Confirmatory Factor Analysis of Neurocognitive Measures in Healthy Young Adults: The Relation of Executive Functions with Other Neurocognitive Functions.

OBJECTIVE: The present study aimed to investigate the factor structure of a set of neurocognitive tests theoretically assessing executive functions (EF), verbal abilities (VA), and processing speed (PS). This study extended previous research by analyzing if each test is better explained by the specific factor to which it theoretically belongs or by a more general neurocognitive factor; and also by analyzing the relations between the neurocognitive factors. METHODS: Using confirmatory factor analysis (CFA) we examined the factor structure of nine neurocognitive tests (EF: Working Memory, Tower, Divided Attention, Stroop, and Verbal Fluency tests; VA: Word List and Confrontation Naming tests; PS: Coding and Telephone Search tests) in a nonclinical sample (N = 90; 18-33 years old, 76 women). We tested five factor models of neurocognitive functioning: a one-factor model; two models with two-correlated factors; and two models with three-correlated factors. RESULTS: A three-correlated-factor model, with EF, VA, and PS factors, was the most suitable for our neuropsychological data. The Verbal Fluency test was better explained by the VA factor rather than by the EF factor. The EF factor was correlated with the PS factor, but not with the VA factor. CONCLUSIONS: Most of the neurocognitive measures used in the present study loaded in the expected factors (with the exception of the Verbal Fluency that was apparently more related to VA). EF and PS represent related but separable functions. Our results highlight the need for a careful interpretation of test scores since performance on one test usually requires multiple functions.

A new test for the assessment of working memory in clinical settings: Validation and norming of a month ordering task.

Month ordering tasks have been used in experimental settings to obtain measures of working memory (WM) capacity in older/clinical groups based solely on their face validity. We sought to assess the appropriateness of using a month ordering task in other contexts, including clinical settings, as a psychometrically sound WM assessment. To this end, we constructed a month ordering task (ucMOT), studied its reliability (internal consistency and temporal stability), and gathered construct-related and criterion-related validity evidence for its use as a WM assessment. The ucMOT proved to be internally consistent and temporally stable, and analyses of the criterion-related validity evidence revealed that its scores predicted the efficiency of language comprehension processes known to depend crucially on WM resources, namely, processes involved in pronoun interpretation. Furthermore, all ucMOT items discriminated between younger and older age groups; the global scores were significantly correlated with scores on well-established WM tasks and presented lower correlations with instruments that evaluate different (although related) processes, namely, inhibition and processing speed. We conclude that the ucMOT possesses solid psychometric properties. Accordingly, we acquired normative data for the Portuguese population, which we present as a regression-based algorithm that yields z scores adjusted for age, gender, and years of formal education. (PsycINFO Database Record (c) 2018 APA, all rights reserved).