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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
Summary

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.

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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.