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Related Experiment Videos

Distinguishing normal and demented elderly with the selective reminding test.

D M Masur1, P A Fuld, A D Blau

  • 1Dept. of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461.

Journal of Clinical and Experimental Neuropsychology
|October 1, 1989
PubMed
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The Selective Reminding (SR) test effectively differentiates normal aging from Alzheimer Type Dementia (ATD). Key memory components accurately identify mild ATD, showing promise for early dementia detection.

Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Gerontology

Background:

  • Verbal memory assessment is crucial for understanding cognitive aging.
  • Alzheimer Type Dementia (ATD) significantly impacts memory functioning.
  • The Selective Reminding (SR) procedure is a widely used memory test.

Purpose of the Study:

  • To investigate memory functioning in normal elderly individuals and those with ATD using the SR test.
  • To establish normative data for memory components in the elderly population.
  • To assess the clinical utility of the SR test in differentiating normal aging from mild ATD.

Main Methods:

  • Administered four versions of the SR test to 134 normal elderly subjects and 21 ATD subjects.
  • Collected data on multiple memory functioning components.

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  • Conducted test-retest reliability and clinical validity studies.

    • Main Results:

    • High test-retest reliability was found for long-term retrieval (LTR) (.84), sum of recall (.89), and consistent retrieval (.92).
    • Sum of recall, storage estimate, LTR, and consistent long-term storage (CLTS) effectively distinguished mild ATD from normal aging.
    • Positive predictive values for distinguishing ATD ranged from 86% (CLTS) to 100% (storage estimate).

    Conclusions:

    • The SR test demonstrates significant clinical utility in differentiating normal aging from dementia.
    • Specific SR test components show promise for the preclinical detection of ATD.
    • The SR procedure is a valuable tool for memory assessment in aging populations.