Multiple Rapid Automatic Naming Measures of Cognition: Normal Performance and Effects of Aging

Rapid automatic naming tasks are clinical tools for probing brain functions that underlie normal cognition. To compare performance for various stimuli in normal subjects and assess the effect of aging, we administered six single-dimension stimuli (color, form, number, letter, animal, and object) and five dual-dimension stimuli (color-form, color-number, color-letter, color-animal, and color-object) to 144 normal volunteers who ranged in age from 15 to 85 years. Rapid automatic naming times for letters and numbers were significantly less than for forms, animals, and objects. Rapid automatic naming times for color-number and color-letter stimuli were significantly less than for color-form, color-animal, or color-object stimuli. Age correlated significantly with rapid automatic naming time for each single-dimension stimulus and for color-form, color-number, color-animal, and color-object stimuli. Linear regression showed that rapid automatic naming times increased with age for aggregated color stimuli, aggregated single-dimension stimuli, and aggregated dual-dimension stimuli. This age effect persisted in subgroups less than 60 years of age and greater than 60 years of age. We conclude that normal performance time is dependent on the task, with letter and number stimuli eliciting most rapid responses, and that most rapid automatic naming times increase with age.

[1]  D. Repperger,et al.  Effect of Directional Response Variables on Eye-Hand Reaction Times and Decision Time , 1986, Perceptual and motor skills.

[2]  J. Botwinick,et al.  Components of reaction time in relation to age and sex. , 1966, The Journal of genetic psychology.

[3]  Mauro Pesenti,et al.  Age-Related Differences in Random Generation , 1998, Brain and Cognition.

[4]  A. Siegal,et al.  Early diagnosis and management of Alzheimer's disease. , 1998, The Journal of clinical psychiatry.

[5]  J. Holmes,et al.  Should the Mini Mental State Examination be used to monitor dementia treatments? , 1999, The Lancet.

[6]  G. Rodriguez,et al.  Sex Differences in Regional Cerebral Blood Flow , 1988, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[7]  K. Davis,et al.  A new rating scale for Alzheimer's disease. , 1984, The American journal of psychiatry.

[8]  G. Chelune,et al.  Predicting cognitive impairment in epilepsy: findings from the Bozeman epilepsy consortium. , 1995, Journal of clinical and experimental neuropsychology.

[9]  W. H. Teichner Recent studies of simple reaction time. , 1954, Psychological bulletin.

[10]  Nick C Fox,et al.  Presymptomatic hippocampal atrophy in Alzheimer's disease. A longitudinal MRI study. , 1996, Brain : a journal of neurology.

[11]  L. Bouter,et al.  Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition. , 1999, The American journal of psychiatry.

[12]  Karl J. Friston,et al.  Willed action and the prefrontal cortex in man: a study with PET , 1991, Proceedings of the Royal Society of London. Series B: Biological Sciences.

[13]  W. E. Hick Quarterly Journal of Experimental Psychology , 1948, Nature.

[14]  D. Repperger,et al.  Prolongation of simple and choice reaction times in a double-blind comparison of twice-daily hydroxyzine versus terfenadine. , 1989, The Journal of allergy and clinical immunology.

[15]  Hans Förstl,et al.  The clock drawing test and questionable dementia: reliability and validity , 2002, International journal of geriatric psychiatry.

[16]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[17]  J. Ridley Studies of Interference in Serial Verbal Reactions , 2001 .

[18]  H. Christensen,et al.  What Cognitive Changes can be Expected with Normal Ageing? , 2001, The Australian and New Zealand journal of psychiatry.

[19]  J. Stroop Studies of interference in serial verbal reactions. , 1992 .

[20]  D. Molloy,et al.  Reliability of a Standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination. , 1991, The American journal of psychiatry.

[21]  J. Karlawish,et al.  Diagnostic Evaluation of Elderly Patients with Mild Memory Problems , 2004, Annals of Internal Medicine.

[22]  N Michel,et al.  Design of a computerized device to measure simple reaction time/decision time. , 1985, Journal of medical engineering & technology.

[23]  W M Tierney,et al.  Documentation and Evaluation of Cognitive Impairment in Elderly Primary Care Patients , 1995, Annals of Internal Medicine.

[24]  S. Warkentin,et al.  Parietal Lobe Activation in Rapid, Automatized Naming by Adults , 2002, Perceptual and motor skills.

[25]  S. Warkentin,et al.  Cortical activity during speech production. A study of regional cerebral blood flow in normal subjects performing a word fluency task , 1991 .

[26]  W. Obrist,et al.  Simple Auditory Reaction Time in Aged Adults , 1953 .

[27]  L. Katz,et al.  Effect of estrogen on brain activation patterns in postmenopausal women during working memory tasks. , 2000, JAMA.

[28]  W H Teichner,et al.  Laws of visual choice reaction time. , 1974, Psychological review.

[29]  E. Wiig,et al.  A Clinical Rationale for Assessing Rapid Automatized Naming in Children with Language Disorders , 2000, Journal of learning disabilities.

[30]  Jordan Grafman,et al.  The role of prefrontal regions in the Stroop task , 1995, Neuropsychologia.

[31]  L. Katz,et al.  Effect of Estrogen on Brain Activation Patterns in Postmenopausal Women During Working Memory Tasks , 1999 .