Developmental norms for the wisconsin card sorting test
Abstract
While the Wisconsin Card Sorting Test (WCST) has been used widely among adult populations to evaluate the effects of frontal-lobe lesions, no comparable work has been done among younger populations due, in part, to the lack of an adequate normative base. This study presents developmental norms by age for the WCST for 105 school-age children. The data indicate that, by the time children are 10 years old, their performance on the WCST is indistinguishable from that of normal adults. Examination of the acquisition curves by age for Categories Achieved, Perseverative Errors, and Failures to Maintain Set reveals developmental changes that roughly correspond with neuroanatomical changes in the brain and cognitive stages of development. The present developmental norms are intended to complement and extend existing adult norms for the WCST and to facilitate the clinical use of the WCST as a neuropsychological test in child populations.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Studies of complex switching report inconsistent developmental trajectories, including a plateau at age 10 or 11-12, gradual improvement across the teenage years, or an inverted U in the teenage years.
“with other studies suggesting a plateau at age 10 (Chelune and Baer, 1986; Chevalier et al., 2013; De Luca et al., 2003) or 11–12 (Huizinga et al., 2006; Huizinga and van der Molen, 2007; Somsen, 2007), gradual improvement across the teenage years (Crone et al., 2006; Crone et al., 2008), or an inverted U in the teenage years (van der Schaaf et al., 2011).”
From Does puberty mark a transition in sensitive periods for plasticity in the associative neocortex? (2017) · cites this paper as Chelune and Baer, 1986
Cites
A Modified Card Sorting Test Sensitive to Frontal Lobe Defects
Nelson, H. E. (1976) · Cortex · doi:10.1016/s0010-9452(76)80035-4 · Cited by 2,454 · see citing works
A simple objective technique for measuring flexibility in thinking
Berg, E. A. (1948) · The Journal of General Psychology · doi:10.1080/00221309.1948.9918159 · Cited by 2,255 · see citing works
Effects of Different Brain Lesions on Card Sorting: The Role of the Frontal Lobes
MILNER, B. (1963) · Archives of Neurology · doi:10.1001/archneur.1963.00460070100010 · Cited by 2,217 · see citing works
Wisconsin Card Sorting Test manual
Heaton, R. K. (1981) · Medical Entomology and Zoology · Cited by 1,604 · see citing works
Higher Cortical Functions in Man
Luria, A. R. (1980) · Springer eBooks · doi:10.1007/978-1-4615-8579-4 · Cited by 1,322 · see citing works
Higher Cortical Functions in Man
Luria, A. R. (1995) · Springer eBooks · doi:10.1007/978-1-4684-7741-2 · Cited by 893 · see citing works
The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions.
Robinson, A. L., Heaton, R. K., Lehman, R. A. W., & Stilson, D. W. (1980) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.48.5.605 · Cited by 493 · see citing works
The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions
Robinson, A. L., Heaton, R. K., Lehman, R. A., & Stilson, D. W. (1980) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.48.5.605 · Cited by 491 · see citing works
LURIA'S NEUROPSYCHOLOGICAL INVESTIGATION
Draper, I. T. (1976) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.39.4.409-b · Cited by 408 · see citing works
The Effect of Type and Area of Brain Lesion on Wisconsin Card Sorting Test Performance
Drewe, E. A. (1974) · Cortex · doi:10.1016/s0010-9452(74)80006-7 · Cited by 393 · see citing works
Expanded manual for the Peabody picture vocabulary test
Dunn, L. M. (1965) · Medical Entomology and Zoology · Cited by 382 · see citing works
Handbook of clinical neuropsychology
Miller, E. (1982) · Behaviour Research and Therapy · doi:10.1016/0005-7967(82)90155-3 · Cited by 373 · see citing works
Frontal lobe functions in psychopaths.
Gorenstein, E. E. (1982) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.91.5.368 · Cited by 232 · see citing works
The role of frontal lobe dysfunction in childhood hyperkinesis
Mattes, J. A. (1980) · Comprehensive Psychiatry · doi:10.1016/0010-440x(80)90017-6 · Cited by 222 · see citing works
Child neuropsychology : an introduction to theory, research, and clinical practice
Bakker, D. J., Fisk, J. L., P.D, B. P. R., et al. (1983) · Cited by 214 · see citing works
An examination of attention, arousal, and learning dysfunctions of hyperkinetic children.
Rosenthal, R. H., & Allen, T. W. (1978) · Psychological Bulletin · doi:10.1037/0033-2909.85.4.689 · Cited by 214 · see citing works
Luria's neuropsychological investigation
Gloning, K. (1976) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(76)90204-2 · Cited by 208 · see citing works
The Origins of Intellect: Piaget's Theory
Clarizio, H. F., & Phillips, J. L. (1970) · American Educational Research Journal · doi:10.2307/1162168 · Cited by 181 · see citing works
Frontal lobe functions in psychopaths.
Gorenstein, E. E. (1982) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.91.5.368 · Cited by 164 · see citing works
The Luria-Nebraska Children's Battery: Theory and Formulation
Golden, C. J. (1981) · NSUWorks (Nova Southeastern University) · Cited by 144 · see citing works
PERFORMANCE OF COMPLEX VISUAL TASKS AFTER CEREBRAL LESIONS
Teuber, H., Battersby, W. S., & Bender, M. B. (1951) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-195107000-00029 · Cited by 130 · see citing works
Conceptual shifting in chronic alcoholics.
Tarter, R. E., & Parsons, O. A. (1971) · Journal of Abnormal Psychology · doi:10.1037/h0030491 · Cited by 120 · see citing works
Neuropsychological approaches to children: Towards a developmental neuropsychology
Fletcher, J. M., & Taylor, H. G. (1984) · Journal of Clinical Neuropsychology · doi:10.1080/01688638408401195 · Cited by 117 · see citing works
Age, Brain Damage, and Performance
Johnson, D. A., & Almli, C. R. (1978) · Springer eBooks · doi:10.1007/978-1-4615-7723-2_6 · Cited by 64 · see citing works
Frontal lobe system maturational lag in juvenile delinquents shown in narratives test.
Pontius, A. A., & Ruttiger, K. F. (1977) · PubMed · Cited by 63 · see citing works
PERFORMANCE OF COMPLEX VISUAL TASKS AFTER CEREBRAL LESIONS*
Teuber, H., Battersby, W. S., & Bender, M. B. (1951) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-195111450-00006 · Cited by 62 · see citing works
Reiniš, S. (1980) · Cited by 30 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Assessment and Development of Executive Function (EF) During Childhood
Anderson, P. (2002) · Child Neuropsychology · doi:10.1076/chin.8.2.71.8724 · Cited by 2,218 · see citing works
“In general, perseverative behavior is common in infancy, declines during early and middle childhood, and is rare in adolescence (Chelune & Baer, 1986; Levin et al., 1991; Welsh et al., 1991).”
BackgroundExecutive function deficits in high-functioning autistic individuals: Relationship to theory of mind
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1991.tb00351.x · Cited by 1,766 · see citing works
Age-related change in executive function: Developmental trends and a latent variable analysis
Huizinga, M., Dolan, C. V., & van der Molen, M. W. (2006) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2006.01.010 · Cited by 1,636 · see citing works
Maturation of Cognitive Processes From Late Childhood to Adulthood
Luna, B., Garver, K. E., Urban, T. A., Lazar, N. A., & Sweeney, J. A. (2004) · Child Development · doi:10.1111/j.1467-8624.2004.00745.x · Cited by 1,351 · see citing works
A normative‐developmental study of executive function: A window on prefrontal function in children
Welsh, M. C., Pennington, B. F., & Groisser, D. B. (1991) · Developmental Neuropsychology · doi:10.1080/87565649109540483 · Cited by 1,313 · see citing works
The structure of executive function in 3-year-olds.
Wiebe, S. A., Sheffield, T., Nelson, J. M., Clark, C. A. C., Chevalier, N., & Espy, K. A. (2011) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2010.08.008 · Cited by 776 · see citing works
Executive Function in Typical and Atypical Development
Zelazo, P. D., & Müller, U. (2010) · The Wiley‐Blackwell Handbook of Childhood Cognitive Development · doi:10.1002/9781444325485.ch22 · Cited by 784 · see citing works
Changes in executive control across the life span: Examination of task-switching performance.
Cepeda, N. J., Kramer, A. F., & Gonzalez de Sather, J. C. M. (2001) · Developmental Psychology · doi:10.1037/0012-1649.37.5.715 · Cited by 657 · see citing works
Executive function across the life span
Zelazo, P. D., Craik, F. I. M., & Booth, L. (2004) · Acta Psychologica · doi:10.1016/j.actpsy.2003.12.005 · Cited by 586 · see citing works
A Model of the Development of Frontal Lobe Functioning: Findings From a Meta-Analysis
Romine, C. B., & Reynolds, C. R. (2005) · Applied Neuropsychology · doi:10.1207/s15324826an1204_2 · Cited by 526 · see citing works
Developmental Changes in Cognitive Control through Adolescence
Luna, B. (2009) · Advances in Child Development and Behavior · doi:10.1016/s0065-2407(09)03706-9 · Cited by 419 · see citing works
Neurobehavioral evidence for changes in dopamine system activity during adolescence
Wahlstrom, D., White, T., & Luciana, M. (2010) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.12.007 · Cited by 277 · see citing works
“, 2009), concept formation (Chelune and Baer, 1986), working memory (Conklin”
BackgroundWilloughby, M., Kupersmidt, J., Voegler-Lee, M., & Bryant, D. (2011) · Developmental Neuropsychology · doi:10.1080/87565641.2010.549980 · Cited by 267 · see citing works
(2020) · Handbook of Clinical Neurology · doi:10.1016/b978-0-444-64150-2.00020-4 · Cited by 223 · see citing works
Switching between spatial stimulus–response mappings: a developmental study of cognitive flexibility
Crone, E. A., Richard Ridderinkhof, K., Worm, M., Somsen, R. J. M., & Van Der Molen, M. W. (2004) · Developmental Science · doi:10.1111/j.1467-7687.2004.00365.x · Cited by 197 · see citing works
Does puberty mark a transition in sensitive periods for plasticity in the associative neocortex?
Piekarski, D. J., Johnson, C. M., Boivin, J. R., Thomas, A. W., Lin, W. C., Delevich, K., M. Galarce, E., & Wilbrecht, L. (2017) · Brain Research · doi:10.1016/j.brainres.2016.08.042 · Cited by 175 · see citing works
Interference and inhibition in cognition and behavior: unifying themes for educational psychology.
Dempster, F. N., & Corkill, A. J. (1999) · Educational Psychology Review · doi:10.1023/a:1021992632168 · Cited by 163 · see citing works
New Procedures to Assess Executive Functions in Preschool Children*
Espy, K. A., Kaufmann, P. M., Glisky, M. L., & McDiarmid, M. D. (2001) · The Clinical Neuropsychologist · doi:10.1076/clin.15.1.46.1908 · Cited by 162 · see citing works
Peripubertal refinement of the intrinsic and associational circuitry in monkey prefrontal cortex
Woo, T.-U., Pucak, M. L., Kye, C. H., Matus, C. V., & Lewis, D. A. (1997) · Neuroscience · doi:10.1016/s0306-4522(97)00059-6 · Cited by 157 · see citing works
Age-group differences in set-switching and set-maintenance on the Wisconsin Card Sorting Task.
Huizinga, M., & van der Molen, M. W. (2007) · Developmental Neuropsychology · doi:10.1080/87565640701190817 · Cited by 138 · see citing works
Developmental trends in simple and selective inhibition of compatible and incompatible responses
van den Wildenberg, W. P. M., & van der Molen, M. W. (2004) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2003.11.003 · Cited by 122 · see citing works
Smidts, D. P., Jacobs, R., & Anderson, V. (2004) · Developmental Neuropsychology · doi:10.1207/s15326942dn2601_2 · Cited by 111 · see citing works
Heart rate variability in acute psychosis
Valkonen‐Korhonen, M., Tarvainen, M. P., Ranta‐Aho, P., Karjalainen, P. A., Partanen, J., Karhu, J., & Lehtonen, J. (2003) · Psychophysiology · doi:10.1111/1469-8986.00072 · Cited by 94 · see citing works
Tsuchiya, E., Oki, J., Yahara, N., & Fujieda, K. (2005) · Brain and Development · doi:10.1016/j.braindev.2004.06.008 · Cited by 80 · see citing works
Dick, A. S. (2014) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2014.01.021 · Cited by 77 · see citing works
Rosselli, M., Ardila, A., Bateman, J. R., & Guzman, M. (2001) · Developmental Neuropsychology · doi:10.1207/s15326942dn2001_3 · Cited by 65 · see citing works
An ERP developmental study of repetition priming by auditory novel stimuli
CYCOWICZ, Y. M., FRIEDMAN, D., & ROTHSTEIN, M. (1996) · Psychophysiology · doi:10.1111/j.1469-8986.1996.tb02364.x · Cited by 57 · see citing works
Wisconsin Card Sorting Test: normative data and experience
Kohli, A., & Kaur, M. (2006) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.31582 · Cited by 57 · see citing works
Do children with attention-deficit/hyperactivity disorder (ADHD) have set shifting deficits?
Irwin, L. N., Kofler, M. J., Soto, E. F., & Groves, N. B. (2019) · Neuropsychology · doi:10.1037/neu0000546 · Cited by 54 · see citing works
Mizuno, K., Tanaka, M., Fukuda, S., Imai-Matsumura, K., & Watanabe, Y. (2011) · Brain and Development · doi:10.1016/j.braindev.2010.08.012 · Cited by 46 · see citing works
Chakraborty, D., Bernal, A. J., Schoch, K., Howard, T. D., Ip, E. H., Hooper, S. R., Keshavan, M. S., Jirtle, R. L., & Shashi, V (2012) · Translational Psychiatry · doi:10.1038/tp.2012.31 · Cited by 30 · see citing works
Developmental profile of executive functioning in school-age children from Northeast Brazil.
Guerra, A., Hazin, I., Guerra, Y., Roulin, J.-L., Le Gall, D., & Roy, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.596075 · Cited by 19 · see citing works
- Authors
- Chelune, G. J., & Baer, R. A.
- Affiliations
- University of California San Diego (US)
- University of Mississippi Medical Center (US)
- Venue
- Journal of Clinical and Experimental Neuropsychology
- Publisher
- Informa UK Limited
- Published
- 1986-06
- Volume
- 8
- Issue
- 3
- Pages
- 219-228
- ISSN
- 0165-0475 (ISSN-L)
- 0168-8634
- OpenAlex
- W2021895097
- Cited by
- 467
- References
- 27
- Citations by year
- 2026: 8 · 2025: 1 · 2024: 10 · 2023: 10 · 2022: 15 · 2021: 19 · 2020: 19 · 2019: 10 · 2018: 8 · 2017: 10 · 2016: 12 · 2015: 11 · 2014: 13 · 2013: 16 · 2012: 13
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical and Experimental Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- Wisconsin Card Sorting Test, developmental norms, elementary school students, frontal lobe, cognitive development, perseverative errors, set maintenance, neuropsychological assessment
- MeSH terms
- Attention, Brain Damage, Chronic, Child, Concept Formation, Discrimination Learning, Female, Humans, Intelligence, Male, Neuropsychological Tests, Problem Solving, Psychometrics, Reference Values
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review