Picture Completion Subtests Research Articles

A Cross-Sectional Study on the Association between Physical Activity and Cognitive Function Among Community-Dwelling Older Adults in Tianjin.

The association between physical activity (PA) and cognitive function remains controversial, and the impact of gender on this association remains underexplored. Therefore, this study aimed to investigate the association between PA and cognitive function and to explore whether this association was modified by gender among older adults. In 2016, a cluster sampling method was used to select community-dwelling older adults aged 65 and above. PA was assessed using the International Physical Activity Questionnaire-Short Form and classified as low, middle, and high. Cognitive function was assessed by using the revised Chinese version of the Wechsler Adult Intelligence Scale. The multiple linear regression model was used to explore the association between PA and cognitive function and to assess whether this association differs by gender. A total of 676 participants with a mean age of 73.63 ± 6.39 were included. The multiple linear regression analysis showed that higher PA was significantly statistically associated with Full Intelligence Quotient (FIQ), Performance Intelligence Quotient (PIQ), and verbal Intelligence Quotient (VIQ) (P<0.05). Among the WAIS-RC subtests, higher PA was significantly statistically associated with higher scores of the similarity subtest, picture completion subtest, and picture arrangement subtest (P<0.05). In the gender subgroup analysis, higher PA was significantly statistically associated with FIQ and PIQ (P<0.05), but no significant association was found with VIQ (P>0.05) in the male group, while in the female group, there was no significant statistical association between higher PA and FIQ, PIQ, or VIQ (P>0.05). Higher PA was significantly statistically associated with better cognitive function (P<0.05). In the male group, PA was significantly statistically associated with cognitive function, whereas no comparable association was found in the female group.

Similarities and Differences in the WAIS-IV Performances in Korean and U.S. Populations.

This exploratory study examines the cognitive profiles of South Koreans using the WAIS-IV. It compares scores from the original U.S. version (USW) with those from the Korean version (KW) to identify potential cultural influences on performance. Raw scores corresponding to a scaled score of 10 for each subtest of the KW were used to compare the performances of South Koreans and Americans across subtests and composite indices. The impact of education was assessed through correlations with educational attainment ratios from both countries. When combined across all age groups, the scores of the South Korean sample were significantly lower than those of U.S. sample on the Similarities, Comprehension, and Picture Completion subtests, and Verbal Comprehension Index. However, younger South Koreans scored significantly higher on Block Design, Matrix Reasoning, Visual Puzzles, Figure Weights, Digit Span, Arithmetic, Letter-Number Sequencing, Symbol Search, and Coding and all composite scores except Verbal Comprehension. Older South Koreans scored significantly lower on Similarities, Vocabulary, Comprehension, Matrix Reasoning, Visual Puzzles, Picture Completion, and the composite scores of Verbal Comprehension and Perceptual Reasoning, compared to their U.S. counterparts. All subtest and composite scores were highly correlated with education. The South Korean and U.S. samples demonstrated distinct cognitive profiles on the WAIS-IV when comparing relative performances on subtests and composite measures. Cultural factors including socioeconomic changes, education quality, nuances in language characteristics, and implicit differences in cognitive processing were discussed as possible contributors to the unique cognitive profile of the South Korean sample.

Comparing transcranial direct current stimulation and transcranial random noise stimulation over left dorsolateral prefrontal cortex and left inferior frontal gyrus: Effects on divergent and convergent thinking.

The essential role of creativity has been highlighted in several human knowledge areas. Regarding the neural underpinnings of creativity, there is evidence about the role of left dorsolateral prefrontal cortex (DLPFC) and left inferior frontal gyrus (IFG) on divergent thinking (DT) and convergent thinking (CT). Transcranial stimulation studies suggest that the left DLPFC is associated with both DT and CT, whereas left IFG is more related to DT. However, none of the previous studies have targeted both hubs simultaneously and compared transcranial direct current stimulation (tDCS) and random noise stimulation (tRNS). Additionally, given the relationship between cognitive flexibility and creativity, we included it in order to check if the improvement in creativity may be mediated by cognitive flexibility. In this double-blind, between-subjects study, 66 healthy participants were randomly assigned to one of three groups (N = 22) that received a transcranial direct current stimulation (tDCS), transcranial random noise stimulation (tRNS), or sham for 20 min. The tDCS group received 1.5 mA with the anode over the left DLPFC and cathode over the left IFG. Locations in tRNS group were the same and they received 1.5 mA of high frequency tRNS (100-500 Hz). Divergent thinking was assessed before (baseline) and during stimulation with unusual uses (UU) and picture completion (PC) subtests from Torrance Creative thinking Test, whereas convergent thinking was evaluated with the remote association test (RAT). Stroop test was included to assess cognitive flexibility. ANCOVA results of performance under stimulation (controlling for baseline performance) showed that there were significant differences in PC (F = 3.35, p = 0.042, = 0.10) but not in UU (F = 0.61, p = 0.546) and RAT (F = 2.65, p = 0.079) scores. Post-hoc analyses showed that tRNS group had significantly higher scores compared to sham (p = 0.004) in PC. More specifically, tRNS showed higher performance in fluency (p = 0.012) and originality (p = 0.021) dimensions of PC compared to sham. Regarding cognitive flexibility, we did not find any significant effect of any of the stimulation groups (F = 0.34, p = 0.711). Therefore, no further mediation analyses were performed. Finally, the group that received tDCS reported more adverse effects than sham group (F = 3.46, p = 0.035). Altogether, these results suggest that tRNS may have some advantages over tDCS in DT.

Exploratory Factor Analysis of the WAIS-III Thai Version in Patients with Mild Cognitive Impairment

Objective: To investigate the generalizability of the Wechsler Adult Intelligence Scale-III (WAIS-III) factors structure in a sample of mild cognitive impairment (MCI) patients. Materials and Methods: A retrospective study of patients older than 60 years receiving treatments at the Memory Clinic in Ramathibodi Hospital between January 2015 and July 2018 was conducted. The WAIS-III Thai version was used to measure the performance. All subtests except the Vocabulary and Object Assembly subtests were included for analyses. These 12 subtests were subjected to a principal axis factor analysis with oblique rotation and four factors were specified to be retained. Results: Out of 145 patients, 51% were female and 49%were male. The Full-Scale IQ ranged from 80 to 123 with the mean of 93.88 (SD 9.12). The mean of each subtest ranged from 7.82 (Similarities) to 10.45 (Digit Span), with the standard deviations ranging from 1.80 to 2.86. Based on the order of extraction and minimum loading criterion, results supported a four-factor solution composed of Verbal Comprehension, Perceptual Organization, Working Memory, and Processing Speed. The coefficients of congruence across groups on the four factors ranged from 0.92 for Perceptual Organization to 0.73 for Processing Speed. However, the Picture Completion subtest was found to have similar loadings between Perceptual Organization and Processing Speed, with the primary loading being on Perceptual Organization and secondary loading on Processing Speed. On the Working Memory factor, the MCI group showed areas of relatively greater divergence for Picture Arrangement, Block Design, and Digit Symbol: Coding subtests. Conclusion: Four factors from WAIS-III could be applied to patients with MCI. The decline of cognitive functions, particular in working memory, might be the explanation for the difference in loading factor among some subtests. Therefore, it might be possible to apply other models with other factors to the same patient group in the future. Keywords: Mild cognitive impairments; Exploratory factor analysis; WAIS-III

The effect of transcranial random noise stimulation (tRNS) over bilateral posterior parietal cortex on divergent and convergent thinking

Creativity pervades many areas of everyday life and is considered highly relevant in several human living domains. Previous literature suggests that the posterior parietal cortex (PPC) is related to creativity. However, none of previous studies have compared the effect of transcranial random noise stimulation (tRNS) over bilateral PPC on both verbal and visual divergent thinking (DT) and Remote Associates Test (RAT) in the same experimental design. Forty healthy participants were randomly assigned to tRNS (100–500 Hz) over bilateral PPC or sham group, for 15 min and current was set at 1.5 mA. Participants’ creativity skills were assessed before and after brain stimulation with the Unusual Uses and the Picture Completion subtests from the Torrance Test of Creative Thinking and the RAT. ANCOVA (baseline scores as covariate) results indicated that tRNS group had significantly higher scores at post-test in RAT and visual originality compared to sham group. Unusual Uses, on the other hand, was not significant. Improvement in RAT suggests the involvement of PPC during via insight solution which may reflect internally directed attention that helps the recombination of remotely associated information. The improvement in visual originality dimension from DT may be due to a higher internally directed attention while reducing externally oriented attention.

Improvement in creativity after transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex

Creativity has previously been shown to improve after the application of direct and alternating current transcranial stimulation over the dorsolateral prefrontal cortex (DLPFC). However, previous studies have not tested whether transcranial random noise stimulation (tRNS) was efficient for this purpose. The aim of this randomized, double-blind, placebo-controlled study was to investigate the effect of tRNS on both verbal convergent and (verbal and visual) divergent thinking during left DLPFC tRNS stimulation. Thirty healthy participants were randomly allocated to either a tRNS active group or a sham group. Each session lasted 20 min and the current was set to 1.5 mA (100–500 Hz). Participants’ verbal convergent thinking was assessed with the Remote Associates Test (RAT). Verbal and visual divergent thinking were respectively measured by using the Unusual Uses and Picture Completion subtests from the Torrance Tests of Creative Thinking. Bootstrapped analysis of variance showed significant differences in the mean change scores between the active tRNS group and the sham group in RAT scores (d = 1.68); unusual uses: fluency (d = 2.29) and originality (d = 1.43); and general creativity (d = 1.45). Visual divergent thinking, in contrast, did not show any significant improvement. Our results suggested that tRNS over the left DLPFC is effective for increasing verbal divergent and convergent thinking.

Cognitive profiles of adults with high-functioning autism spectrum disorder and those with attention-deficit/hyperactivity disorder based on the WAIS-III

The cognitive profile differences between adult patients with autism spectrum disorder (ASD) and those with attention-deficit/hyperactivity disorder (ADHD) are not well characterized. We examined the cognitive profiles of adults having either ASD (n=120) or ADHD (n=76) with no intellectual disabilities (IQ≥70) using the Wechsler Intelligence Scale III (WAIS-III). Verbal Intelligence (VIQ) − Performance Intelligence (PIQ) difference discrepancies were detected between the two groups. Information subtest scores of the Verbal Comprehension index and Arithmetic and Digit Span subtests of the Freedom from Distractibility index were significantly higher in ASD than in ADHD, while the Picture Completion subtest was significantly lower in ASD. To our knowledge, this is the first study to evaluate the difference in the cognitive profiles of adults with ASD and those with ADHD based on the WAIS III with a large number of participants.

Stable cognitive functioning with improved perceptual reasoning in children with dyskinetic cerebral palsy and other secondary dystonias after deep brain stimulation.

Dystonia is characterised by involuntary movements (twisting, writhing and jerking) and postures. Secondary dystonias are described as a heterogeneous group of disorders with both exogenous and endogenous causes. There is a growing body of literature on the effects of deep brain stimulation (DBS) surgery on the motor function in childhood secondary dystonias, however research on cognitive function after DBS is scarce. Cognitive function was measured in a cohort of 40 children with secondary dystonia following DBS surgery using a retrospective repeated measures design. Baseline pre-DBS neuropsychological measures were compared to scores obtained at least one year following DBS. Cognitive function was assessed using standardised measures of intellectual ability and memory. There was no significant change in the assessed domains of cognitive function following DBS surgery. A significant improvement across the group was found on the Picture Completion subtest, measuring perceptual reasoning ability, following DBS. Cognition remained stable in children with secondary dystonia following DBS surgery, with some improvements noted in a domain of perceptual reasoning. Further research with a larger sample is necessary to further explore this, in particular to further subdivide this group to account for its heterogeneity. This preliminary data has potentially positive implications for the impact of DBS on cognitive functioning within the childhood secondary dystonia population.

Brain Network Underlying the Improvement of Social Functioning in Schizophrenic Patients After One-year Treatment with Social Skills Training.

To assess changes in social and neuro-cognition and regional cerebral blood flow (rCBF) in schizophrenic patients with psychotic syndrome treated with Social Skill Training (SST). 17 patients underwent two high resolution rCBF SPECT at rest before and after a one-year treatment with SST. Patients were assessed using a neuropsychological evaluation (W.A.I.S.-R, T.M.T, Verbal Fluency, W.C.S.T.). SPM8 was used to investigate rCBF changes from the pre- to the post-SST condition and the relationship between rCBF and clinical scores used as covariates of interest. All patients presented with an improvement in social perception, ability to deal with abstract social conventions, rules and judgments about people (Comprehension and Picture Completion sub-tests) and some neuro-cognitive functions sustaining the process of socially relevant information. The main effect of SST was to produce rCBF increases in precuneus, PCC, superior parietal lobules, PMC, pre-SMA, precentral gyrus, dmPFC, dlPFC, vmPFC, OFC (p<0.0001 uncorrected). The SPM analysis showed that Comprehension was supported by PMC, dmPFC, OFC and vmPFC, while the Picture Completion was supported by PMC and dmPFC (p&lt;0.0001). SST in schizophrenic patients improves resting neural activity in cortical areas of the amigdala-based and non-amygdala networks of social brain, including dmPFC and vmPFC, and dlPFC, which are known to be part of default mode and task-positive networks and to be implicated in schizophrenia.

Two Studies of Sex Differences on the WAIS in Russia

Data are reported for two studies of sex differences on the WAIS in Russia. In the first study a sample of 16 year old males obtained a 1.96 points higher Full Scale IQ than females and higher scores on the Arithmetic and Picture Completion subtests while females obtained a higher score than males on the Digit Symbol Search subtest. Males showed less variability than females on the Full Scale IQ. Sex differences for IQs and subtest scores are compared with those in the United States. In the second study a sample of 18 to 35 year old males obtained a higher Full Scale IQ than females by 3.44 IQ points. Key Words: IQ; Russia; sex differences; WAIS

Does high educational level protect against intellectual decline in older adults?: A 10‐year longitudinal study

AbstractThis study examined the relation between educational level and intellectual change in Japanese older adults. Participants (age = 65–79 years, n = 593) comprised the first‐wave participants of the National Institute for Longevity Sciences‐Longitudinal Study of Aging (NILS‐LSA). They were followed for 10 years and were tested six times. Educational levels were divided into two groups (low‐educated or high‐educated), and intellectual changes for the 10 years were assessed using the Japanese Wechsler Adult Intelligence Scale‐Revised Short Forms (JWAIS‐R‐SF); subtests included Information, Similarities, Picture Completion, and Digit Symbol. General linear mixed‐model analyses revealed that education had not affected 10‐year changes of the Information, Similarities, and Picture Completion subtest scores. In contrast, education was significantly associated with a change in the Digit Symbol subtest score; individuals with higher levels of education showed greater decline than those with less education, although they had higher ability at every time point. These findings suggest that higher education does not protect against intellectual decline in late life, although it is associated with long‐term individual differences in intelligence.

Defining Characteristics of Creative Women

This study was an effort to identify correlates of creativity in women. A sample of 447 college students were given the picture completion subtest of the Torrance Test of Creative Thinking, the How Do You Think Test, the Revised NEO Personality Inventory, the Multidimensional Self-Esteem Inventory, the Family Environment Scale, and the Minnesota Multiphasic Personality Inventory Second Edition. Results provide evidence of gender differences in creative potential favoring men. Creativity in both men and women in the study was associated with openness, extraversion, resistance to social demands, substantial personal powerfulness, high energy, and impulsivity. Unique to men were correlations between creativity and overall self satisfaction, insensitivity to criticism, and distinctly unusual cognition. A review of the correlates of creativity in women reveals quite a mixed picture. In women, creativity was correlated with harshly self-critical judgments regarding their ability to live up to others’ expectations. Curiously, creativity in women was also significantly correlated with cheerfulness, optimism, high expectations for interpersonal success, social poise, and comfort in interpersonal relationships. Family-of-origin characteristics associated with creativity were distinctly different for men and women, suggesting that family experiences conducive to later development of creativity in offspring may differ depending on the sex of the offspring.

Recognition of facial and musical emotions in Parkinson's disease

Patients with amygdala lesions were found to be impaired in recognizing the fear emotion both from face and from music. In patients with Parkinson's disease (PD), impairment in recognition of emotions from facial expressions was reported for disgust, fear, sadness and anger, but no studies had yet investigated this population for the recognition of emotions from both face and music. The ability to recognize basic universal emotions (fear, happiness and sadness) from both face and music was investigated in 24 medicated patients with PD and 24 healthy controls. The patient group was tested for language (verbal fluency tasks), memory (digit and spatial span), executive functions (Similarities and Picture Completion subtests of the WAIS III, Brixton and Stroop tests), visual attention (Bells test), and fulfilled self-assessment tests for anxiety and depression. Results showed that the PD group was significantly impaired for recognition of both fear and sadness emotions from facial expressions, whereas their performance in recognition of emotions from musical excerpts was not different from that of the control group. The scores of fear and sadness recognition from faces were neither correlated to scores in tests for executive and cognitive functions, nor to scores in self-assessment scales. We attributed the observed dissociation to the modality (visual vs. auditory) of presentation and to the ecological value of the musical stimuli that we used. We discuss the relevance of our findings for the care of patients with PD.

Thrombolytic therapy and visuoperceptual functions in right hemisphere infarct patients

This study examines the association between thrombolysis and visuoperceptual functions in right hemisphere (RH) infarct patients. Fifty-six consecutive patients with first acute RH infarct were matched for age, years of education and stroke severity at the time of admission to the emergency department (baseline NIHSS; National Institute of Health Stroke Scale), compared according to whether (T+) or not (T-) they received thrombolysis. Neurological (NIHSS at hospital ward; Barthel index; BI) and neuropsychological examinations were conducted 4 days after onset. Visuoconstructive abilities were assessed with the block design and visual search and reasoning with the picture completion subtests of the Wechsler Adult Intelligence Scale revised. Visual neglect was assessed with the conventional subtests of the Behavioural Inattention test and visual memory with the visual reproduction subtest of the Wechsler Memory Scale Revised. T+ and T- patients did not differ in baseline NIHSS, age, years of education, hemianopia, hemiparesis, or in basic ADL (BI). T- patients had more severe strokes (NIHSS at hospital ward) and poorer visuoconstructive abilities than T+ patients. Our results indicate that thrombolysis has a favourable effect on visuoperceptual functions in acute stroke.

Use of the WAIS-III Picture Completion Subtest as an Embedded Measure of Response Bias

In the present study a large sample of credible patients (n = 172) scored significantly higher than a large sample of noncredible participants (n = 195) on several WAIS-III Picture Completion variables: Age Adjusted Scaled Score, raw score, a “Rarely Missed” index (the nine items least often missed by credible participants), a “Rarely Correct” index (nine items correct <26% of the time in noncredible participants and with at least a 25 percentage-point lower endorsement rate as compared to credible participants), and a “Most Discrepant” index (the six items that were the most discrepant in correct endorsement between groups—at least a 40 percentage point difference). Comparison of the various scores showed that the “Most Discrepant” index outperformed all the others in identifying response bias (nearly 65% sensitivity at 92.8% specificity as compared to at most 59% sensitivity for the other scores). While no differences in Picture Completion scores were observed between less-educated (<12 years) and better-educated (≥12 years) credible participants, noncredible participants with <12 years of education scored significantly poorer than noncredible participants with 12 or more years of education. On the “Most Discrepant” index, 76.7% of less-educated noncredible participants were detected as compared to 58.3% of better-educated noncredible participants. Results of the current study suggest that the Picture Completion subtest of the WAIS-III is an effective measure of response bias, and that it may have a unique role in identifying suboptimal effort in less-educated test takers.

The relationships between Wechsler Intelligence Scale for Children (WISC- R) with the Cognitive Assessment System (CAS)

The relationships between Wechsler Intelligence Scale for Children-Third Edition (WISC-R) with the Cognitive Assessment System (CAS) were examined for a sample of 100 children (70 males and 30 females) ages 5 to 16. The sample was comprised of children who were referred to a specialty clinic for evaluation in Tehran. Participants were administered the WISC- R and the CAS. Results indicated that all subtests of CAS/WISC-R correlations were significant. Arithmetic subtest of WISC had high correlation with the four separate CAS scales and full scale, but picture completion subtest of WISC-R had low correlation with the four separate CAS scales and full scale. These results showed that the CAS/WISC-R correlations with achievement were significant.

Identification of a Social Cognition Construct for the WAIS-III

Recent studies of autism and schizophrenia examining the factor structure of the subtests of the Wechsler Adult Intelligence Scale-Revised have identified a factor that is thought to assess social cognitive (SC) processes or social context. The objective of the current study was to determine whether a similar factor could be identified using confirmatory factor analysis of the 14 Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) subtests in the standardization sample. A five-factor model that included an SC factor along with verbal comprehension, perceptual organization, working memory, and processing speed factors provided the best fit of the data. The SC factor was composed of the Picture Arrangement, Picture Completion, and Object Assembly subtests when all 14 WAIS-III subtests were included. These results provide support for the construct validity of SC factors measured by the WAIS-III in the standardization sample, although additional research is necessary to determine its stability across age groups and clinical populations, as well as its sensitivity to various forms of brain dysfunction.

Uric acid associates with cognition in Parkinson's disease

Cognitive dysfunction is common in Parkinson's disease (PD). Low plasma uric acid level is a risk factor for PD but its association with cognitive impairment in PD has not been previously studied. In the present study urine uric acid level as well as plasma uric acid- and homocysteine levels were measured in 40 patients with PD. Comprehensive neuropsychological tests including computerized tasks were performed on all. Both low plasma and low urine uric acid levels associated with decreased neuropsychological performance. In multiple linear regression low urine uric acid level predicted worse performance in the Picture completion subtest of the Wechsler Adult Intelligence Scale-Revised (WAIS-R) ( p = 0.003) and in the Rule shift cards test of the Behavioral Assessment of the Dysexecutive Syndrome (BADS) ( p = 0.04). Low plasma uric acid level predicted worse performance both in the Picture completion ( p = 0.02) and Similarities subtest of the WAIS-R ( p = 0.02). Reaction time and the time spent on cognitive processing in the Statement verification task were inversely correlated with the uric acid levels ( p = 0.0001). There was no correlation between the homocysteine level and neuropsychological performance. Instead, the plasma uric acid and homocysteine levels correlated significantly and their possible association in PD is discussed.

“Hold Test” Use in Environmental Epidemiologic Studies On Behavioral Toxicology: Which Tasks Should Be Used?

ISEE-544 Objective: Neuropsychological testing has become a widely accepted methodology for assessing neurotoxicity in environmental and occupational exposure studies. These tools allow quantification of a continuum of functional effects ranging from subtle deficits to clinical diagnosis; a dose-response pattern can be explored. Neuropsychological performance is a dynamic process requiring a full grasp of all the potential covariates associated with performance. One variable associated with performance on neuropsychological test in adults is premorbid intelligence (an individual's intellectual abilities before exposure). Premorbid abilities are usually estimated through the use of one of more “hold tests,” tasks that are thought to be resistant to neurotoxic effects. The single word reading subtest of the Wide Range Achievement Test-3 (WRAT-R/3) is a widely used hold test in neuropsychological research, but its utility and validity have been questioned (Johnstone et al., 1996; Michelsen et al., 1996). This project assessed its utility with adult neurological and occupational groups. Materials and Methods: A pilot study examining visuospatial functioning in neurological patients (Parkinson's disease or multiple sclerosis diagnosis), lead-exposed workers, and normal controls was conducted using the WRAT-R/3 and 8 visuospatial tasks. Results: Performance on the WRAT reading subtest was a poor predictor of performance on the visuospatial tests in the battery (Spearman correlation coefficients of 0.02–0.23; P=0.14–0.74). The Wechsler Adult Intelligence Scale-III (WAIS-III) Picture Completion subtest, a task that requires identification of missing details in drawings, was significantly correlated with all but one of the visuospatial tests (Spearman correlation coefficient ranged from 0.32 to 0.60; P < 0.001–0.05). This test is generally resistant to the effects of neurotoxicant exposure in adults. Conclusions: Studies using neuropsychological tests to examine the impact of neurotoxic substances should include hold tests for both verbal and nonverbal functioning. The WAIS-III Picture Completion subtest is a strong candidate for measurement of premorbid visuospatial abilities.

Factor analytic support for social cognition as a separable cognitive domain in schizophrenia

Social cognition has received increasing attention in schizophrenia due to its theoretical relevance to core features of the disorder as well as the marked deficits in social functioning exhibited by these patients. However, there remains a need to develop and validate measures of social cognitive abilities and to demonstrate that they are constructs that are separable from non-social neurocognitive processes. In the current study, the Wechsler Adult Intelligence Scale-Revised (WAIS-R) was administered to 169 males with schizophrenia, and test results were subjected to confirmatory factor analysis (CFA) to determine if those WAIS-R subtests containing social content would form a distinct Social Cognition (SC) factor. CFA was used to evaluate various models that hypothesized an SC factor, and for comparison purposes the same models were evaluated in the WAIS-R standardization sample. Results confirmed the presence of a four-factor model that included an SC factor, as well as the more commonly reported Verbal Comprehension, Perceptual Organization, and Working Memory factors. The SC factor consisted of the Picture Arrangement and Picture Completion subtests, and demonstrated small but significant correlations with disorganization and negative symptoms, as well as with an index of social functioning. Results provide support for the validity of the SC factor as a measure of social cognition in schizophrenia, and demonstrate that at least some aspects of social cognition represent separable cognitive domains in schizophrenia.