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Original Article
Dementia and Neurocognitive Disorders 2016: 15: 1: 7-14

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Cued and Un-Cued Semantic Category Fluency in Older Adults with Mild Cognitive Impairment
Seong-Yeon Kwon,1 Ji-Wan Ha1,2
1Department of Speech and Language Pathology, Graduate School of Rehabilitation Science, Daegu University, Daegu, Korea 2Department of Speech Pathology, Daegu University, Gyeongsan, Korea
Cued and Un-Cued Semantic Category Fluency in Older Adults with Mild Cognitive Impairment
Seong-Yeon Kwon,1 Ji-Wan Ha1,2
1Department of Speech and Language Pathology, Graduate School of Rehabilitation Science, Daegu University, Daegu, Korea 2Department of Speech Pathology, Daegu University, Gyeongsan, Korea
Background and Purpose Patients with switching deficits reportedly benefit more from categorical cueing for semantic category fluency than do patients with clustering deficits. We explored the contribution of language ability and executive control on the performance of semantic category fluency in older adults with mild cognitive impairment (MCI) by examining the effects of categorical cueing on the task.
Methods Order adults with MCI (n=10) and normal controls (n=25) were compared on two versions of a semantic fluency task: a standard, un-cued version (SF) and a version in which subjects were cued (C-SF) with 4 subordinated categories. The scores and error types of SF and C-SF tasks were analyzed between two groups. Also, the correlation among the SF task, the C-SF task, and the confrontation naming task were examined.
Results The performance of the sematic fluency task improved when categorical cues were included in both groups. However, the normal group showed significantly more improvement than the MCI group. Self-repetition errors in the SF task and categorical errors in the C-SF task occurred most frequently. The normal group showed significantly more errors than the MCI group in the C-SF task. There was a positive correlation among the SF task, the C-SF task, and the confrontation naming task.
Conclusions The results of the present study suggested that the MCI group has more difficulty in the semantic memory store rather than in the use of retrieval strategies. A combination of standard and cued semantic fluency tasks may help to confirm the underlying deficit of semantic fluency impairment.
Key Words: semantic category fluency, cued semantic category fluency, mild cognitive impairment.
대한치매학회지 (Dementia and Neurocognitive Disorders)