Wechsler Adult Intelligence Scales
Research Papers
SMR/Theta Neurofeedback Training Improves Cognitive Performance and EEG Activity in Elderly With Mild Cognitive Impairment: A Pilot Study
Background: Neurofeedback (NF) training, as a method of self-regulation of brain activity, may be beneficial in elderly patients with mild cognitive impairment (MCI). In this pilot study, we investigated whether a sensorimotor (SMR)/theta NF training could improve cognitive performance and brain electrical activity in elderly patients with MCI. Methods: Twenty elderly patients with MCI were assigned to 20 consecutive sessions of sensorimotor (SMR)/theta NF training, during 10 weeks, on a basis of two sessions each week. Neuropsychological assessments and questionnaires, as well as electroencephalogram (EEG), were performed and compared between baseline (T0), after the last NF training session at 10 weeks (T1), and 1-month follow-up (T2). Results: Repeated measures ANOVA revealed that from baseline to post-intervention, participants showed significant improvement in the Montreal cognitive assessment (MoCa, F = 4.78; p = 0.012), the delayed recall of the Rey auditory verbal learning test (RAVLT, F = 3.675; p = 0.032), the Forward digit span (F = 13.82; p < 0.0001), the Anxiety Goldberg Scale (F = 4.54; p = 0.015), the Wechsler Adult Intelligence Score–Fourth Edition (WAIS-IV; F = 24.75; p < 0.0001), and the Mac Nair score (F = 4.47; p = 0.016). EEG theta power (F = 4.44; p = 0.016) and alpha power (F = 3.84; p = 0.027) during eyes-closed resting-state significantly increased after the NF training and showed sustained improvement at a 1-month follow-up. Conclusion: Our results suggest that NF training could be effective to reduce cognitive deficits in elderly patients with MCI and improve their EEG activity. If these findings are confirmed by randomized controlled studies with larger samples of patients, NF could be seen as a useful non-invasive, non-pharmacological tool for preventing further decline, rehabilitation of cognitive function in the elderly. Clinical Trial Registration: This pilot study was a preliminary step before the trial registered in www.ClinicalTrials.gov, under the number of NCT03526692
View Full Paper →Symbol Digit and the Quantitative EEG
The coordination of allocation resource model of brain functioning examines the relations between quantitative EEG (QEEG) variables and cognitive performance on specific tasks. The Digit Symbol (DS) subtest of the Wechsler Adult Intelligence Scales has proven to be a sensitive measure in a variety of clinical conditions. A conceptually and empirically similar task (Symbol Digit [SD]) was employed to examine the QEEG correlates of successful functioning. A sample of 119 participants engaged in a modified SD test for 200 seconds while QEEG data were obtained. The participant verbally provided the matching number to the examiner to avoid any motor component of the task. There were negative relations between performance and magnitudes across almost all locations and across a wide bandwidth (0-64 Hz). Negative relations to SD performance were also observed for increased relative power of beta1, whereas positive relations were found for absolute values of coherences of alpha, beta1 (13-32 Hz), and beta2 (32-64 Hz). The results showed the importance of spectral correlation coefficients (SCC) in cognitive functioning, in particular the SCC values within the frontal region and in the 13-64 frequency range.
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