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Rey-Osterrieth Complex Figure copy scoring systems in a dementia clinic sample.

Lee Ashendorf^1,2, Brad Taylor¹, Megan M Kelly^2,3

¹VA Central Western Massachusetts Healthcare System, Worcester, MA, USA.

The Clinical Neuropsychologist

|December 6, 2025

Summary

This summary is machine-generated.

This study evaluated scoring systems for the Rey-Osterrieth Complex Figure Test in dementia patients. Simpler achievement and process scoring methods showed comparable or better clinical utility than complex ones.

Keywords:

Rey-Osterrieth complex figure process approach visuospatial

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Area of Science:

Neuropsychology
Psychometrics

Background:

The Rey-Osterrieth Complex Figure Test (ROCFT) is used in neuropsychological assessments.
Various scoring systems exist for the ROCFT, focusing on achievement or process.

Purpose of the Study:

To compare achievement-based and process-based scoring systems for the ROCFT's copy trial.
To evaluate their clinical utility in a dementia clinic setting.

Main Methods:

90 US military veterans with dementia underwent ROCFT and other neuropsychological tests.
Achievement and process scoring systems were analyzed for accuracy and approach.

Main Results:

Multiple scoring systems demonstrated good psychometric properties.
Loring et al.'s achievement guidelines and Bylsma's process guidelines showed strong clinical effectiveness and efficiency.
Simpler scoring methods exhibited psychometric and clinical characteristics comparable to or exceeding complex methods.

Conclusions:

Both achievement and process scores offer unique contributions to ROCFT interpretation in dementia evaluations.
Scoring system simplicity does not necessarily equate to reduced clinical or psychometric value.