semantic verbal fluency in acquired blinds. We compare 137 blinds and 124 sighted people in verbal fluency task. The tasks were phonemic and semantic verbal fluency test that subjects should be generate as many word as possible in a limited amount of time for a given letter (Phonemic fluency) or a given category (Semantic fluency). Independent T Test was used to comparing blind with sighted. Findings show significant difference between two groups so that that sighted subjects have higher performance in semantic verbal fluency task (p = 0.000). Comparing sighted and blind subjects in phonemic verbal fluency task shows performance in sighted subjects (p = 0.000). Based on this study blinds have lower performance in semantic and phonemic verbal fluency task as a executive function of frontal lobe.     

Clustering and switching in unconstrained,phonemic and semantic verbal fluency: the role of age and school type

We investigated the role of age and school type on clustering and switching in verbal fluency tasks (VFTs) with Brazilian children. The children were administered unconstrained, phonemic and semantic VFTs with a duration of 150 or 120 s, respectively. Both age and school type influenced all variables and in terms of performance over time. Older children and private school students outperformed the remainder of the sample, with the first 30 s of each VFT usually being the most productive. Although the size of the clusters produced did not differ between groups, the types of clusters did show some variations, with semantic clusters being the most frequent. Our results revealed strong correlations between switching ability and word production in all three VFTs. In conclusion, the executive functions known as planning and cognitive flexibility play a crucial role in word production by organising and facilitating the recall of lexical information from memory.     

Semantic and phonemic verbal fluency in Parkinson's disease: Influence of clinical and demographic variables

Changes of cognitive function in PD have been extensively documented and defined as a 'frontal' type executive dysfunction. One of the main components of this executive dysfunction is the impairment of verbal fluency. The aim of the present study was to assess semantic and phonemic fluency in a large sample of PD patients and to investigate the effect of clinical and sociodemographic variables on verbal fluency in this patient group. Three hundred patients with idiopathic Parkinson's disease who were consecutive referrals to our clinic and 50 age and education matched healthy controls completed the phonemic and semantic verbal fluency tasks. Both phonemic and semantic verbal fluency were significantly impaired in PD patients relative to matched controls. Stage of illness, presence of depression, education and age influenced verbal fluency measures. Regression analyses established that global measures of cognitive ability (MMSE) and executive function (FAB) and side of onset of motor symptoms predicted 36-37% of variance of phonemic or semantic verbal fluency measures. Thus, future studies aimed at assessing cognitive functioning in PD patients treated by deep brain stimulation (DBS) should adequately take into account several factors (stage of illness, depression, executive functioning) which may potentially influence performance on verbal fluency tasks.     

Bilingualism and reading difficulties: an exploration in episodic and semantic memory

This study was designed to investigate the effect of bilingualism and reading difficulties (RD) on episodic and semantic memory. The subjects included 190 children (aged 9–12 years): 45 Iranian-Swedish bilinguals and 59 Swedish monolinguals with typically developed reading, along with 41 bilinguals and 45 monolinguals with RD. To measure episodic memory, subject-performed and verbal tasks were used for encoding, and both free and cued recall were used for retrieval. Letter and category fluency tasks were used to test semantic memory. In action memory, bilingual children with RD benefited less from enactment encoding form compared to children with typically developed reading. Additionally, bilingual with RD had lower rates of recollection in category fluency compared to their monolingual counterparts. However, in letter fluency, there was not found a difference between performances of bilinguals and monolinguals with RD. We discuss the involvement of long-term memory in both bilingualism and reading.     

Impaired word naming in right-brain-damaged right-handers: error types and time-course analyses

The purpose of this study is to search for cues that could account for the fact that right-hemisphere lesions affect word naming when the criterion for naming is semantic. The authors analyzed the errors as well as the time course of productions of 35 vascular right-brain-damaged subjects (RBD) and 20 control subjects (C) in a semantic-based word-naming task. Results show that there are no differences between groups in terms of (a) the number of errors produced and, (b) the patterns of error types. However, results also show a reduction of verbal fluency for semantic criteria in RBD-subjects present only after the first 30 seconds of production. These results indicate that reduction of word production in RBD-subjects is not the consequence of nonspecific factors such as perseveration or spontaneity, but reflects problems with the less automatized processes permitting exploration of semantic organization, either because scanning process are affected, or because the presence of a discreet semantic impairment prevents scanning from being as efficient. Given that efficient exploration of semantic knowledge is important for lexico-semantic functioning, the present results suggest that the right hemisphere contributes to some aspects of lexico-semantic processing necessary for language production.     

Word fluency performance and strategies in children with cochlear implants: age‐dependent effects?

Löfkvist, U., Almkvist, O., Lyxell, B. & Tallberg, I.‐M. (2012). Word fluency performance and strategies in children with cochlear implants: age‐dependent effects? Scandinavian Journal of Psychology 53, 467–474. Word fluency was examined in 73 Swedish children aged 6–9 years divided into two age groups, 6–7 and 8–9 years; 34 deaf children with cochlear implants (CI) (15 girls/19 boys) and 39 age‐matched children with normal hearing (NH) (20 girls/19 boys). One purpose was to compare the ability to retrieve words in two different word fluency tasks; one phonemically based (FAS letter fluency) and one semantically based (animal fluency). A second purpose was to examine retrieval strategies in the two tasks by conducting an analysis of clustering and switching of word sequences. In general we found that age was an important factor for word fluency ability, in both the CI and the NH groups. It was also demonstrated that children with CI aged 8–9 years retrieved significantly fewer words and used less efficient strategies in the retrieval process, especially on the phonemically based task compared to children with NH of the same ages, whereas children 6–7 years performed similarly in both groups regarding number of retrieved words and use of strategies. The results are discussed with respect to factors such as age differences in performance for children with CI, especially for the phonemically based task.