Trajectories of irregular word reading ability as a proxy for premorbid intelligence in Alzheimer's disease, mild cognitive impairment, and healthy aging: A longitudinal study

Abstract

The ability to read irregularly spelled words is commonly used to estimate premorbid intelligence, as this ability has been thought to be resistant to early effects of neurodegenerative disorders. However, studies evaluating decline of this skill in Alzheimer's disease (AD) have produced conflicting results. Irregular word reading was assessed three times over 36 months in a large (N = 995) sample, including healthy control, AD, and Mild Cognitive Impairment (MCI) groups. At baseline, MCI and AD groups read correctly an average of 3.01 and 7.39 fewer words, respectively, than healthy controls. The MCI group's performance remained stable during the study, but the AD group declined. Importantly, the observed decline was likely an underestimate, as significant numbers of the AD participants (42.6%) could not complete the task at follow-up. Use of alternate (e.g., demographics-based) methods is advised to augment or replace word pronunciation in estimating premorbid intelligence in individuals with even mild AD. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

RAS ID

27300

Document Type

Journal Article

Date of Publication

10-1-2018

ISSN

1939-134X

Volume

30

Issue

10

PubMed ID

29781669

School

School of Medical and Health Sciences

Copyright

subscription content

Publisher

American Psychological Association Inc.

Comments

Weinborn, M., Bucks, R. S., Sohrabi, H. R., Rainey-Smith, S. R., Brown, B. M., Gardener, S. L., ... & Taddei, K. (2018). Trajectories of irregular word reading ability as a proxy for premorbid intelligence in Alzheimer’s disease, mild cognitive impairment, and healthy aging: A longitudinal study. Psychological assessment, 30(10), 1308. Available here

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Link to publisher version (DOI)

10.1037/pas0000565