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Effects of language disturbances on premorbid estimates of IQ in mild dementia.

Authors
  • Stebbins, Glenn T1
  • Gilley, David W2, 3
  • Wilson, Robert S2, 3
  • Bernard, Bryan A2, 3
  • Fox, Jacob H2, 3
  • 1 a University of Victoria.
  • 2 b Rush Alzheimer's Disease Center.
  • 3 c Department of Psychology and Social Sciences , Rush Presbyterian-St. Luke's Medical Center.
Type
Published Article
Journal
The Clinical neuropsychologist
Publication Date
Mar 01, 1990
Volume
4
Issue
1
Pages
64–68
Identifiers
DOI: 10.1080/13854049008401497
PMID: 29022432
Source
Medline
Language
English
License
Unknown

Abstract

Two methods were used to estimate premorbid IQ in a sample of 68 patients with mild dementia: (1) the National Adult Reading Test (NART), a present ability measure, and (2) an age, sex, race, education and occupation regression formula, a demographically based estimate (DIQ). The dementia sample consisted of probable Alzheimer's disease, multi-infarct dementia and a mixture of the two. The sample was divided into three levels of language disturbances (no language disturbance, naming or fluency disturbance, or both naming and fluency disturbance) based upon performance on the Visual Naming test and the Controlled Oral Word Association test. The NART IQ estimates in patients with one or more language disturbances were significantly lower than those in patients without language disturbances despite equivalent DIQ and Mini-Mental Status exam performance. The results suggest that the applicability of the NART to dementia patients with prominent language disturbances is limited.

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