Yes/No Versus Forced-Choice Recognition Memory in Mild Cognitive Impairment and Alzheimer's Disease: Patterns of Impairment and Associations with Dementia Severity
Lindsay R. Clark, Nikki H. Stricker, David J. Libon, Lisa Delano-Wood, David P. Salmon, Dean C. Delis and Mark W. Bondi
Memory tests are sensitive to early identification of Alzheimer's disease (AD) but less useful as the disease advances. However, assessing particular types of recognition memory may better characterize dementia severity in later stages of AD. We sought to examine patterns of recognition memory deficits in individuals with AD and mild cognitive impairment (MCI). Memory performance and global cognition data were collected from participants with AD (n = 37), MCI (n = 37), and cognitively intact older adults (normal controls, NC; n = 35). One-way analyses of variance (ANOVAs) examined differences between groups on yes/no and forced-choice recognition measures. Individuals with amnestic MCI performed worse than NC and nonamnestic MCI participants on yes/no recognition, but were comparable on forced-choice recognition. AD patients were more impaired across yes/no and forced-choice recognition tasks. Individuals with mild AD (≥120 Dementia Rating Scale, DRS) performed better than those with moderate-to-severe AD (<120 DRS) on forced-choice recognition, but were equally impaired on yes/no recognition. There were differences in the relationships between learning, recall, and recognition performance across groups. Although yes/no recognition testing may be sensitive to MCI, forced-choice procedures may provide utility in assessing severity of anterograde amnesia in later stages of AD. Implications for assessment of insufficient effort and malingering are also discussed.
Yes/No Versus Forced-Choice Recognition Memory in Mild Cognitive Impairment and Alzheimer's Disease: Patterns of Impairment and Associations with Dementia Severity
Creators
Lindsay R. Clark - San Diego State University
Nikki H. Stricker - VA Boston Healthcare System
David J. Libon - Drexel University
Lisa Delano-Wood - Department of Veterans Affairs , San Diego Healthcare System
David P. Salmon - University of California San Diego
Dean C. Delis - University of California San Diego
Mark W. Bondi - VA San Diego Healthcare System
Publication Details
Clinical neuropsychologist, v 26(7), pp 1201-1216
Publisher
Psychology Press
Number of pages
16
Resource Type
Journal article
Language
English
Web of Science ID
WOS:000310331200011
Scopus ID
2-s2.0-84868253740
Other Identifier
991021901313804721
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