Screening for Executive Dysfunction with the Frontal Assessment Battery: Psychometric Properties Analysis and Representative Normative Data for Brazilian Older Adults

Paula, Jonas Jardim de; Moura, Samara Melo; Bocardi, Matheus Bortolosso; Moraes, Edgar Nunes de; Malloy‐Diniz, Leandro Fernandes; Haase, Vítor Geraldi

doi:10.5327/z1982-12472013000100010

Cited by 4 publications

(6 citation statements)

References 9 publications

(15 reference statements)

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“…Consistent with previous studies, [25][26][27][28] age and education but not gender were found to have significant impacts on FAB performance, which was largely though not entirely independent of global cognition as assessed by the MMSE (including MMSE in the regression model increased explained variance in FAB scores from 9.6% to 14%). Performance at the 10th percentile (a commonly used normative cutoff for below average performance) 39 was found on the FAB to fall between approximately 10/18 and 14/18 depending on the above factors.…”

Section: Discussionsupporting

confidence: 77%

“…Some limited control group (n ¼ 42) versus patient group information was provided in the original paper 1 with control FAB ¼ 17.3 + 0.8 (mean + standard deviation [SD]), which suggests that FAB < 16/18 would be ''abnormal.'' However, <16/18 is not at all uncommon based on 4 studies that provide some limited normative information, 2 Italian (n ¼ 236 and n ¼ 364, respectively), 25,26 1 Brazilian (n ¼ 391), 27 and 1 Korean (n ¼ 635). 28 Iavarone et al 25 found that 95% of their normal controls had a FAB score 12/18.…”

Section: Introductionmentioning

confidence: 99%

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The Frontal Assessment Battery

Coen

McCarroll

Casey

et al. 2016

J Geriatr Psychiatry Neurol

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Background: The Frontal Assessment Battery (FAB) is a short battery designed to assess frontal executive functioning, but data for interpretation of performance are limited. Objectives: The Trinity, Ulster, Department of Agriculture (TUDA) study provided the opportunity to derive performance data from a large sample of community-dwelling hospital outpatient or general practitioner (GP) attenders. Methods: Normative analysis based on 2508 TUDA participants meeting these criteria: Mini-Mental State Examination (MMSE) >26/30, not depressed (Center for Epidemiologic Studies Depression <16) or anxious (Hospital Anxiety and Depression Scale <8), no history of stroke, or transient ischemic attack. Correlation and regression analyses were used to evaluate the effects of age, education, gender, and general cognition (MMSE). Norms for FAB were created stratified by age and education, using overlapping midpoint ranges of 10 years with a 3-year interval from age 60 to 97. Results: Age and education accounted for 9.6% of variance in FAB score (r 2 ¼ .096) with no significant effect of gender. The FAB and MMSE were modestly correlated (r ¼ .29, P < .01) with MMSE increasing the model's total explained variance in FAB score from 9.6% to 14%.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

The Frontal Assessment Battery

Coen

McCarroll

Casey

et al. 2016

J Geriatr Psychiatry Neurol

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show abstract

“…Frontal Assessment Battery (FAB) Brazilian version was used to access executive functions. It presents a good validity for this population (de Paula et al, 2013b ) and consists of six subtests which measures: Categorization, verbal fluency, motor programming, sensitivity to interference, inhibitory control, and environmental autonomy.…”

Section: Methodsmentioning

confidence: 99%

The Relationship between Sleep Complaints, Depression, and Executive Functions on Older Adults

et al. 2016

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Aim: In this manuscript, we report data on the association between executive functions screened by Frontal Assessment Battery, Five Digit Test and Digit Span with self-reported depressive symptoms and sleep complaints in non-demented older adults.Methods: A total sample of 95 non-demented older adults performed Geriatric Depression Scale short version, Frontal Assessment Battery, Five Digit Test, Digit Span, and clinical interview. We split participants in groups stratified by age according to: young-old (60–69 years of age), old-old (70–79 years), and oldest-old (>80 years) and compared these three groups on the sociodemographic characteristics and executive functions performance. We carried out Poisson regression with robust error variance to verify sleep complaints and depression effects on executive functions performance. Gender, age, years of formal education, use of antidepressants and of benzodiazepines were considered as confounding variables, taking into account executive functions as dependent and sleep complaints and depression as independent variables.Results: Controlling the effect of age, gender, years of formal education, use of benzodiazepines and of antidepressants there was a significant influence of depression in motor programming, inhibitory control, and working memory. Individuals without depression show motor programming scores 68.4% higher, inhibitory control scores 3 times greater and working memory scores also 3 times greater than individuals without depression. There was a significant influence of sleep complaints in phonemic fluency, motor programming, inhibitory control, and working memory. Individuals without sleep complaints show phonemic fluency scores 2 times greater than, motor programming scores 85.9% higher, inhibitory control scores 3 times greater and working memory scores also 3 times greater than individuals without sleep complaints.Conclusions: Sleep complaints are associated with phonemic fluency, motor programming, inhibitory control, and working memory impairment. Depression symptoms presence are associated with motor programming and working memory performances. Depression and sleep complaints interaction would determine worse phonemic fluency, inhibitory control and working memory cognitive performance than these two conditions alone.

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“…The administration of the FAB is quick since it only lasts approximately 5 min. However, its psychometric properties are highly dependent on demographic factors such as age and education (Appollonio et al, 2005;Asaadi et al, 2016;Benke, Karner, & Delazer, 2013;Kim et al, 2010), and the FAB has also low to moderate internal consistency, coefficients of Cronbach's alpha in published normative studies ranged from .46 to .80 (Appollonio et al, 2005;Benke et al, 2013;de Paula et al, 2013;Dubois et al, 2000;Kim et al, 2010;Lima, Meireles, Fonseca, Castro, & Garrett, 2008). Concurrent validity of the FAB was indicated by high correlations between the total score of the FAB and the Wisconsin Card Sorting Test (Dubois et al, 2000), the Trail Making Test part A and B, and semantic verbal fluency tests (Kim et al, 2010;Lima et al, 2008).…”

Section: Introductionmentioning

confidence: 99%