Differential Memory Test Sensitivity for Diagnosing Amnestic Mild Cognitive Impairment and Predicting Conversion to Alzheimer's Disease

Rabin, Laura A.; Paré, Nadia; Saykin, Andrew J.; Brown, Michael J.; Wishart, Heather A.; Flashman, Laura A.; Santulli, Robert B.

doi:10.1080/13825580902825220

Cited by 256Dementia and Cognitive Impairment ResearchPsychological Testing and AssessmentCognitive Functions and Memory

Differential Memory Test Sensitivity for Diagnosing Amnestic Mild Cognitive Impairment and Predicting Conversion to Alzheimer's Disease

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Rabin, Laura A., Paré, Nadia, Saykin, Andrew J., Brown, Michael J., Wishart, Heather A., Flashman, Laura A., Santulli, Robert B.·2009·Aging, Neuropsychology, and Cognition

DOI 10.1080/13825580902825220PMC PMC3114447

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Abstract

Episodic memory is the first and most severely affected cognitive domain in Alzheimer's disease (AD), and it is also the key early marker in prodromal stages including amnestic mild cognitive impairment (MCI). The relative ability of memory tests to discriminate between MCI and normal aging has not been well characterized. We compared the classification value of widely used verbal memory tests in distinguishing healthy older adults (n = 51) from those with MCI (n = 38). Univariate logistic regression indicated that the total learning score from the California Verbal Learning Test-II (CVLT-II) ranked highest in terms of distinguishing MCI from normal aging (sensitivity = 90.2; specificity = 84.2). Inclusion of the delayed recall condition of a story memory task (i.e., WMS-III Logical Memory, Story A) enhanced the overall accuracy of classification (sensitivity = 92.2; specificity = 94.7). Combining Logical Memory recognition and CVLT-II long delay best predicted progression from MCI to AD over a 4-year period (accurate classification = 87.5%). Learning across multiple trials may provide the most sensitive index for initial diagnosis of MCI, but inclusion of additional variables may enhance overall accuracy and may represent the optimal strategy for identifying individuals most likely to progress to dementia.

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Story recall may be less sensitive to MCI or an evolving dementia than tests of verbal list learning or visual memory.
“Second, story recall may be less sensitive to MCI or an evolving dementia than tests of verbal list learning [11–16] or perhaps visual memory [17].”
From Neuropsychological Criteria for Mild Cognitive Impairment Improves Diagnostic Precision, Biomarker Associations, and Progression Rates (2014) · cites this paper as [15]
Citation [17] is attached to the suggestion that visual memory tests may be more sensitive than story recall. The Discussion (page unavailable) says visual-memory measures were excluded from the comparison and calls for future research on their relative value. Our copy therefore does not establish the attributed comparison. (LLM, conf=0.76)
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Authors: Rabin, L. A., Paré, N., Saykin, A. J., Brown, M. J., Wishart, H. A., Flashman, L. A., & Santulli, R. B.
Affiliations: The Graduate Center, CUNY (US)
Nebraska Medical Center (US)
Indiana University Indianapolis (US)
City University of New York (US)
Corresponding author: Rabin, Laura A.
ORCID: Saykin, Andrew J.
Flashman, Laura A.
Santulli, Robert B.
Venue: Aging, Neuropsychology, and Cognition
Publisher: Informa UK Limited
Published: 2009-05-05
Volume: 16
Issue: 3
Pages: 357-376
ISSN: 0928-9917 (ISSN-L)
1382-5585
1744-4128
DOI: 10.1080/13825580902825220
PMC: PMC3114447
OpenAlex: W2150223607
Cited by: 256
References: 97
Citations by year: 2026: 14 · 2025: 14 · 2024: 19 · 2023: 14 · 2022: 18 · 2021: 18 · 2020: 22 · 2019: 15 · 2018: 14 · 2017: 20 · 2016: 10 · 2015: 10 · 2014: 20 · 2013: 17 · 2012: 13
FWCI: 6.39
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Aging Neuropsychology and Cognition (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
IUScholarWorks (Indiana University) (submittedVersion)
Funders: National Institute on Aging (R01 AG19771, R01AG019771)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: amnestic mild cognitive impairment, Alzheimer's disease, conversion to Alzheimer's disease, episodic memory, California Verbal Learning Test-II, story recall, MCI diagnosis, normal aging
MeSH terms: Aged, Alzheimer Disease, Amnesia, Cognition Disorders, Diagnosis, Differential, Female, Humans, Longitudinal Studies, Male, Memory, Neuropsychological Tests, Predictive Value of Tests, Sensitivity and Specificity, Logistic Models, Disease Progression

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Differential Memory Test Sensitivity for Diagnosing Amnestic Mild Cognitive Impairment and Predicting Conversion to Alzheimer's Disease

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