{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:38:15Z","timestamp":1783953495608,"version":"3.55.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The  relationship between declining performance, as measured by changes in reaction time, and declining cognitive function has not been critically studied. The aim of the present study was to investigate the association between reaction time during a task and cognitive ability in elderly <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwanese individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients aged 65\u2009years or older with mild cognitive impairment (<jats:styled-content style=\"fixed-case\">MCI<\/jats:styled-content>) (<jats:italic>n<\/jats:italic>\u2009=\u200933) and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer\u2019s disease (<jats:italic>n<\/jats:italic>\u2009=\u200926) were recruited from the neurology clinic of a regional hospital in southern <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan. In addition, 28 healthy controls aged 65\u2009years or older were recruited from the community. The cognitive performance of the study participants was assessed using the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ognitive <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>bilities <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>creening <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nstrument (<jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content>). A computer\u2010administered simple reaction time (<jats:styled-content style=\"fixed-case\">SRT<\/jats:styled-content>) task and a flanker reaction time (<jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content>) task were administered to assess participants\u2019 cognitive function. A non\u2010parametric <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ruskal\u2013<jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>allis test was performed to compare <jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content> scores, <jats:styled-content style=\"fixed-case\">SRT<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> among the three groups. <jats:sc>anova<\/jats:sc> was also used to compare <jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content> scores, inverse\u2010transformed <jats:styled-content style=\"fixed-case\">SRT<\/jats:styled-content>, and inverse\u2010transformed <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> among the three groups, with adjustment for age and years of education. Additionally, <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>earson\u2019s partial correlation coefficients were used to assess the association of <jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content> scores with inverse\u2010transformed <jats:styled-content style=\"fixed-case\">SRT<\/jats:styled-content>, and inverse\u2010transformed <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> within each of the three groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant differences in <jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content> scores, <jats:styled-content style=\"fixed-case\">SRT<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> were found between the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer\u2019s disease group and the other two groups, either with or without adjustment for age or education. The reaction time of patients with <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lzheimer\u2019s disease was significantly slower than the other two groups. Moreover, significant correlation between <jats:styled-content style=\"fixed-case\">CASI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> was found in patients with <jats:styled-content style=\"fixed-case\">MCI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Altered performance in a speed task was observed in patients with <jats:styled-content style=\"fixed-case\">MCI<\/jats:styled-content>. The <jats:styled-content style=\"fixed-case\">FRT<\/jats:styled-content> task should further be explored for its role as a marker for cognitive decline in elderly individuals, particularly in those with <jats:styled-content style=\"fixed-case\">MCI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12247","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T08:56:50Z","timestamp":1488790610000},"page":"364-370","source":"Crossref","is-referenced-by-count":41,"title":["Cognitive decline and slower reaction time in elderly individuals with mild cognitive impairment"],"prefix":"10.1111","volume":"17","author":[{"given":"Ko\u2010Chia","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Psychology National Chung Cheng University  Chiayi Taiwan"},{"name":"Clinical Psychology Center Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation  Chiayi 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