Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease

Recent studies have shown that increased cognitive intraindividual variability (IIV) across accuracy scores from tests representing different cognitive domains (across-domain IIV) might indicate prodromal Alzheimer’s disease (AD). Although IIV has been proposed to index cognitive control processes,...

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Main Authors: Andrea Maria Kälin, Marlon ePflüger, Anton Franz Gietl, Florian eRiese, Lutz eJäncke, Roger M. Nitsch, Christoph eHock
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-07-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00147/full
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author Andrea Maria Kälin
Marlon ePflüger
Anton Franz Gietl
Florian eRiese
Lutz eJäncke
Lutz eJäncke
Lutz eJäncke
Roger M. Nitsch
Christoph eHock
author_facet Andrea Maria Kälin
Marlon ePflüger
Anton Franz Gietl
Florian eRiese
Lutz eJäncke
Lutz eJäncke
Lutz eJäncke
Roger M. Nitsch
Christoph eHock
author_sort Andrea Maria Kälin
collection DOAJ
description Recent studies have shown that increased cognitive intraindividual variability (IIV) across accuracy scores from tests representing different cognitive domains (across-domain IIV) might indicate prodromal Alzheimer’s disease (AD). Although IIV has been proposed to index cognitive control processes, IIV across accuracy scores from cognitive control tasks (within-domain IIV) has not been examined in healthy controls subjects (HCS), mild cognitive impairment (MCI) and AD patients in a single comparative study. This study examines the discriminative properties of within-domain IIV, and across-domain IIV in 149 HCS, 31 MCI and 26 AD. Three tasks representing different cognitive domains were identified to calculate across-domain IIV. Three other tasks representing cognitive control were identified to calculate within-domain IIV. The intraindividual standard deviation (ISD) was calculated across accuracy scores. To compare IIV between groups, ANCOVAs with the covariates age, gender, education, and mean performance were computed. IIV scores in general were higher in AD vs. HCS (p< 0.01). Only across-domain IIV was higher in AD vs. MCI (p=0.001), and only within-domain IIV was higher in MCI vs. HCS (p=0.05). Within-domain IIV may constitute a cognitive marker for the detection of prodromal AD at the MCI stage, whereas across-domain IIV may detect beginning AD at the MCI stage.
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spelling doaj.art-544f351d5c17443898c80a59b4443cfc2022-12-22T02:30:42ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652014-07-01610.3389/fnagi.2014.0014789204Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s diseaseAndrea Maria Kälin0Marlon ePflüger1Anton Franz Gietl2Florian eRiese3Lutz eJäncke4Lutz eJäncke5Lutz eJäncke6Roger M. Nitsch7Christoph eHock8Division of Psychiatry Research and Psychogeriatric Medicine, University of ZurichDepartment of Forensic Psychiatry, Psychiatric University Clinics, University of BaselDivision of Psychiatry Research and Psychogeriatric Medicine, University of ZurichDivision of Psychiatry Research and Psychogeriatric Medicine, University of ZurichDivision Neuropsychology, Institute of Psychology, University of ZurichInternational Normal Aging and Plasticity Imaging Center (INAPIC), University of ZurichUniversity Research Priority Program (URPP) Dynamics of healthy aging, University of ZurichDivision of Psychiatry Research and Psychogeriatric Medicine, University of ZurichDivision of Psychiatry Research and Psychogeriatric Medicine, University of ZurichRecent studies have shown that increased cognitive intraindividual variability (IIV) across accuracy scores from tests representing different cognitive domains (across-domain IIV) might indicate prodromal Alzheimer’s disease (AD). Although IIV has been proposed to index cognitive control processes, IIV across accuracy scores from cognitive control tasks (within-domain IIV) has not been examined in healthy controls subjects (HCS), mild cognitive impairment (MCI) and AD patients in a single comparative study. This study examines the discriminative properties of within-domain IIV, and across-domain IIV in 149 HCS, 31 MCI and 26 AD. Three tasks representing different cognitive domains were identified to calculate across-domain IIV. Three other tasks representing cognitive control were identified to calculate within-domain IIV. The intraindividual standard deviation (ISD) was calculated across accuracy scores. To compare IIV between groups, ANCOVAs with the covariates age, gender, education, and mean performance were computed. IIV scores in general were higher in AD vs. HCS (p< 0.01). Only across-domain IIV was higher in AD vs. MCI (p=0.001), and only within-domain IIV was higher in MCI vs. HCS (p=0.05). Within-domain IIV may constitute a cognitive marker for the detection of prodromal AD at the MCI stage, whereas across-domain IIV may detect beginning AD at the MCI stage.http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00147/fullMild Cognitive ImpairmentNeuropsychologycognitive controlAlzheimer’s diseaseearly diagnosiscognitive variability
spellingShingle Andrea Maria Kälin
Marlon ePflüger
Anton Franz Gietl
Florian eRiese
Lutz eJäncke
Lutz eJäncke
Lutz eJäncke
Roger M. Nitsch
Christoph eHock
Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
Frontiers in Aging Neuroscience
Mild Cognitive Impairment
Neuropsychology
cognitive control
Alzheimer’s disease
early diagnosis
cognitive variability
title Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
title_full Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
title_fullStr Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
title_full_unstemmed Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
title_short Intraindividual variability across cognitive tasks as a potential marker for prodromal Alzheimer’s disease
title_sort intraindividual variability across cognitive tasks as a potential marker for prodromal alzheimer s disease
topic Mild Cognitive Impairment
Neuropsychology
cognitive control
Alzheimer’s disease
early diagnosis
cognitive variability
url http://journal.frontiersin.org/Journal/10.3389/fnagi.2014.00147/full
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