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Updated: Jan 1, 2026

Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
Published on: June 12, 2017
Using the delayed spatial alternation task to assess environmentally associated changes in working memory in very
Megan K Horton1, Laura Zheng1, Ashley Williams1
1Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
The Delayed Spatial Alternation Task (DSAT) effectively measures working memory (WM) in infants, showing improved performance with age and correlating with cognitive development. Prenatal lead exposure did not impact DSAT results.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Working memory (WM) is crucial for cognitive functions like problem-solving and reasoning.
- Assessing WM in very young children is challenging due to limited validated tests.
- Early WM assessment is vital for identifying developmental issues and susceptibility to neurotoxicants like lead.
Purpose of the Study:
- To evaluate the feasibility of the Delayed Spatial Alternation Task (DSAT) for measuring WM in 18- and 24-month-old infants.
- To compare DSAT performance with child's age and general cognitive development.
- To investigate the impact of prenatal lead exposure on infant WM performance.
Main Methods:
- Administered the DSAT and Bayley Scales of Infant Development (BSID-III) to 457 mother-child pairs in Mexico City.
- Measured lead levels in maternal blood during pregnancy (MBPb) and child blood at 24 months (CPBb).
- Utilized regression analyses to assess predictors of DSAT performance, including lead exposure, sex, maternal education, and household smoking.
Main Results:
- Children at 24 months demonstrated significantly better DSAT performance than 18-month-olds.
- Female infants outperformed males on the DSAT. Maternal education positively correlated with performance, while household smoking negatively correlated.
- DSAT performance showed a positive association with BSID-III cognitive and language scales; lead exposure did not significantly predict DSAT outcomes.
Conclusions:
- The DSAT is a valid measure of infant development, evidenced by improved performance with age.
- DSAT results correlate positively with established cognitive assessments (BSID-III) and known sociodemographic predictors.
- The study highlights the DSAT's utility in assessing early cognitive development and potential neurodevelopmental impacts.
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