A microworld simulation of dynamic cognition as a test of executive function

J Clin Exp Neuropsychol. 2023 Mar;45(2):165-181. doi: 10.1080/13803395.2023.2214297. Epub 2023 May 18.

Abstract

Introduction: The lack of consensus regarding the nature or composition of executive functioning (EF) has led to a proliferation of executive tasks to assess the concept. Many do agree however that the theoretical concept of EF is a holistic one, leading us to consider whether it would be beneficial to assess EF in a more holistic manner. We explore how well a computerized simulation of dynamic cognition - that reproduces the context of real-world complex decision-making - can predict performance on nine classical neuropsychological tasks of EF.

Methods: A sample of 121 participants completed all tasks, and canonical correlations were used to assess the nine tasks as predictors of the three simulation performance metrics to evaluate the multivariate-shared relationship between the two variable sets: executive functions and dynamic cognition.

Results: Results show that a substantial amount of variance in two indices of dynamic cognition can be explained by a linear combination of three key types of neuropsychological tasks (planning, inhibition, working memory), with a larger contribution from the planning tasks.

Conclusion: Our findings suggest that tasks of dynamic cognition could augment traditional, separate tests of EF, offering benefits in terms of parsimony, ecological validity, sensitivity, and computerized delivery.

Keywords: Executive function; dynamic cognition; neuropsychological tests.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognition
  • Cognition Disorders* / psychology
  • Executive Function* / physiology
  • Humans
  • Memory, Short-Term / physiology
  • Neuropsychological Tests