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Updated: Sep 22, 2025

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
Tower of London test - short version
Pavel Harsa1,2, Michaela Břeňová1, Ondřej Bezdíček2
1Department of Psychiatry, First Faculty of Medicine and General University Hospital, Charles University Kateřinská, Prague, Czech Republic.
Abstract:
Tower of London (ToL) is a neuropsychological method for assessing planning ability. In this study, we attempted to introduce a shorter version of ToL. Two studies were carried out. In Study 1, patients with mild cognitive impairment due to Parkinson's Disease (n = 36) and a control group (n = 225) were included in order to select a suitable short version of ToL for Study 2. In Study 2, patients with schizophrenia (n = 30) and a control group (n = 31) were included in order to assess psychometric properties of the shortened version of ToL. Based on psychometric evaluations in Study 1, we offered three possible shortened versions. In Study 2, all three shortened versions proved to have good discriminative validity in our schizophrenia sample, but interestingly not in the healthy sample. We concluded that the use of shortened ToL is possible in specific psychiatric/neurological patient groups, although we do not recommend doing so in healthy individuals.
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