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The effect of dementia risk factors on comparative and diagnostic selective reminding norms

Published online by Cambridge University Press:  01 July 1997

MARTIN SLIWINSKI ,
HERMAN BUSCHKE ,
WALTER F. STEWART ,
DAVID MASUR  and
RICHARD B. LIPTON
MARTIN SLIWINSKI
Affiliation:
The Saul R. Korey Department of Neurology, and Rose F. Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, NY
HERMAN BUSCHKE
Affiliation:
The Saul R. Korey Department of Neurology, and Rose F. Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, NY
WALTER F. STEWART
Affiliation:
Department of Epidemiology, School of Public Health, Johns Hopkins University, Baltimore, MD
DAVID MASUR
Affiliation:
The Saul R. Korey Department of Neurology, and Rose F. Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, NY
RICHARD B. LIPTON
Affiliation:
The Saul R. Korey Department of Neurology, and Rose F. Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, NY
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Abstract

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Robust comparative and diagnostic norms for the elderly are provided for the Selective Reminding Test (Buschke, 1973). Correcting for factors such as age and education level are appropriate for comparative norms, which are intended for ranking individuals with respect to their age and education matched peers. However, because age and education are both risk factors for dementia, correcting for these factors decreases test sensitivity for detecting dementia. Age- and education-corrected Selective Reminding scores have a sensitivity for detecting dementia that is 28% lower than uncorrected scores. Using information about age in combination with memory scores provided optimal discrimination of dementia. It is concluded that statistically removing the contribution of dementia risk factors from memory test scores can severely decrease discriminative validity for detecting dementia in the elderly. (JINS, 1997, 3, 317–326.)

Keywords

DementiaSelective remindingAgingNormsDiagnosisRisk factors
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 3 , Issue 4 , July 1997 , pp. 317 - 326
Copyright
© 1997 The International Neuropsychological Society