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Rey-Osterrieth Complex Figure copy scoring systems in a dementia clinic sample
Lee Ashendorf1,2, Brad Taylor1, Megan M Kelly2,3
1VA Central Western Massachusetts Healthcare System, Worcester, MA, USA.
The Clinical Neuropsychologist
|December 6, 2025
Summary
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.
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.
