ObjectiveVerbal fluency tests are widely used for the assessment of executive
functions. However, traditional versions of the test depend on several
cognitive factors beyond these components. The aim of this study was to
evaluate the associations of a modified version of the verbal fluency with
specific measures of executive functions.MethodsSixty adults were evaluated using traditional versions of verbal fluency
(animals/fruits) and a modified condition where subjects must switch between
animals and fruits. Processing speed, semantic abilities, psychiatric
symptoms and executive functions were also assessed.ResultsPartial correlations between the verbal fluency tests and measures of
executive functions, controlled for demographic, cognitive and psychiatric
symptoms, suggest that cognitive flexibility has 9% shared variance with the
verbal fluency test – category animals, 2 % with category fruits, 8% with
total words in switching condition, and 20% with total correct word-pairs
produced in switching condition. The other aspects of executive functions
during the task had shared variance of between 1% and 7% with the verbal
fluency tasks.ConclusionThe results suggest that correct word-pairs produced in switching verbal
fluency may be a more specific measure for evaluating cognitive flexibility
compared to other versions of verbal fluency.
RESUMO O estudo avaliou os efeitos da Intervenção Comportamental Intensiva, realizada por meio da capacitação de cuidadores, no desenvolvimento de crianças com autismo. A pesquisa foi realizada a partir dos dados de crianças atendidas por um centro brasileiro especializado. Os participantes do Grupo 1 eram 22 crianças que finalizaram o primeiro ano de intervenção intensiva. Onze crianças que não fizeram a intervenção intensiva compuseram o Grupo 2, para fins de análise de dados. Os resultados indicaram ganhos significativos em todas as áreas do desenvolvimento das crianças com autismo que passaram pelo primeiro ano de Intervenção Comportamental Intensiva, enquanto as crianças do grupo controle apresentaram ganhos menos expressivos. Crianças mais novas, que falavam e que apresentavam sintomas mais brandos de autismo obtiveram melhores resultados.
Tests evaluating the attentional-executive system are widely used in clinical practice. However, proximity of an objective cognitive test with real-world situations (ecological validity) is not frequently investigated. The present study evaluate the association between measures of the Five Digit Test (FDT) and the Oral Trails Test (OTT) with self-reported cognitive failures in everyday life as measured by the Cognitive Failures Questionnaire (CFQ). Brazilian adults from 18-to-65 years old voluntarily performed the FDT and OTT tests and reported the frequency of cognitive failures in their everyday life through the CFQ. After controlling for the age effect, the measures of controlled attentional processes were associated with cognitive failures, yet the cognitive flexibility of both FDT and OTT accounted for by the majority of variance in most aspects of the CFQ factors. The FDT and the OTT measures were predictive of real-world problems such as cognitive failures in everyday activities/situations.
Background
Attention Deficit/Hyperactivity Disorder (ADHD) is associated with a diversity of impairments and Oppositional Defiant Disorder (ODD) is a very frequent comorbidity. Parent Training, as an evidence-based intervention, seems effective in reducing externalizing/disruptive behaviors, possibly leading to a better prognosis. This clinical trial aims to evaluate the effectiveness of an online parent training model as a complementary treatment for ADHD and ODD.
Methods
Patients and their families will be screened upon their entry into the Research Center of Impulsivity and Attention (NITIDA) at UFMG—Brazil. Ninety families whose children are male, between 6–12 years old, and have significant externalizing symptoms and whose primary caregiver have complete high school education will be invited to participate. Families will be randomized (1:1) into 03 groups: 1) standard care; 2) standard care + face-to-face parent training; 3) standard care + online parent training. Interventions are analogous, differing only in delivery format. In the face-to-face format, the intervention will be conducted by a specialized therapist and the online format will be carried out through a platform. There will be six sessions/modules, arranged on a weekly basis. Measures of externalizing symptoms, parental and children quality of life, parental stress and parenting style will be collected at baseline and after the intervention.
Discussion
This clinical trial intends to verify the effects of a new, online, model of an evidence-based intervention, which would allow a wider access in the Brazilian context.
Trial registration
Registered on Brazilian Registry of Clinical Trials (ReBEC). Number: RBR-6cvc85. July 24th (2020) 05:35 pm.
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