Abstract
This study aimed to estimate the relative contributions from genetic and environmental factors to the Wisconsin Card Sorting Test (WCST) performance, a widely used measurement for assessing frontal lobe function. Participants included 350 pairs of twins (257 MZ and 93 DZ) and 47 same-sex sib-pairs, aged 12–16 years, systematically recruited from junior high schools in Taipei. A computerized version of the WCST was administered for each participant and its nine indexes were used for subsequent analysis. Univariate analysis in structural equation modeling was performed for each WCST index using Mx program. The ACE model for each WCST index indicated no significant genetic influence, whereas the shared environmental influence ranged from 30 to 38% for four indexes (Perseverative Errors, Perseverative Responses, Categories Achieved, and Conceptual Level Responses). We concluded that WCST performance might be an indicator more for environmental insult than for genetic influences on frontal lobe function.
Similar content being viewed by others
References
Alvarez JA, Emory E (2006) Executive function and the frontal lobes: a meta-analytic review. Neuropsychol Rev 16:17–42
Anderson P (2002) Assessment and development of executive function (EF) during childhood. Child Neuropsychol 8:71–82
Anokhin AP, Heath AC, Ralano A (2003) Genetic influences on frontal brain function: WCST performance in twins. Neuroreport 14:1975–1978
Barcelo F, Knight RT (2002) Both random and perseverative errors underlie WCST deficits in prefrontal patients. Neuropsychologia 40:349–356
Barlow J, Parsons J (2003) Group-based parent-training programmes for improving emotional and behavioural adjustment in 0–3 year old children. Cochrane Database Syst Rev:CD003680
Barnett JH, Jones PB, Robbins TW, Muller U (2007) Effects of the catechol-O-methyltransferase Val158Met polymorphism on executive function: a meta-analysis of the Wisconsin Card Sort Test in schizophrenia and healthy controls. Mol Psychiatry 12:502–509
Barnett JH, Scoriels L, Munafo MR (2008) Meta-analysis of the cognitive effects of the catechol-O-methyltransferase gene Val158/108Met polymorphism. Biol Psychiatry 64:137–144
Birkett P, Sigmundsson T, Sharma T, Toulopoulou T, Griffiths TD, Reveley A, Murray R (2008) Executive function and genetic predisposition to schizophrenia—the Maudsley family study. Am J Med Genet B Neuropsychiatr Genet 147:285–293
Boomsma D, Busjahn A, Peltonen L (2002) Classical twin studies and beyond. Nat Rev Genet 3:872–882
Bourre JM (2006) Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 1: micronutrients. J Nutr Health Aging 10:377–385
Burgess PW (1997) Theory and methodology in executive function research. In: Rabbitt P (ed) Methodology of frontal and executive function. Psychology Press, Hove, pp 81–116
Campana A, Macciardi F, Gambini O, Scarone S (1996) The Wisconsin Card Sorting Test (WCST) performance in normal subjects: a twin study. Neuropsychobiology 34:14–17
Cannon TD (2005) The inheritance of intermediate phenotypes for schizophrenia. Curr Opin Psychiatry 18:135–140
Chen CJ, Lin TM, Chang C, Cheng Y-J (1987) Epidemiological characteristics of twinning rates in Taiwan. Acta Genet Med Gemellol 36:335–342
Chen WJ, Chang HW, Wu MZ, Lin CC, Chang C, Chiu YN, Soong WT (1999) Diagnosis of zygosity by questionnaire and polymarker polymerase chain reaction in young twins. Behav Genet 29:115–123
Demakis GJ (2003) A meta-analytic review of the sensitivity of the Wisconsin Card Sorting Test to frontal and lateralized frontal brain damage. Neuropsychology 17:255–264
Donohoe G, Robertson IH (2003) Can specific deficits in executive functioning explain the negative symptoms of schizophrenia? A review. Neurocase 9:97–108
Dwyer JB, Broide RS, Leslie FM (2008) Nicotine and brain development. Birth Defects Res C Embryo Today 84:30–44
Egan MF, Goldberg TE, Gscheidle T, Weirich M, Rawlings R, Hyde TM, Bigelow L, Weinberger DR (2001a) Relative risk for cognitive impairments in siblings of patients with schizophrenia. Biol Psychiatry 50:98–107
Egan MF, Goldberg TE, Kolachana BS, Callicott JH, Mazzanti CM, Straub RE, Goldman D, Weinberger DR (2001b) Effect of COMT Val108/158 Met genotype on frontal lobe function and risk for schizophrenia. Proc Natl Acad Sci USA 98:6917–6922
Franke P, Maier W, Hain C, Klingler T (1992) Wisconsin Card Sorting Test: an indicator of vulnerability to schizophrenia? Schizophr Res 6:243–249
Fried PA (1995) Prenatal exposure to marihuana and tobacco during infancy, early and middle childhood: effects and an attempt at synthesis. Arch Toxicol Suppl 17:233–260
Friedman NP, Miyake A, Young SE, Defries JC, Corley RP, Hewitt JK (2008) Individual differences in executive functions are almost entirely genetic in origin. J Exp Psychol Gen 137:201–225
Goldberg E, Bougakov D (2005) Neuropsychologic assessment of frontal lobe dysfunction. Psychiatr Clin North Am 28:567–580
Goldberg TE, Weinberger DR (1994) Schizophrenia, training paradigms, and the Wisconsin Card Sorting Test redux. Schizophr Res 11:291–296
Goldberg TE, Ragland JD, Torrey EF, Gold JM, Bigelow LB, Weinberger DR (1990) Neuropsychological assessment of monozygotic twins discordant for schizophrenia. Arch Gen Psychiatry 47:1066–1072
Goldberg TE, Torrey EF, Gold JM, Bigelow LB, Ragland RD, Taylor E, Weinberger DR (1995) Genetic risk of neuropsychological impairment in schizophrenia: a study of monozygotic twins discordant and concordant for the disorder. Schizophr Res 17:77–84
Gottesman II, Gould TD (2003) The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 160:636–645
Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G (1993) Wisconsin card sorting test manual: revised and expanded. Psychological Assessment Resources, Odessa
Henry JD (2006) A meta-analytic review of Wisconsin Card Sorting Test and verbal fluency performance in obsessive-compulsive disorder. Cogn Neuropsychiatry 11:156–176
Keri S, Janka Z (2004) Critical evaluation of cognitive dysfunctions as endophenotypes of schizophrenia. Acta Psychiatr Scand 110:83–91
Klemm S, Schmidt B, Knappe S, Blanz B (2006) Impaired working speed and executive functions as frontal lobe dysfunctions in young first-degree relatives of schizophrenic patients. Eur Child Adolesc Psychiatry 15:400–408
Koren D, Seidman LJ, Harrison RH, Lyons MJ, Kremen WS, Caplan B, Goldstein JM, Faraone SV, Tsuang MT (1998) Factor structure of the Wisconsin Card Sorting Test: dimensions of deficit in schizophrenia. Neuropsychology 12:289–302
Kremen WS, Eisen SA, Tsuang MT, Lyons MJ (2007) Is the Wisconsin Card Sorting Test a useful neurocognitive endophenotype? Am J Med Genet B Neuropsychiatr Genet 144:403–406
Kremen WS, Xian H, Jacobson KC, Eaves LJ, Franz CE, Panizzon MS, Eisen SA, Crider A, Lyons MJ (2008) Storage and executive components of working memory: integrating cognitive psychology and behavior genetics in the study of aging. J Gerontol B Psychol Sci Soc Sci 63:P84–P91
Kremen WS, Jacobson KC, Panizzon MS, Xian H, Eaves LJ, Eisen SA, Tsuang MT, Lyons MJ (2009) Factor structure of planning and problem-solving: a behavioral genetic analysis of the tower of London task in middle-aged twins. Behav Genet 39:133–144
Kuo PH, Lin CC, Yang HJ, Soong WT, Chen WJ (2004) A twin study of competence and behavioral/emotional problems among adolescents in Taiwan. Behav Genet 34:63–74
Kurtz MM, Moberg PJ, Gur RC, Gur RE (2001) Approaches to cognitive remediation of neuropsychological deficits in schizophrenia: a review and meta-analysis. Neuropsychol Rev 11:197–210
Laurent A, Biloa-Tang M, Bougerol T, Duly D, Anchisi AM, Bosson JL, Pellat J, d’Amato T, Dalery J (2000) Executive/attentional performance and measures of schizotypy in patients with schizophrenia and in their nonpsychotic first-degree relatives. Schizophr Res 46:269–283
Lenroot RK, Schmitt JE, Ordaz SJ, Wallace GL, Neale MC, Lerch JP, Kendler KS, Evans AC, Giedd JN (2009) Differences in genetic and environmental influences on the human cerebral cortex associated with development during childhood and adolescence. Hum Brain Mapp 30:163–174
Liao S-Y, Lin S–H, Liu C-M, Hsieh MH, Hwang TJ, Liu SK, Guo S-C, Hwu H-G, Chen WJ (2009) Genetic variants in COMT and neurocognitive impairment in families of patients with schizophrenia. Genes Brain Behav 8:228–237
Lin CC, Chen WJ, Yang HJ, Hsiao CK, Tien AY (2000) Performance on the Wisconsin Card Sorting Test among adolescents in Taiwan: norms, factorial structure, and relation to schizotypy. J Clin Exp Neuropsychol 22:69–79
Lin CC, Su CH, Kuo PH, Hsiao CK, Soong WT, Chen WJ (2007) Genetic and environmental influences on schizotypy among adolescents in Taiwan: a multivariate twin/sibling analysis. Behav Genet 37:334–344
Martin N, Boomsma D, Machin G (1997) A twin-pronged attack on complex traits. Nat Genet 17:387–392
Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager TD (2000) The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks: a latent variable analysis. Cogn Psychol 41:49–100
Neale MC (1997) Mx: statistical modeling. Genetics and human development technical report, box 98012. Medical College of Virginia, Richmond
Neale MC, Miller MB (1997) The use of likelihood-based confidence intervals in genetic models. Behav Genet 27:113–119
Nicole S, Del Miglio C (1997) Abstraction skillfulness in monozygotic and dizygotic twin pairs. Acta Genet Med Gemellol 46:57–67
Pardo PJ, Knesevich MA, Vogler GP, Pardo JV, Towne B, Cloninger CR, Posner MI (2000) Genetic and state variables of neurocognitive dysfunction in schizophrenia: a twin study. Schizophr Bull 26:459–477
Phillips LH (1997) Do “frontal tests” measure executive function? Issues of assessment and evidence from fluency tests. In: Rabbitt P (ed) Methodology of frontal and executive function. Psychology Press, Hove, pp 191–213
Robinson AL, Heaton RK, Lehman RAW, Stilson DW (1980) The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions. J Consult Clin Psychol 48:605–614
Rogers MA, Kasai K, Koji M, Fukuda R, Iwanami A, Nakagome K, Fukuda M, Kato N (2004) Executive and prefrontal dysfunction in unipolar depression: a review of neuropsychological and imaging evidence. Neurosci Res 50:1–11
Romine CB, Lee D, Wolfe ME, Homack S, George C, Riccio CA (2004) Wisconsin Card Sorting Test with children: a meta-analytic study of sensitivity and specificity. Arch Clin Neuropsychol 19:1027–1041
Saoud M, d’Amato T, Gutknecht C, Triboulet P, Bertaud JP, Marie-Cardine M, Dalery J, Rochet T (2000) Neuropsychological deficit in siblings discordant for schizophrenia. Schizophr Bull 26:893–902
Scarone S, Abbruzzese M, Gambini O (1993) The Wisconsin Card Sorting Test discriminates schizophrenic patients and their siblings. Schizophr Res 10:103–107
Shad MU, Tamminga CA, Cullum M, Haas GL, Keshavan MS (2006) Insight and frontal cortical function in schizophrenia: a review. Schizophr Res 86:54–70
Shifman S, Bronstein M, Sternfeld M, Pisante-Shalom A, Lev-Lehman E, Weizman A, Reznik I, Spivak B, Grisaru N, Karp L, Schiffer R, Kotler M, Strous RD, Swartz-Vanetik M, Knobler HY, Shinar E, Beckmann JS, Yakir B, Risch N, Zak NB, Darvasi A (2002) A highly significant association between a COMT haplotype and schizophrenia. Am J Hum Genet 71:1296–1302
Sitskoorn MM, Aleman A, Ebisch SJ, Appels MC, Kahn RS (2004) Cognitive deficits in relatives of patients with schizophrenia: a meta-analysis. Schizophr Res 71:285–295
Smith EE, Jonides J (1999) Storage and executive processes in the frontal lobes. Science 283:1657–1661
Su CH, Kuo PH, Lin CC, Chen WJ (2005) A school-based twin study of handedness among adolescents in Taiwan. Behav Genet 35:723–733
Swan GE, Carmelli D (2002) Evidence for genetic mediation of executive control: a study of aging male twins. J Gerontol B Psychol Sci Soc Sci 57:P133–P143
Szoke A, Schurhoff F, Mathieu F, Meary A, Ionescu S, Leboyer M (2005) Tests of executive functions in first-degree relatives of schizophrenic patients: a meta-analysis. Psychol Med 35:771–782
Szoke A, Schurhoff F, Golmard JL, Alter C, Roy I, Meary A, Etain B, Bellivier F, Leboyer M (2006) Familial resemblance for executive functions in families of schizophrenic and bipolar patients. Psychiatry Res 144:131–138
Taylor J (2007) Heritability of Wisconsin Card Sorting Test (WCST) and Stroop Color-Word Test performance in normal individuals: implications for the search for endophenotypes. Twin Res Hum Genet 10:829–834
Thompson PM, Cannon TD, Narr KL, van Erp T, Poutanen VP, Huttunen M, Lonnqvist J, Standertskjold-Nordenstam CG, Kaprio J, Khaledy M, Dail R, Zoumalan CI, Toga AW (2001) Genetic influences on brain structure. Nat Neurosci 4:1253–1258
Tien AY, Spevack TV, Jones DW, Pearlson GD, Schlaepfer TE, Strauss ME (1996) Computerized Wisconsin Card Sorting Test: comparison with manual administration. Kaohsiung J Med Sci 12:479–485
Acknowledgments
Supported by grants from the National Science Council, Taiwan (NSC86-2314-B002-328, NSC87-2314-B002-290, NSC88-2314-B002-247, NSC89-2320-B002-106, NSC 94-2314-B-002 -099, and NSC 94-2314-B-002 -306 -MY2), NTU 97HP0023, and MJ Preventive Medicine Research Foundation. The authors thank the Twin Association in Taipei City and principals and teachers of the participating schools for administrative supports. We would also like to acknowledge the hard work of Chang-Ning Chiang and Hao-Jan Yang in collecting data and Huai-Wen Chang in laboratory work for DNA typing.
Author information
Authors and Affiliations
Corresponding author
Additional information
Edited by Michael Lyons.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Chou, LN., Kuo, PH., Lin, C.C.H. et al. Genetic and Environmental Influences on the Wisconsin Card Sorting Test Performance in Healthy Adolescents: A Twin/Sibling Study. Behav Genet 40, 22–30 (2010). https://doi.org/10.1007/s10519-009-9299-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10519-009-9299-3