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A comparison of the factor structure of processing speed for younger and older adults: testing the assumption of measurement equivalence across age groups.

The purpose of this study was to investigate measurement equivalence of processing speed measures for different age groups. A structural equation modeling approach was used to investigate a measurement model and the factorial invariance between younger and older adults on speed measures. The analyses concurrently examined whether speed-related abilities dedifferentiate with increasing age. One hundred and forty-four younger and 105 older adults completed 9 measures designed to assess motor speed, alphanumeric speed, and geometric speed. Results indicated that although the number of factors and the factor loadings were invariant across age groups, the interfactor correlations, the variance-covariance matrices, and the unique variances differed across groups. Furthermore, a second-order speed factor seemed to explain much of the variance in the 3 first-order factors, although this higher order factor accounted for slightly more variance among the older group than among the younger group. The results suggest that there is sufficient evidence of measurement equivalence on the current speed measures across the 2 adult age groups and, in addition, provide evidence of dedifferentiation.

Adolescent↗

Information processing speed deficits may be better correlated with the extent of white matter sclerotic lesions in multiple sclerosis than previously suspected.

Despite frequent use of the Paced Auditory Serial Addition Test (PASAT; Gronwall, 1977) for examining information processing speed (IPS) deficits in multiple sclerosis (MS), prior literature on the relationship between PASAT performance and severity of brain disease has been contradictory. In the present study, we found that PASAT performance is moderately well correlated with the total area of sclerotic brain lesions in MS patients only if a modified scoring method (mean "dyad" score; Snyder et al., 1993), but not the standard scoring method, is applied. We conclude that the PASAT remains a useful measure of IPS in MS, if a flaw in the typical scoring technique for this test is corrected. In our sample of 41 MS patients, for every one point decrease in mean dyad score, total lesion area increased by 364.08 mm2 on average, after controlling for age, sex, and education. IPS deficits are more severe for patients with greater brain disease, due to increased disruption of the white matter pathways that likely support the parallel distributed processing of complex information by geographically distant brain regions.

Adult↗

The processing-speed theory of adult age differences in cognition.

A theory is proposed to account for some of the age-related differences reported in measures of Type A or fluid cognition. The central hypothesis in the theory is that increased age in adulthood is associated with a decrease in the speed with which many processing operations can be executed and that this reduction in speed leads to impairments in cognitive functioning because of what are termed the limited time mechanism and the simultaneity mechanism. That is, cognitive performance is degraded when processing is slow because relevant operations cannot be successfully executed (limited time) and because the products of early processing may no longer be available when later processing is complete (simultaneity). Several types of evidence, such as the discovery of considerable shared age-related variance across various measures of speed and large attenuation of the age-related influences on cognitive measures after statistical control of measures of speed, are consistent with this theory.

Adolescent↗

Smoking, processing speed and attention in a choice reaction time task.

Nineteen subjects performed a choice reaction time task in which two levels of choice (two and four stimuli), and two levels of spatial attention (narrow and wide) were manipulated under each of two smoking conditions: sham smoking (denicotinised cigarette) or regular smoking (0.8 mg nicotine cigarette). All three factors significantly affected reaction time, with the smallest reaction times being recorded to the two-choice narrow grouped stimuli recorded under the high nicotine condition. Nicotine appears to speed decision time for both complex and hard-to-attend tasks, which is compatible with a role for nicotinic receptors in systems jointly mediating attention, memory and processing speed.

Adolescent↗

Trail making and olfaction in schizophrenia: implications for processing speed.

BACKGROUND: Previous research has established a relationship between smell identification deficits (SID) and particular aspects of cognitive function among patients with schizophrenia. OBJECTIVE: To expand the extant literature, we examined the relationship between SID and the Trail Making Test to determine if processing speed is related to SID. METHODS: Our sample included 60 inpatients from the New York State Psychiatric Institute's Schizophrenia Research Unit. We considered age, deficit syndrome, verbal intelligence quotient, and education in our analyses due to their documented relationship to smell identification ability. RESULTS: Trails A errors and Trails A seconds accounted for a significant amount of the variance in University of Pennsylvania Smell Identification Test scores in a regression analysis (R2=.10, P=.008 and R2=.05, P=.04). CONCLUSION: Linking neurocognition to smell identification deficits may prove to be an essential marker for schizophrenia research.

Adult↗

The effects of cannabis on information-processing speed.

Despite extensive research on the effects of cannabis on cognitive and motor performance, studies administering computerised cognitive batteries and pencil-and-paper tests have not provided consistent results. Contributing factors are the broad range of tests used, together with a lack of sensitivity for assessing specific cognitive processes. This study for the first time assesses a very early cognitive process, information processing, that is sufficiently fundamental as to be immune from higher cognitive, motivational, and social processes. Information processes are thought to represent the basic building blocks of higher order cognitive processes. The inspection time (IT) task was used to investigate the effects of acute and subacute cannabis use on information processing in 22 heavy users, compared to 22 noncannabis-using controls. Findings indicate that users in the subacute state display significantly slowed information-processing speeds (longer ITs) compared to controls. Paradoxically, this deficit appears to be normalised whilst users are in the acute state. These results may be explained as a withdrawal effect, but may also be due to tolerance development as a result of long-term cannabis use. Furthermore, these results may assist in providing an explanation for the development of dependence with chronic cannabis users.

Acute Disease↗

Information processing speed in Friedreich's ataxia.

Three patients with Friedreich's ataxia and six controls matched by age and vocabulary and information scores on the Wechsler Adult Intelligence Scale-Revised were administered a measure of short-term memory scanning. Patients with Friedreich's ataxia demonstrated a deficit in information processing speed in the relative absence of impairment in attention, memory, language, judgment, reasoning, and other cognitive functions. The short-term memory scanning procedure may be useful in documenting cognitive slowing and in distinguishing this impairment from the motor abnormality often associated with a subcortical brain disorder.

Adult↗

Relationships among processing speed, working memory, and fluid intelligence in children.

The present review focuses on three issues, (a) the time course of developmental increases in cognitive abilities; (b) the impact of age on individual differences in these abilities, and (c) the mechanisms by which developmental increases in different aspects of cognition affect each other. We conclude from our review of the literature that the development of processing speed, working memory, and fluid intelligence, all follow a similar time course, suggesting that all three abilities develop in concert. Furthermore, the strength of the correlation between speed and intelligence does not appear to change with age, and most of the effect of the age-related increase in speed on intelligence appears to be mediated through the effect of speed on working memory. Finally, most of the effect of the age-related improvement in working memory on intelligence is itself attributable to the effect of the increase in speed on working memory, providing evidence of a cognitive developmental cascade.

Child↗

Attention and mental processing speed in hemodialysis patients.

It has remained unclear whether well-dialyzed patients with end-stage renal disease (ESRD) show persisting neurocognitive deficits, especially in tasks that depend on sustained attention or psychomotor speed. We administered a battery of six attentional measures to 10 stable hemodialysis (HD) patients (age, 61+/-16 years; education, 12.4+/-3.8 years; Kt/V, 1.35+/-0.07) and 10 matched controls with normal renal function (age, 62+/-10 years; education, 11.6+/-1.0 years; estimated creatinine clearance, 92+/-25 mL/min). Results of the Trailmaking Test, Paced Auditory Serial Addition Test, Stroop Test, Digit Span, Continuous Performance Test (CPT), and Gordon Diagnostic System did not differ between groups. We conclude it is unlikely that well-dialyzed patients with ESRD manifest significant uremic neurocognitive deficits in the functional spheres related to sustained attention or mental processing speed.

Attention↗

Prediction of severity of brain damage by a processing speed variable in older children: a brief report.

This paper reports an attempt to predict severity of brain damage, as reflected by neuropsychological test scores, based on subtests of Wechsler Intelligence Scale for Children-Revised Factor analytic derived indices were compared with the Neuropsychological Deficit Scale for Older Children. A sample of 20 normal and heterogeneously brain-damaged children (12 males and eight females) aged 9-14, who have been administered the complete Halstead-Reitan Neuropsychological Test Battery for Older Children, were selected from case records. The hit rates obtained for agreement on level of severity with the Older Children's Neuropsychological Deficit Score was best for Processing Speed (70%), worst for Freedom from Distraction (45%), and intermediate for Perceptual Organization (65%) and Verbal Comprehension (55%).

Adolescent↗

Information processing and reasoning with premises that are empirically false: interference, working memory, and processing speed.

In this study, we looked at the contributions of individual differences in susceptibility to interference and working memory to logical reasoning with premises that were empirically false (i.e., not necessarily true). A total of 97 university students were given a sentence completion task for which a subset of stimuli was designed to generate inappropriate semantic activation that interfered with the correct response, a measure of working memory capacity, and a series of logical reasoning tasks with premises that were not always true. The results indicate that susceptibility to interference, as measured by the error rate on the relevant subset of the sentence completion task, and working memory independently account for variation in reasoning performance. The participants who made more errors in the relevant portion of the sentence completion task also showed more empirical intrusions in the deductive reasoning task, even when the effects of working memory were partialed out. Working memory capacity was more clearly related to processes involved in generating uncertainty responses to inferences for which there was no certain conclusion. A comparison of the results of this study with studies of children's reasoning suggests that adults are capable of more selective executive processes than are children. An analysis of latency measures on the sentence completion task indicated that high working memory participants who made no errors on the sentence completion task used a strategy that involved slower processing speed, as compared with participants with similar levels of working memory who did make errors. In contrast, low working memory participants who made no errors on the sentence completion task had relatively shorter reaction times than did comparable participants who did make errors.

Adult↗

Sustained attention and visual processing speed in children and adolescents with bipolar disorder and other psychiatric disorders.

To investigate the cognitive functioning of children and adolescents with bipolar illness, 112 child and adolescent psychiatric inpatients and day-hospital patients at a state psychiatric hospital were administered the Wechsler Intelligence Scale for Children-III (WISC-III) as part of an admission psychological assessment. There were 22 patients with Bipolar Disorder and 90 with other psychiatric disorders; all were between 8 and 17 years of age. The patients with Bipolar Disorder had a mean age of 14 yr., a mean Verbal IQ of 78, a mean Performance IQ of 76, and a mean Full Scale IQ of 75. When their WISC-III scores were compared with those who had Schizophrenia Spectrum disorders (Schizophrenia and Schizoaffective Disorder), Psychosis Not Otherwise Specified, Attention Deficit Hyperactivity Disorder, and Conduct Disorder and Oppositional Defiant Disorder, there were no significant between-group mean differences for Verbal IQ, but patients with Bipolar Disorder had a significantly lower mean Performance IQ than those with ADHD and those with Conduct Disorder and Oppositional Defiant Disorder. Contrary to the expectation that the patients with Bipolar Disorder might have better sustained attention (higher Digit Span scores) than those with Schizophrenia Spectrum disorders and worse visual processing speed (lower Coding scores) than the other diagnostic groups, the bipolar patients' Digit Span and Coding scores did not differ significantly from those of the other groups. The patients with Psychosis, Not Otherwise Specified had significantly lower mean Performance IQ, Full Scale IQ, and Coding than the ADHD and the Conduct Disorder and Oppositional Disorder groups.

Adolescent↗

[3D-CT of the temporal bone area with high-speed processing].

Three-dimentional (3D)-CT was introduced to represent abnormal findings in the temporal bone area utilizing a SOMATOM DRH CT scanner with accessory 3D reconstruction software and an exclusive high-speed 3D processing system, VOXEL FLINGER. In a patient with eosinophilic granuloma, a defect in the squamous part of the temporal bone was demonstrated suggesting exposure of the dura mater during surgery. In a patient with a normal ear, well-developed mastoid cavity, a part of the handle and the head of the malleus, the incudomalleal joint, the short limb, body and a part of the long limb of the incus and the round window niche were demonstrated. In a case of chronic otitis media, poorly developed mastoid cavity and a possible defect of the tip of the long limb of the incus were demonstrated, in contrast to the patient with the normal ear. 3D-CT yields objective and solid images which are useful for diagnosis, treatment planning and explanation of the pathology to patients and their family. To obtain convincing 3D images, physicians themselves have to choose exact rotation angles. It is not adequate to reconstruct original CT data using a CT computer with accessory 3D software whose processing capability is not good enough for this purpose. The conclusion is as follows: 1) it is necessary and effective to transfer original CT data into the memory of the exclusive high-speed 3D processing system and 2) process the data by the voxel memory method to establish a clinically valuable 3D-CT imaging system.

Adult↗

Sex differences in phonetic processing: speed of identification of alphabetical sequences.

Research on the sex difference in speed of matching strings of letters or digits has suggested that the difference is associated with the speed of the comparison and decision processes rather than with symbol recognition. In addition, the size of the difference is affected by whether the code used for the comparisons is figural or verbal. Given recent evidence on both the critical role of phonological processing in reading and sex differences in the lateralization of phonological processes in the brain, it was hypothesized that on a speeded task with high demands for phonological efficiency sex differences might be found even though no perceptual comparisons were required. In a study with 57 male and 60 female college students, the women were significantly faster in identifying alphabetical sequences and were more accurate than men. There were no significant sex differences on a perceptual matching condition. The results suggest that the verbal processes implicated in earlier work on sex differences in speed of symbol matching may be primarily due to sex differences in the efficiency of phonological processing.

Adult↗

Cognitive processing speed in Lyme disease.

OBJECTIVE: The goal of this study was to more precisely define the nature of the cognitive processing deficits in the patients with Lyme disease. BACKGROUND: Lyme disease has been associated with cognitive disturbances. METHOD: Sixteen patients who met the Centers for Disease Control's case definition for Lyme disease and 15 age- and education-matched control subjects completed two computerized assessments. The first was a matching procedure that assessed perceptual/motor speed. The second task was an alphabet-arithmetic (AA) test that measured the speed of mental arithmetic. On the matching task, subjects judged as true or false simple identity equations (e.g., B + 0 = B). On the AA task, subjects indicated the veracity of equations of the same form as those of the matching task but which required mental arithmetic (e.g., A + 3 = D). The use of this paradigm permits sensory or motor slowing to be distinguished from slowed cognitive processing speed. Also, the tests do not involve automated or overlearned responses. RESULTS: Lyme disease patients and healthy controls did not differ in perceptual/motor speed. However, Lyme disease patients' response times were significantly longer than those of healthy controls during the AA task, demonstrating specific impairments in mental activation speed. CONCLUSIONS: These results suggest that Lyme disease patients show specific deficits when initiating a cognitive process. These impairments are independent of sensory, perceptual, or motor deficits.

Adult↗

Influence of task-specific processing speed on age differences in memory.

Two studies were conducted to investigate the aspect(s) of processing involved in the hypothesized speed mediation of adult age differences in memory. Both studies involved a serial memory task in which information was to be recalled either in the original order of presentation, or in a reordered sequence. Results from both studies indicated that task-specific processing durations were slower among older adults than among young adults, but that the attenuation of the age-related variance in memory was nearly as great after statistical control of a task-independent speed measure as after control of task-specific speed measures. These findings are consistent with the hypothesis that a substantial proportion of the adult age-related differences in memory is associated with a decrease with increased age in the speed of executing many cognitive processes, and not simply the speed of one or two specific processes.

Adolescent↗

Is speed of processing or working memory the primary information processing deficit in multiple sclerosis?

OBJECTIVE: To examine whether processing speed or working memory is the primary information processing deficit in persons with MS. DESIGN: Case-control study. SETTING: Hospital-based specialty clinic. PARTICIPANTS: 215 adults with clinically definite MS. MAIN OUTCOME MEASURE: Mean demographically corrected T-scores, prevalence rates of impairment and relative risk of impaired Processing Speed and Working Memory Index Scores from the WAIS-WMS III. RESULTS: Deficits in Processing Speed were much more common than Working Memory in all comparisons. This was observed for both relapsing remitting (RRMS) and secondary progressive MS (SPMS) subjects, but accentuated in the latter group. CONCLUSIONS: Results strongly suggest that the primary information processing deficit in persons with MS is in speed of processing.

Adult↗

The Adult Memory and Information Processing Battery (AMIPB) test of information-processing speed: a study of its reliability and feasibility in patients with multiple sclerosis.

OBJECTIVE: To investigate how useful the Adult Memory and Information Processing Battery Task A (AMIPB) is as a test of the speed of information processing in patients with multiple sclerosis (MS) by comparing various methods of presenting the test and assessing the reliability (test-retest and inter-rater) and utility of each version. DESIGN: Each patient was assessed twice verbally by the same assessor 1-2 weeks apart. Then 1-2 weeks later half were assessed by another observer, and half were assessed by the first observer using a written method. SETTING: A specialist young disabled unit. SUBJECTS: Thirty-three patients with MS. MEASURES: The AMIPB, the Short Memory-Orientation-Concentration Test (SOMC) and the Barthel ADL Index. RESULTS: The average (SD) number of correct responses after 4 min was 23.3 (18.6), median 21. The test-retest reliability (n = 24) of the 4-min AMIPB was high (r = 0.98) and the difference of the score ranged from -7 to 9: median 3, mean (SD) 1.88 (4.01) and interquartile range 0 to 3.25. The inter-observer reliability (n = 12) of the 4-min AMIPB was also high (r = 0.97) and the mean (SD) differences between scores were 4.3 (5.8), median 4, range +19 to -2. The score at 60 seconds and the score at 240 seconds were highly correlated (r = 0.98). The scores obtained verbally and by writing were closely correlated (r = 0.99). CONCLUSIONS: The AMIPB used over 120 seconds with verbal responses is a reliable and reasonable test for major information-processing deficits.

Adult↗