Token Test – Validation Study in Older Czech Adults and Patients with Neurodegenerative Diseases

Authors: S. Brustmannová 1;  L. Anderkova 1;  I. Rektorová 1,2;  Z. Balážová 1;  L. Brabenec 1;  N. Elfmarková--Němcová 1
Authors‘ workplace: Výzkumná skupina Aplikované neurovědy, CEITEC – Středoevropský technologický institut, MU, Brno 1;  1. neurologická klinika LF MU a FN u sv. Anny v Brně 2
Published in: Cesk Slov Neurol N 2017; 80/113(3): 300-306
Category: Original Paper


The study examines psychometric properties of the Czech version of the Token Test (TT) on a population of Czech seniors and individuals with neurodegenerative brain diseases.

Participants and methods:
The study included 96 individuals (mean age 67.7 years), of whom 43 were healthy controls (HC), 23 had incipient Alzheimer’s disease or mild cognitive impairment due to Alzheimer’s disease (AD + MCI), and 30 had Parkinson’s disease (PD).

Significant differences in TT performance were found between the sample groups HC and AD + MCI (p < 0.001) and between PD and AD + MCI (p < 0.001). The highest convergent validity of TT was with the immediate reproduction of the Rey-Osterrieth complex figure (ρ = 0.524; p < 0.001), the Boston Naming Test (ρ = 0.498; p < 0.001) and the Mississippi Aphasia Screening Test (ρ = 0.486; p <0.001). ROC analysis showed TT to discriminate with high precision for AD + MCI (AUC = 0.826), not for PN (AUC = 0.826).

TT does not selectively evaluate the language function as such but it is selective for neurogenic communication disorders in patients with neurodegenerative brain disease.

Key words:
Token Test – reliability and validity – Alzheimer’s disease – Parkinson’s disease – mild cognitive impairment

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


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