Advanced search
287
Views
42
CrossRef citations to date
0
Altmetric
Research Article

Wisconsin Card Sorting Test in chronic severe traumatic brain injury: factor structure and performance subgroups

, , , , &
Pages 29-40
Published online: 03 Jul 2009

Objective : The present study further investigated the factor structure of the WCST in traumatic brain injury and investigated the construct validity and relationships among scores through the use of cluster analysis. Design : Participants were 68 survivors of chronic severe TBI, living at a residential brain injury rehabilitation facility. Methods and procedures : Three sets of WCST scores were submitted to factor analysis; the regression factor scores based on the standard WCST were examined using cluster analysis. Results : Factor analysis of the WCST raw scores replicated the three-factor solution which has been previously reported. When t -scores were analysed, two-to-four-factor solutions could be justified. The cluster analysis identified four groups representing: (1) impaired response maintenance; (2) problem-solving deficits; (3) intact WCST performance; and (4) deficits in set shifting. Conclusions : The results support previous research indicating that the WCST is sensitive to three distinct cognitive processes: cognitive flexibility, problem-solving, and response maintenance. However, unlike the cognitive processes underlying WCST performance, the WCST scores representing these processes are not independent. The potential clinical relevance of these results is discussed.

 

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.