Visuoperceptual processes in brain damaged patients on the digit symbol substitution test
Abstract
Alcoholic Korsakoff patients, patients with right hemisphere damage, and chronic alcoholics are impaired on the digit symbol substitution task (DSST) of the WAIS. To determine whether these deficits were related to psychomotor or visuoperceptive factors, several tasks and modifications of the DSST were administered to these three patient populations. While it was evident that psychomotor retardation contributed to the patients' poor performance, impairments in visuoperceptive processing were also found to be involved in the DSST performance of the three patient groups. It was concluded that while a psychomotor factor is the crucial variable in the performance of intact normal subjects, any of a number of visual processing variables (e.g., visual scanning, contour formation and organization) must be considered in assessing the deficits of brain damaged patients.
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The DSST is sensitive in alcoholic Korsakoff patients, patients with right hemisphere damage, and patients with chronic alcoholism.
“For example, Glosser et al27 noted the sensitivity of the DSST in alcoholic Korsakoff patients, patients with right hemisphere damage, and patients with chronic alcoholism.”
From Digit Symbol Substitution Test: The Case for Sensitivity Over Specificity in Neuropsychological Testing (2018) · cites this paper as [27]
In alcoholic Korsakoff patients, patients with right hemisphere damage, and patients with chronic alcoholism, visuoperceptive processing impairments are also involved in DSST performance.
“While psychomotor retardation contributed to impaired performance in these patient populations, the investigators, using other cognitive measures, determined that visuoperceptive processing impairments were also involved in DSST performance.”
From Digit Symbol Substitution Test: The Case for Sensitivity Over Specificity in Neuropsychological Testing (2018) · cites this paper as [27]
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"INTACT" ALCOHOLIC AND THE ALCOHOLIC KORSAKOFF PATIENT*
Ryan, C. M., Butters, N., Montgomery, K., Adinolfi, A. A., & Didario, B. (1980)
Self-citation
- Authors
- Glosser, G., Butters, N., & Kaplan, E.
- Affiliations
- United States Department of Veterans Affairs (US)
- Venue
- International Journal of Neuroscience
- Publisher
- Informa UK Limited
- Published
- 1977-01
- Volume
- 7
- Issue
- 2
- Pages
- 59-66
- ISSN
- 0020-7454 (ISSN-L)
- 1543-5245
- OpenAlex
- W2010506027
- Cited by
- 108
- References
- 25
- Citations by year
- 2026: 2 · 2024: 2 · 2021: 2 · 2020: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 6 · 2012: 1
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Visual perception and processing mechanisms
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Health Sciences › Medicine › Neurology › Alcoholism and Thiamine Deficiency
- Keywords
- Digit Symbol Substitution Test, visuoperception, psychomotor retardation, Korsakoff syndrome, alcoholic brain damage, right hemisphere damage, chronic alcoholism, visual exploration, visual processing deficits, neuropsychological assessment
- MeSH terms
- Aged, Alcohol Amnestic Disorder, Brain Damage, Chronic, Humans, Male, Middle Aged, Paired-Associate Learning, Psychological Tests, Psychometrics, Visual Perception, Wechsler Scales
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