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Rey-Osterrieth Complex Figure - copy and immediate recall (3 minutes): Normative data for Spanish-speaking pediatric
J C Arango-Lasprilla1,2, D Rivera2, M M Ertl3
1IKERBASQUE, Basque Foundation for Science, Bilbao, Spain.
Insights
This study provides normative data for the Rey-Osterrieth Complex Figure (ROCF) in Spanish-speaking children. Findings show age, parental education, and sex influence ROCF performance, enabling more accurate neuropsychological assessments.
Area of Science:
- Neuropsychology
- Developmental Psychology
- Cross-cultural Psychology
Background:
- The Rey-Osterrieth Complex Figure (ROCF) is a widely used neuropsychological test.
- Normative data are essential for accurate interpretation of test scores in diverse populations.
- Existing ROCF norms may not adequately represent Spanish-speaking pediatric populations.
Purpose of the Study:
- To establish comprehensive normative data for the Rey-Osterrieth Complex Figure (ROCF) in a large sample of Spanish-speaking children.
- To investigate the influence of demographic variables (age, sex, parental education) on ROCF performance in this population.
Main Methods:
- A large-scale study involving 4,373 healthy children from nine Latin American countries and Spain.
- Participants completed the ROCF as part of a broader neuropsychological assessment.
- Normative scores for ROCF copy and immediate recall were derived using multiple linear regression, controlling for age, age squared, sex, and mean parental education level (MLPE).
Main Results:
- Age demonstrated a significant linear effect on both ROCF copy and immediate recall scores, with performance increasing with age.
- Non-linear effects of age (age squared) and demographic factors (MLPE, sex) varied across countries, influencing ROCF scores.
- Higher MLPE was associated with better scores in specific countries, and girls outperformed boys in ROCF performance in Chile and Puerto Rico.
Conclusions:
- This study presents the largest normative dataset for the ROCF in Spanish-speaking children globally.
- The findings provide crucial normative data to enhance the accuracy of ROCF interpretation by neuropsychologists in these regions.
- The results highlight the importance of considering age, parental education, and sex when interpreting pediatric ROCF performance.
Objective:
To generate normative data for the Rey-Osterrieth Complex Figure (ROCF) in Spanish-speaking pediatric populations.
Method:
The sample consisted of 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Guatemala, Honduras, Mexico, Paraguay, Peru, and Puerto Rico) and Spain. Each participant was administered the ROCF as part of a larger neuropsychological battery. The ROCF copy and immediate recall (3 minutes) scores were normed using multiple linear regressions and standard deviations of residual values. Age, age2, sex, and mean level of parental education (MLPE) were included as predictors in the analyses.
Results:
The final multiple linear regression models showed main effect for age on copy and immediate recall scores, such that scores increased linearly as a function of age. Age2 affected ROCF copy score for all countries, except Puerto Rico; and ROCF immediate recall scores for all countries, except Chile, Guatemala, Honduras, Paraguay, and Puerto Rico. Models indicated that children whose parent(s) had a MLPE >12 years obtained higher scores compared to children whose parent(s) had a MLPE≤12 years for Chile, Puerto Rico, and Spain in the ROCF copy, and Paraguay and Spain for the ROCF immediate recall. Sex affected ROCF copy and immediate recall score for Chile and Puerto Rico with girls scoring higher than boys.
Conclusions:
This is the largest Spanish-speaking pediatric normative study in the world, and it will allow neuropsychologists from these countries to have a more accurate approach to interpret the ROCF Test in pediatric populations.
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