The Importance of the Fluency Test in Neuropsychological Diagnostics

  • Ivana Jovčić PIM University, Faculty of Philosophy, Banja Luka
Keywords: executive functions, phonemic fluency, semantic fluenc, schizophrenia, verbal fluency

Abstract


The study aimed to examine verbal fluency as an indicator of executive functions in a person diagnosed with a schizophrenia spectrum disorder compared to a typically functioning individual. The Verbal fluency test (VFT) is used, which includes phonemic and semantic fluency tasks. The test was conducted on two participants – one with schizophrenia and one control participant from the typical population. The number of words produced within the given time limits was measured, as well as qualitative aspects such as clustering and shifting. Results showed a significant decrease in phonemic fluency in the person with schizophrenia, while semantic fluency was mildly reduced but relatively preserved. Results were within the expected ranges in the participant from the typical population, with clearly expressed verbal flexibility and appropriate control of verbal production. The findings confirm that the VFT can effectively identify differences in executive functions and lexical-semantic system organization between these groups. The test represents a valuable tool in neuropsychological assessment, especially in the context of the schizophrenia spectrum, allowing for differential diagnosis and monitoring of disease progression.  

References

Fisk JE, Sharp CA. Age-related impairment in executive functioning: updating, inhibition, shifting, and access. J Clin Exp Neuropsychol 2004;26(7):874–90.

Swan GE, Carmelli D. Evidence for genetic mediation of executive control: a study of aging male twins. J Gerontol B Psychol Sci Soc Sci 2002;57(2):133–43.

Schwartz S, Baldo J, Graves RE, Brugger P. Pervasive influence of semantics in letter and category fluency: a multidimensional approach. Brain Lang 2003;87(3):400–11.

Troyer AK, Moscovitch M, Winocur G, Alexander MP, Stuss D. Clustering and switching on verbal fluency: the effects of focal frontal- and temporal-lobe lesions. Neuropsychologia 1998; 36(6):499–504.

Spreen O, Strauss E. A compendium of neuropsychological tests: Administration, norms, and commentary (2nd ed.). New York: Oxford University Press, 1998.

Shao Z, Janse E, Visser K, Meyer AS. What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Front Psychol 2014;5:772.

Abwender DA, Swan JG, Bowerman JT, Connolly SW. Qualitative analysis of verbal fluency output: review and comparison of several scoring methods. Assessment 2001;8(3): 323–38.

Hirshorn EA, Thompson-Schill SL. Role of the left inferior frontal gyrus in covert word retrieval: neural correlates of switching during verbal fluency. Neuropsychologia 2006; 44(12):2547–57.

Hoekstra RA, Bartels M, van Leeuwen M, Boomsma DI. Genetic architecture of verbal abilities in children and adolescents. Dev Sci 2009;12(6): 1041–53.

Volk HE, McDermott KB, Roediger HL, Todd RD. Genetic influences on free and cued recall in long-term memory tasks. Twin Res Hum Genet 2006;9(5):623–31.

Lezak MD, Howieson DB, Bigler ED, Tranel D. Neuropsychological assessment (5th ed.). New York: Oxford University Press, 2012.

Troyer AK, Moscovitch M, Winocur G. Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology 1997; 11(1):138–46.

Henry JD, Crawford JR. A meta-analytic review of verbal fluency performance in patients with traumatic brain injury. Neuropsychology 2004;18(4):621–8.

Raucher-Chéné D, Achim AM, Kaladjian A, Besche-Richard C. Verbal fluency in bipolar disorders: A systematic review and meta-analysis. Journal of Affective Disorders 2017; 207: 359–66.

Henry JD, Crawford JR. A meta-analytic review of verbal fluency deficits in depression. J Clin Exp Neuropsychol 2005;27(1):

–101.

Goodglass H, Kaplan E. The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger; 1983.

Tombaugh TN, Kozak J, Rees L. Normative data stratified by age and education for two measures of verbal fluency: FAS and animal naming. Arch Clin Neuropsychol 1999;14(2):167–77.

Bokat CE, Goldberg TE. Letter and category fluency in schizophrenic patients: a meta- analysis. Schizophr Res 2003; 64(1):73–8.

Published
2026/01/28
Section
Originalni rad