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There is no agreed upon measure of subjective clustering for clinical use in patients following moderate-severe traumatic brain injury (TBI). This study investigated whether measures of subjective clustering,  subjective organization  ( SO ) and  adjusted ratio of clustering  ( ARC ), were appropriate for use in patients following moderate-severe TBI. Twenty participants with moderate-severe TBI in the chronic stage of recovery and 20 control participants recalled a list of unrelated words over six trials. The authors assessed if the  SO  and  ARC  measures could discriminate the groups’ ability to subjectively cluster the words. The authors also examined whether the  SO  and  ARC  measures correlated with recall and learning rate, and if combining the measures improved the predictive accuracy. Participants with moderate-severe TBI performed significantly worse on the  SO  measure, but there were no group differences regarding the  ARC  measure. The  SO  measure positively correlated with recall, but not learning rate. The  ARC  measure did not positively correlate with recall or learning rate, and combining the measures did not enhance the predictive accuracy. The  SO  measure is likely an appropriate candidate for clinical use. However, there are problems with the  ARC  measure that limit its use as a clinical tool.

Measuring subjective clustering of verbal information after moderate-severe traumatic brain injury: a preliminary study