Haya Blachstein

Rey Auditory-Verbal Learning Test: Structure Analysis.

One of the major advantages of the Rey Auditory-Verbal Learning Test (AVLT) is its multiple measures of learning and memory. This study evaluated empirically whether the different scores are, in fact, not merely different expressions of a single factor, but, rather, measures of different memory domains. The Rey AVLT was administered to 146 normal subjects. Factor analyses produced one, two, or three factors depending on the combination of scores included in the analysis and on the criteria used to determine the number of factors. The basic factors identified were acquisition and retention. The latter can be subdivided further into storage and retrieval, thus yielding a total of three factors.

Normative Data for Composite Scores for Children and Adults Derived from the Rey Auditory Verbal Learning Test

Norms on seven composite scores derived from the Rey Auditory Verbal Learning Test (AVLT) are reported here. These scores reflect a variety of verbal memory processes: learning, interference, retention over time, and retrieval efficiency. The norms are based on 943 children ranging in age from 8 to 17 years, divided into 10 age cohorts, and 528 adults, ranging in age from 21 to 91 years, divided into 6 age cohorts. Overall, the learning measures were the most sensitive to age. The most significant changes in memory as measured with these composite scores took place in the very young and very old age groups. These changes may be attributable to frontal lobe maturation in youth and deterioration in old age. Female participants show superiority over male participants on various verbal memory measures. These norms on the composite scores are primarily expected to serve the clinician in the process of memory assessment by supplementing the existing norms on individual trials of the Rey AVLT.

Automatic temporal order judgment : the effect of intentionality of retrieval on closed-head-injured-patients

Closed-head-injured (CHI) and control groups were tested on a temporal order task under intentional and incidental retrieval conditions. Subjects were given five presentations of a list of nouns. In the incidental retrieval condition, subjects were told that they were to remember the words but that the order was not important. In the intentional retrieval condition, subjects were given the words in an order different from that in which they were originally presented and were asked to reorder the words to match the original order. For both conditions we compared the order in which words were recalled to the order in which they were originally presented. The results suggest that temporal order memory had more effortful characteristics in the intentional than in the incidental retrieval condition. The two groups did not differ significantly in the incidental retrieval condition. However, while the control group showed a significant improvement in the intentional retrieval condition. CHI groups performance did not significantly change. This study highlights two major points: (1) intentionality at the retrieval stage determines the effortfulness with which information is processed; (2) the more automatic the tasks, the better it is preserved following closed-head injury.

Rey AVLT: Developmental Norms for Children and the Sensitivity of Different Memory Measures to Age

Nine hundred and forty-three children (487 boys and 456 girls, age range 8 to 17 years, divided into 10 age cohorts) were administered the Hebrew version of the Rey AVLT. Separate norms for boys and girls in each age group are reported. Sensitivity to age for 14 memory measures extracted from the Rey AVLT was analyzed. One of the most consistent findings across the different scores is that memory changes in the 8- to 10- year-old age range are more dynamic than changes in the 11- to 17- year-old age range. The results also show a significant and consistent advantage for girls over boys on most of the verbal memory measures. Detailed analyses of sensitivity to age of the different measures extracted from the Rey AVLT provide very useful information for the diagnostician testing auditory-verbal memory in children.

A supplementary measure in the Rey AVLT for assessing incidental learning of temporal order

Temporal order judgment is considered an important aspect of memory, both clinically and theoretically. Theories treat temporal order variously as an example of automatic process, contextual information, or source memory. However, despite its significance, temporal order is not well represented in standard memory tests or batteries. The well-known Rey AVLT (Auditory-Verbal Learning Test) was judged suitable for incorporation of a temporal order measure because it already includes several measures of learning and memory. The measure was administered to 190 healthy subjects divided into four age groups, who then were given list A in random order and asked to rewrite the words in their original order. Memory for temporal order was found to be sensitive to age and gender. Although temporal order judgment was part of incidental learning, scoring was significantly higher than could be attributed to chance. The correlation pattern between temporal order and other Rey AVLT scores suggests that temporal order is related to retention rather than to acquisition.

Developmental Changes in Attention Tests Norms: Implications for the Structure of Attention

Assessment of attention is a key issue in the study of neuropsychological development. In this study we collected Hebrew norms for four frequently used attention tests (Trail Making, Digit-Symbol, Digit Span, and Digit Cancellation), analyzed the developmental sensitivity of each test and traced changes in attention across ages. The tests were administered to 809 boys and girls ranging in age from 8 to 17, divided into 10 age cohorts. The results indicate that, although all tests showed age effects, Digit-Symbol and Digit Cancellation tests were most developmentally sensitive. Another interesting finding was that younger age groups (8–11) are more dissociable by attention tests than older age groups (12–17), indicating that changes in attention are more pronounced in the early years and stabilize in later years.

Differential effect of right and left basal ganglionic infarctions on procedural learning.

Objective:To assess the effect of ischemic infarctions affecting the basal ganglia (BG) region on a series of procedural learning tasks. Background:The basal ganglia hypothesis of procedural learning is a matter of debate. As most of the relevant research so far is based on examination of patients suffering from Parkinson disease, this inconsistency might reflect either lesion heterogeneity existing in this pathologic group or the heterogeneity of the procedural learning tasks. Method:Twelve patients with lesions confined to the right (BGr), 10 to the left (BGl) BG region, and 15 matched controls participated in the study. Three procedural learning tasks were used: Tower of Hanoi Puzzle, Mirror Reading, and Porteus Mazes. Declarative memory and general intelligence were also tested. Results:Verbal declarative memory was impaired in the BGl group. For each procedural learning task, baseline performance and learning rate were analyzed. Tower of Hanoi Puzzle: Baseline performance of the BGl group was impaired compared with the other groups. The BGr group was the only group that did not improve over learning trials. MR: Baseline performance of the BGr group was impaired compared with the other groups. The groups’ learning rate did not differ significantly. Porteus Mazes: Baseline performance of both patient groups was impaired compared with that of the control group. Learning rate over repetitive trials of the same maze was impaired in the BGr group. However, the transfer of procedural learning to a newly exposed maze was impaired in the BGl group. Conclusions:First, right and left basal ganglia play different roles in different procedural learning tasks. Second, procedural learning is not a unitary capacity subserved by any single neural mechanism.

Characterization of Memory Impairment Following Closed-Head Injury in Children Using the Rey Auditory Verbal Learning Test (AVLT)

Memory impairment following closed-head injury (CHI) in children is well documented. Characterization of the memory deficits of children with CHI could contribute to the prediction of academic performance and rehabilitation of these children. Twenty-five children who sustained closed-head injury and 25 matched controls were administered the Rey Auditory Verbal Learning Test (AVLT). The advantage of this memory test is that a number of memory components are measured simultaneously, thus enabling us to study the relations between different aspects of memory within the same patient sample. The findings indicate that the Rey AVLT is a good test for characterization of impaired verbal memory in children following CHI. Transformation of scores derived from the Rey AVLT to Z-scores enables us to determine the relative effect of CHI in children on different memory scores. Raw scores were more vulnerable than relational ones, derived as the difference between two raw scores (e.g., learning, Trial 5−1), to closed-head injury in children, and scores reflecting word span were the least vulnerable. The results are discussed in terms of the possible contribution of the frontal lobes, which are frequently affected in closed-head injuries, to memory performance.

Verbal learning and memory as measured by the Rey-Auditory Verbal Learning Test: ADHD with and without learning disabilities

The primary purpose of the present study is to examine the effects of attention deficits, learning disability, and the combined effects of both on the learning and memory processes, as measured by the Rey Auditory Verbal Learning Test (AVLT). Thirty children (age range 12–17) diagnosed with attention deficit/hyperactivity disorder (ADHD), 18 children (age range 11–17) diagnosed with learning disabilities (LD), and 64 children (age range 12–17) diagnosed with ADHD as well as with LD, and 28, 18, and 62 matched controls, respectively, participated in this study. It was found that the children diagnosed with ADHD did not differ in any of the verbal learning and memory measures derived from the Rey AVLT. The group with LD was impaired in the overall number of words recalled across the learning phase. Performance of the children diagnosed with ADHD +LD showed a similar impairment as the group with LD (i.e., overall amount of words learned) and, in addition, their retrieval efficiency was also impaired. In conclusion, this study indicates that verbal memory is preserved in children with ADHD if they have no LD and their intelligence is in the normal range or above. LD by itself leads to difficulties in acquisition, but the combination of ADHD+LD leads to additional impairment in retrieval processes.

Aging and temporal order memory: A comparison of direct and indirect measures

The purpose of the present study is to compare the effect of aging on direct and indirect measures of temporal order memory, derived from the Rey Auditory Verbal Learning Test (AVLT). The spontaneous order in which the list was recalled in Trial 5 served as the indirect measure, and the explicit reordering of the words into their original order of presentation (i.e., Trial 10) served as the direct measure. Based on previously reported norms (n = 528) on the Rey AVLT, the effects of age (20–91 years) on the two measures of temporal order were analyzed. The results demonstrated that the direct measure was much more sensitive to the effect of age than the indirect measure. Furthermore, the direct measure was more significantly correlated with other verbal memory measures derived from the Rey AVLT. These results are consistent with studies that have documented that the frontal lobes, implicated in temporal memory, show the most significant degenerative changes over the years. As a result, the effortful and direct cognitive tasks in general and particularly in memory are more vulnerable to the effects of aging. These results lend further support to the dissociation between direct and indirect measures of memory in older adults. These temporal order measures, which are not usually assessed in standard batteries, could now be derived from a standard, frequently used test (i.e., Rey AVLT) and increase its diagnostic value.