The purpose of this study was to examine the relationships between
lobar volumes and set shifting. We studied 101 subjects, including 36
normal controls, 16 patients with probable Alzheimer's disease, 30
patients with frontotemporal dementia (FTD), and 19 patients with semantic
dementia (SD), using a shifting paradigm that carefully controlled for
component abilities. Subjects were administered two conditions of the
Delis–Kaplan Executive Function System (D-KEFS) Design Fluency Test.
In the control condition (DF:Control), examinees generated as many unique
designs as possible in 60 s by drawing lines connecting only unfilled
dots. In the switching condition (DF:Switch), examinees generated designs
by drawing lines alternating between filled and unfilled dots. We used
BRAINS2 software to generate volumes of the right and left frontal,
temporal, and parietal lobes. Partial correlations and multiple
regressions showed that, after controlling for Mini-Mental State
Examination and DF:Control, only the right and left frontal lobe volumes
significantly correlated with the DF:Switch, most clearly in the FTD and
SD groups. Follow-up analyses indicated that frontal contributions to
shifting were not related to working memory. Results highlight the
importance of carefully controlling for component cognitive processes when
studying executive functioning. (JINS, 2007, 13,
386–392.)