The aim of this research was to devise and norm a test of verbal memory suitable for use with children aged 5-10 years. Subjects were 204 Canberra school children. They were divided into six age groups, 5-10 years inclusive. Each age group of 34 children contained equal numbers of males and females. The main memory test involved free recall of a word-list over several learning trials and two delayed recall trials. This format allowed the assessment of a range of memory functions including immediate memory, learning and delayed recall following an interference trial. These aspects of memory are of known diagnostic significance and are necessary for satisfying the basic requirements of a comprehensive assessment of memory functioning. In addition, given that this is a study of verbal memory, precautions were taken to maximize the likelihood that words included in the word-list would be encoded solely within the verbal modality. Results showed that tests of immediate memory and learning differentiated between age groups. There were no developmental differences in retention as measured by recall decrement following interference. Also, there was no convincing evidence of sex differences for any of these three measures, with the possible exception of the ten year old group. For practical and clinical purposes, the distribution of scores for each age group on each of these measures is described. In addition, expected scores of individual children of a given age measured in monthly increments and confidence intervals for these scores were presented for measures of immediate memory and learning. Measures of intelligence for this sample of children were also recorded.

Limited data are available regarding the clinical utility of the Wechsler Memory Scale-III (WMS-III) Family Pictures (FP) subtest, yet it has received much criticism in the literature. Specific problems of the subtest that have been cited include the lack of clarity regarding the neuropsychological functions that significantly influence successful performance. The current study assesses the extent to which performance on the FP I and FP II subtests can be predicted by memory, visual ability, verbal ability, and executive functioning, in 454 outpatients from a neuropsychology clinic. Data from the Family Pictures I (FPI) and Family Pictures II (FPII) subtests, in addition to scores obtained from commonly used measures of memory, verbal, visual, and executive functioning were analyzed via hierarchical multiple regression analyses, co-varying for age and education. The current study also explores the extent to which the FP's individual components of character, location, and action load on factors of general verbal and visual-spatial abilities in a sample of 193 neuropsychology clinic outpatients. Results were obtained via three separate exploratory factor analyses (one for each FP component examined). Results of the multiple regression analyses indicated that FP I and FP II performance is best predicted by a mixed visual/verbal memory factor. Furthermore, the factor analyses revealed that all three components of location, action, and character load on a mixed general visual ability and general memory factor. These findings expand upon previous research by lending greater understanding of the skills needed for successful FP performance in neuropsychologically impaired populations.

The Aronson Shopping List is a short-term memory test which integrates current knowledge of brain-behavior relationships in assessment. The test was designed to detect deficiency in fluid intelligence. The goal of this study was to standardize the test on an elderly population. The sample was composed of 67 males and females whose ages ranged from 62 to 89 years. It was found that recent stressful events did not account for variation of performance on the ASL. The reliability of the test, established by means of a test and alternate form retest procedure, was found to be .70 after an average of eleven months. Percentiles are presented indicating performance comparisons. Further experimentation would be needed to establish whether the test would be useful to designate organic brain pathology.

Patients with amnestic type of mild cognitive impairment (aMCI) are diagnosed mainly on the basis of performance in verbal memory tests. This thesis deals with the use of a nonverbal test called the Brief Visuospatial Memory Test-Revised (BVMT-R) for the diagnosis of mild cognitive impairment (MCI). This research compared the performance of patients with clinical diagnosis of MCI (N=79) using the BVMT-R with the performance of these patients using the Auditory Verbal Learning Test (AVLT), the AVLT being a validated instrument for differentiating aMCI patients from healthy control patients. Both tests follow a similar design paradigm, but they differ in the type of stimuli measured: the BVMT-R tests memory for nonverbal material and the AVLT tests for verbal material. Results showed that there is a moderate correlation between scores (total score, delayed recall score) of the BVMT-R and equivalent scores of the AVLT. Further analyses of performance of MCI patients in both tests (in total scores and delayed recall scores) identified that there was a proportion of patients tested using the BVMT-R with memory impairment that did not show any memory impairment using the AVLT. Our findings indicate a favorable diagnostic potential of BVMT-R in the diagnostics of mild cognitive impairment. Keywords:...

The overall aim of this thesis was to describe patients’ experience and reconstruction regarding the onset of, and events surrounding being struck by a Subarachnoid Haemorrhage (SAH), and to describe patients’ and relatives’ views of patients’ memory ability, emotional status and activities of living, in a long-term perspective. Methods: Both inductive and deductive approaches were used. Nine open interviews were carried out in home settings, in average 1 year and 7 seven months after the patients’ onset, and discourse analysis was used to interpret the data. Eleven relatives and 11 patients, 11 years after the onset, and 15 relatives and 15 patients, 6 years after the onset, participated in two studies. Interviews using a questionnaire with structured questions and memory tests were used to collect data. Fischer’s exact test and Z-scores were used for the statistical analysis. Results: Patients with experience of a SAH were able to judge their own memory for what happened when they became ill. The reconstruction of the illness event may be interpreted as an identity creating process. The process of meaning-making is both a matter of understanding SAH as a pathological event and a social and communicative matter, where the SAH is construed into a meaningful life history, in order to make life complete (I). Memory problems, changes in emotional status and problems with activities of living were common (II-IV). There was correspondence between relatives’ and patients’ statements regarding the patients’ memory in general and long-term memory. Patients judged their own memory ability better than relatives, compared with results on memory tests. Relatives stated that some patients had meta-memory problems (II). The episodic memory seemed to be well  reserved, both concerning the onset and in the long-term perspective (I, II). There were more problems with social life than with P- and I-ADL (III), and social company habits had changed due to concentration difficulties, mental fatigue, and  patients’ sensitivity to noisy environments and uncertainty (IV). Relatives rated the patients’ ability concerning activities of living and emotional status, and in a similar manner to patients’ statements (III-IV). Conclusions: The reconstruction of the illness event can be used as a tool in nursing for understanding the patient’s identity-construction. Relatives and patients stated the patients’ memory, emotional status and activities of living in a similar manner, and therefore both patients’ and relatives’ statements can be used as a tool in nursing care, in order to support the patient. However, the results showed: meta-memory problems (relatives’ statements) and that the patients’ judged their own memory ability better than relatives in comparison with results on memory tests. Nevertheless, there was a high degree of concordance between relatives’ and patients’ evaluations concerning patients´ memory ability, emotional status, emotional problems, social company habits and activities of living. Therefore both relatives’ and patients’ statements can be considered to be reliable. However, sometimes the patients and the relatives judge the patients’ memory differently. Consequently, memory tests and formalized dialogues between the patient, the relative and a professional might be required, in order to improve the mutual family relationship in a positive way. Professionals however, must first assume that patients can judge their own memory, emotional status and ability in daily life.