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Trail making test - part B discontinuation is associated with worse performance across multiple cognitive domains, but not with psychological distress.

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Title: Trail making test - part B discontinuation is associated with worse performance across multiple cognitive domains, but not with psychological distress.
Authors: Heywood, Ashley (AUTHOR), Cichocki, Anna C. (AUTHOR), Numerick, Justin D. (AUTHOR), Dykins, Madison M. (AUTHOR), Roth, Genevieve E. (AUTHOR), Ulrich, Devin M. (AUTHOR), Phillips, Matthew S. (AUTHOR), Cerny, Brian M. (AUTHOR), Ovsiew, Gabriel P. (AUTHOR), Robinson, Anthony D. (AUTHOR), Soble, Jason R. (AUTHOR), Song, Woojin (AUTHOR), Pliskin, Neil H. (AUTHOR), Jennette, Kyle J. (AUTHOR)
Source: Journal of Clinical & Experimental Neuropsychology. Feb/Mar2025, Vol. 47 Issue 1/2, p103-115. 13p.
Subjects: Executive function, Trail Making Test, Cognitive processing speed, Cognition, Cognitive ability, Verbal learning
Abstract: Objective: Individuals unable to complete neuropsychological tests within designated time limits (i.e. discontinue) are often excluded from statistical analysis. However, discontinuation may represent a meaningful clinical consideration. The present study investigated the clinical utility of discontinuation on the Trail Making Test Part B (TMT-B) as an indicator of cognitive functioning. Method: The sample included 137 patients (n = 90 completers; n = 47 non-completers) referred for comprehensive outpatient neuropsychological evaluation for primary memory complaints. Mann–Whitney U tests and chi-square tests compared the characteristics of patients who did complete the TMT-B to patients who did not by social demographics, neuropsychological test performance, health literacy/numeracy, and self-report measures of psychological symptoms and functional impairment. Results: TMT-B discontinuation was associated with significant differences across nearly all cognitive domains (p-adj <.01), including worse performance on measures of language, processing speed, verbal and visual learning and memory, executive functions, nondominant hand fine motor speed/dexterity, and visuoconstruction. Differences between individuals who discontinued TMT-B based on social demographics, psychological symptoms, functional abilities, performance validity measures, dominant hand fine motor speed/dexterity, and basic auditory working memory were nonsignificant. Conclusions: Discontinuation on TMT-B is associated with significantly worse cognitive performance across nearly all domains of neuropsychological performance. Discontinuation was not associated with any specific clinical diagnosis. Discontinuation could be an indicator of cognitive impairment and may reflect the unique value of the TMT-B as a screening tool for determining appropriate clinical assessment batteries. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Trail making test - part B discontinuation is associated with worse performance across multiple cognitive domains, but not with psychological distress.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Heywood%2C+Ashley%22&quot;&gt;Heywood, Ashley&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cichocki%2C+Anna+C%2E%22&quot;&gt;Cichocki, Anna C.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Numerick%2C+Justin+D%2E%22&quot;&gt;Numerick, Justin D.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dykins%2C+Madison+M%2E%22&quot;&gt;Dykins, Madison M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Roth%2C+Genevieve+E%2E%22&quot;&gt;Roth, Genevieve E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ulrich%2C+Devin+M%2E%22&quot;&gt;Ulrich, Devin M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Phillips%2C+Matthew+S%2E%22&quot;&gt;Phillips, Matthew S.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cerny%2C+Brian+M%2E%22&quot;&gt;Cerny, Brian M.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ovsiew%2C+Gabriel+P%2E%22&quot;&gt;Ovsiew, Gabriel P.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Robinson%2C+Anthony+D%2E%22&quot;&gt;Robinson, Anthony D.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Soble%2C+Jason+R%2E%22&quot;&gt;Soble, Jason R.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Song%2C+Woojin%22&quot;&gt;Song, Woojin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Pliskin%2C+Neil+H%2E%22&quot;&gt;Pliskin, Neil H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jennette%2C+Kyle+J%2E%22&quot;&gt;Jennette, Kyle J.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Executive+function%22&quot;&gt;Executive function&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Trail+Making+Test%22&quot;&gt;Trail Making Test&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognitive+processing+speed%22&quot;&gt;Cognitive processing speed&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognition%22&quot;&gt;Cognition&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognitive+ability%22&quot;&gt;Cognitive ability&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Verbal+learning%22&quot;&gt;Verbal learning&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Individuals unable to complete neuropsychological tests within designated time limits (i.e. discontinue) are often excluded from statistical analysis. However, discontinuation may represent a meaningful clinical consideration. The present study investigated the clinical utility of discontinuation on the Trail Making Test Part B (TMT-B) as an indicator of cognitive functioning. Method: The sample included 137 patients (n = 90 completers; n = 47 non-completers) referred for comprehensive outpatient neuropsychological evaluation for primary memory complaints. Mann–Whitney U tests and chi-square tests compared the characteristics of patients who did complete the TMT-B to patients who did not by social demographics, neuropsychological test performance, health literacy/numeracy, and self-report measures of psychological symptoms and functional impairment. Results: TMT-B discontinuation was associated with significant differences across nearly all cognitive domains (p-adj &lt;.01), including worse performance on measures of language, processing speed, verbal and visual learning and memory, executive functions, nondominant hand fine motor speed/dexterity, and visuoconstruction. Differences between individuals who discontinued TMT-B based on social demographics, psychological symptoms, functional abilities, performance validity measures, dominant hand fine motor speed/dexterity, and basic auditory working memory were nonsignificant. Conclusions: Discontinuation on TMT-B is associated with significantly worse cognitive performance across nearly all domains of neuropsychological performance. Discontinuation was not associated with any specific clinical diagnosis. Discontinuation could be an indicator of cognitive impairment and may reflect the unique value of the TMT-B as a screening tool for determining appropriate clinical assessment batteries. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Clinical &amp; Experimental Neuropsychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183842457
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13803395.2025.2464642
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 103
    Subjects:
      – SubjectFull: Executive function
        Type: general
      – SubjectFull: Trail Making Test
        Type: general
      – SubjectFull: Cognitive processing speed
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Cognitive ability
        Type: general
      – SubjectFull: Verbal learning
        Type: general
    Titles:
      – TitleFull: Trail making test - part B discontinuation is associated with worse performance across multiple cognitive domains, but not with psychological distress.
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            – D: 01
              M: 02
              Text: Feb/Mar2025
              Type: published
              Y: 2025
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