6533b7d8fe1ef96bd126abf2

RESEARCH PRODUCT

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subject

Cognitive Neurosciencemedia_common.quotation_subject05 social sciencesInformation processingShort-term memoryExperimental and Cognitive PsychologyCognition050105 experimental psychologyLesion03 medical and health sciencesBehavioral Neuroscience0302 clinical medicinePerceptionmedicine0501 psychology and cognitive sciencesIn patientEffects of sleep deprivation on cognitive performancemedicine.symptom10. No inequalityPsychology030217 neurology & neurosurgerymedia_commonCognitive psychologyCognitive reserve

description

The Cognitive reserve (CR) hypothesis was put forward to account for the variability in cognitive performance of patients with similar degrees of brain pathology. Compensatory neural activity within the frontal lobes has often been associated with CR. For the first time we investigated the independent effects of two CR proxies, education and NART IQ, on measures of executive function, fluid intelligence, speed of information processing, verbal short term memory (vSTM), naming, and perception in a sample of 86 patients with focal, unilateral frontal lesions and 142 healthy controls. We fitted multiple linear regression models for each of the cognitive measures and found that only NART IQ predicted executive and naming performance. Neither education nor NART IQ predicted performance on fluid intelligence, processing speed, vSTM or perceptual abilities. Education and NART IQ did not modify the effect of lesion severity on cognitive impairment. We also found that age significantly predicted performance on executive tests and the majority of our other cognitive measures, except vSTM and GNT. Age was the only predictor for fluid intelligence. This latter finding suggests that age plays a role in executive performance over and above the contribution of CR proxies in patients with focal frontal lesions. Overall, our results suggest that the CR proxies do not appear to modify the relationship between cognitive impairment and frontal lesions.