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1.  Extending the Administration Time of the Letter Fluency Test Increases Sensitivity to Cognitive Status in Aging 
Experimental aging research  2009;35(3):317-326.
We examined whether extending the administration time of letter fluency from one minute per letter trial (standard administration) to two minutes increased the sensitivity of this test to cognitive status in aging. Participants (mean age = 84.6) were assigned to cognitive impairment (n=20) and control (n=40) groups. Pearson correlations and scatter plot analyses showed that associations between the Dementia Rating Scale scores and letter fluency were higher and less variable when performance on the latter was extended to two minutes. ANOVA showed that the cognitive impairment group generated fewer words in the second minute of the letter fluency task compared to the control group. Finally, discriminant function analyses revealed that extending the letter fluency trials to two minutes increased discrimination between the control and cognitive impairment groups.
doi:10.1080/03610730902922119
PMCID: PMC2832286  PMID: 19449244
letter fluency; aging; cognitive impairment

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