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Task decomposition analysis of intertrial free recall performance on the Rey Auditory Verbal Learning Test in normal aging and Alzheimer's disease.

Task decomposition provides supplementary data that complement traditionally computed performance indexes of multi-trial list learning. Both traditional and decomposition approaches can be combined to permit a thorough assessment of multiple aspects of learning and memory in patients with memory impairment. We applied task decomposition to investigate the relative roles of acquisition and consolidation in mediating the multi-trial learning deficit in patients with Alzheimer's disease. This goal was accomplished by decomposing recall performance across the five study-and-test trials of the Rey Auditory Verbal Learning Tests into measures that presumably tap intertrial acquisition and intertrial consolidation. As compared to matched controls, patients diagnosed with mild Alzheimer's disease showed lower gained access across trials, indicating that Alzheimer's disease impairs the ability to produce a stable memory representation of new material in long-term memory. Additionally, patients with Alzheimer's disease manifested higher lost access, which suggests that deficient consolidation leading to rapid intertrial forgetting also contributes to their poor learning. We argue that analytically decomposing learning curves will help both in uncovering the cognitive processes that underlie disease-related learning deficits in persons with memory disorders and can help to characterize potential areas for remediation.

Aged↗

[Study of episodic memory in multiple sclerosis using the California Verbal Learning Test: the data favour altered encoding].

INTRODUCTION: Alteration of episodic memory is one of the main cognitive deficits observed in MS patients. PATIENTS AND METHODS: We studied episodic memory in a group of 71 MS patients (37 RR, 34 SP) with the California Verbal Learning test (CVLT). Direct scores and calculated indices from CVLT performances were analyzed in comparison with controls. RESULTS: We observed a deficit of episodic memory in 69 p.cent of patients. This deficit was related to an alteration of encoding and retrieval processes. Despite SP-MS patients performances were constantly lower than those of RR-MS patients no significant difference was observed between the two groups. Significant correlation between the disease duration and CVLT performances were observed for the whole group but not for RR- or SP-MS groups separately, indicating that duration is more important than the phase of the disease in the worsening of memory deficit.

Adult↗

Primacy and recency effects in the assessment of memory using the Rey Auditory Verbal Learning Test.

The present study examined the manifestation of the primacy and recency effects in patients with anterior brain damage, posterior brain damage, and psychiatric inpatients with no known organic impairment. All three groups of patients demonstrated both a primacy and a recency effect on the Rey Auditory Verbal Learning Test (RAVLT). Differences among the three groups with respect to the magnitude of primacy and recency as well as with other variables reflecting free recall were nonsignificant. These findings limit the use of primacy and recency for the differentiation of memory deficits due to organic and nonorganic causes.

Journal Article↗

The affective Auditory Verbal Learning Test.

The study of emotion is hindered by the lack of tests for affect perception or comprehension. One solution is to develop affective versions of well-known tests. Using an index of word norms (Toglia & Battig, 1978), positively and negatively valenced word lists were developed as alternate forms of the affectively neutral Auditory Verbal Learning Test (RAVL; Rey, 1964). Participants (N=102) received either the original RAVL list, the positively valenced list, or the negatively valenced list. Results are depicted across acquisition trials and location within the list for comparison of primacy and recency effects. Each word list yielded comparable patterns of acquisition. Participants receiving the negative list evidenced an enhanced primacy effect, while participants receiving the positive list evidenced an enhanced recency effect. The positive and negative lists may prove useful in the evaluation of individuals with affective disorders and may provide an alternative for affect induction through an active learning paradigm.

Journal Article↗

Practice effects, test-retest stability, and dual baseline assessments with the California Verbal Learning Test in an HIV sample.

Repeated neuropsychological assessments have been recently employed to investigate the natural course and effects of interventions in individuals with human immunodeficiency virus (HIV) infection. Important considerations when interpreting serial assessments are the roles of practice effects and test-retest reliability on follow-up performance. Although several statistical and methodological controls have been proposed for minimizing practice effects, they have not been empirically tested in HIV samples. Three groups (HIV+/symptomatic, HIV+/asymptomatic, HIV- "at risk" controls) were administered the California Verbal Learning Test (CVLT) twice with a brief test-retest interval. Significant practice effects were observed on six of the CVLT measures. Test-retest stability coefficients were reported. A third and fourth administration of the CVLT was conducted to observe the impact of the dual baseline assessment approach on test performance. Trend analyses indicated that the dual baseline approach is a viable method for minimizing practice effects. The dual baseline approach also lead to improvement in a number of the stability coefficients. Limitations and future directions are discussed.

Journal Article↗