Factor Analytic Studies Of Human Brain Damage: I. First And Second-Order Factors And Their Brain Correlates

This report is concerned with identifying the first and second-order cognitive factors underlying a battery of 49 measures taken from 22 brain damage tests. The test scores from 176 brain damaged patients between 16 and 65 years of age were intercorrelated and subjected to first-order alpha factoring followed by promax rotation to oblique simple structure. Ten of the 13 first-order factors extracted were interpretable, six of them being perceptual in nature and four being of a more conceptual nature. The perceptual factors include: perceptual organization, perceptual-motor speed, pattern recognition, temporal resolution, spatial orientation, and figure-ground identification. The conceptual factors include verbal comprehension, memory, and two abstraction factors. A second-order alpha factoring was performed on the matrix of correlations among the 13 primaries. Three of the five second-order factors extracted were interpretable. They were identified as perceptual integration (subsuming the first-order factors of perceptual organization, perceptual-motor speed, and temporal resolution), verbal memory (subsuming verbal comprehension and memory), and visualization (subsuming spatial orientation and figure-ground identification). Although factor interpretations were based primarily on the patterns of high loading variables, they were also influenced by lesion effects observed in this and related studies. About half the interpretable factors are relatively localized (i.e., confined to one or two lobes of one hemisphere), with the other half more diffuse (i.e., multi-lobed, combined with laterality or bilaterality). The more localized factors include the right hemisphere factors of perceptual-motor speed, temporal resolution, and spatial orientation, and the left hemisphere factors of verbal comprehension, memory, and verbal memory. The more neurally diffuse factors include the second-order factors and such broad gauged first-order factors as abstraction I and II, and pattern recognition. Furthermore, same lobe, bilaterally hemispheric effects were rare, and only four factors (memory, verbal memory, visualization, and abstraction I) were correlated with sub-cortical lesions.