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Updated: Sep 22, 2025

Measuring Attention and Visual Processing Speed by Model-based Analysis of Temporal-order Judgments
Published on: January 23, 2017
The Influence of Processing Speed, Attention, and Inhibition on Texas Functional Living Scale Performance
Scott Roye1, John F Linck1, Jordan Hoffmeister1
1Neuropsychology Service, Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Objective:
Attention, inhibition, and processing speed are related to functional decline among older adults. This study attempts to clarify the relationships between these cognitive factors and adaptive functioning.
Method:
We examined relationships between attention, inhibition, and processing speed, with scores on the Texas Functional Living Scale (TFLS), a performance-based measure of daily functioning, in a mixed clinical sample of 530 older adults who were referred for an outpatient neuropsychological evaluation.
Results:
The current study used a confirmatory factor analysis (CFA) to derive a three-factor cognitive model consisting of attention, inhibition, and processing speed. Results from a hierarchical regression, which included factor scores from the CFA, revealed that processing speed was the only significant predictor of TFLS performance when all three cognitive factors were included within a single model.
Conclusion:
These results highlight the influence of processing speed as an important indicator of functional decline among a clinical population of older adults.
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