TM 1 WMS–III KIT PHOTO WMS–III KIT MATERIALS Copyright © 1997 by The Psychological Corporation. All rights reserved. 2 Brief Description of the WMS–III • Individual Administration • Assessment of Learning and Memory Functioning of Older Adolescents and Adults • Age Range: 16 Years–89 Years • Scale Composition – 6 Primary Subtests – 5 Optional Subtests Copyright © 1997 by The Psychological Corporation. All rights reserved. 3 Key Terms of Memory Functioning Attention Stimuli Encoding - process of memory storage Retrieval - process of remembering Free Recall Cued Recall Recognition retrieval without the aid of cues retrieval with the aid of cues stimulus triggers remembering Copyright © 1997 by The Psychological Corporation. All rights reserved. 4 WMS–III Primary Indexes Immediate Memory General (Delayed) Memory Auditory Visual Auditory Visual Immediate Immediate Delayed Delayed Working Memory Auditory Recognition Delayed Copyright © 1997 by The Psychological Corporation. All rights reserved. 5 Why Assess Learning and Memory? • Difficulty with memory is one of the most common complaints. • Clinical disorders may differentially affect memory and IQ. • Difficulty with memory is often the first sign or a defining feature of many clinical disorders. • Memory tests help explain how an individual learns. • Memory tests help reveal relative cognitive strengths and weaknesses that may not be readily apparent to the individual or the clinician. Copyright © 1997 by The Psychological Corporation. All rights reserved. 6 Practical Interpretation of Memory Test Scores • What is the individual’s ability to learn and retain new material? • Are there differences in the individual’s ability to learn and retain auditory versus visual information? • How quickly or slowly does the individual learn? • How well is newly learned information stored after a delayed interval? • Does the individual benefit from hints, cues, or choices in remembering material? Copyright © 1997 by The Psychological Corporation. All rights reserved. 7 Goal 1: Improve and Expand Normative Sample Link With IQ • The relationship is analogous to the ability–achievement relationship • IQ is the best estimate of premorbid memory functioning (potential) • Deviations between IQ and memory (in the proper direction) may suggest specific memory impairment or weakness • WAIS–III and WMS–III are the only co-normed ability–memory instruments Copyright © 1997 by The Psychological Corporation. All rights reserved. 8 Goal 1: Improve and Expand Normative Sample Link With IQ • WMS–R Standardization Sample - WAIS–R Short Form • WMS–III Standardization Sample - WAIS–III Selected Correlations Between WMS–III and WAIS–III (N=1250) Primary Indexes PIQ FSIQ Immediate Memory VI Q .53 POI .57 VC I .52 .54 General Memory .56 Working Memory .62 PSI .47 WM I .44 .56 .60 .56 .48 .47 .48 .65 .68 .51 .62 .82 .55 .46 Copyright © 1997 by The Psychological Corporation. All rights reserved. 9 Goal 2: Improve Reliability Range Reliability • Index Internal Consistency • Index Test–Retest • Subtest Internal Consistency Median WMS–R WMS–III WMS–R WMS–III .70–.90 .74–.93 .77 .87 .57–.93 .70–.88 .80 .82 (not available) .74–.93 (not available) .81 Copyright © 1997 by The Psychological Corporation. All rights reserved. 10 WMS–III WMS–R Goal 3: Improve Content and Structure of the Scale • No Recognition Measures Following Recall • Attention / Concentration Emphasized • Index Scores Limited • • • • • Recognition Measures Following Recall Working Memory Emphasized Expanded Index Scores (Modality Specific) Revised Administration Procedures Ecological Validity Copyright © 1997 by The Psychological Corporation. All rights reserved. 11 WMS–R • No Recognition Measures Following Recall • Administration Time About 60 Minutes • No IQ – Memory Evaluation WMS–III Goal 4: Improve Clinical Utility • Recognition Measures Following Recall (Encoding versus Retrieval) • Working Memory Highlighted • Administration Time About 30–35 Minutes • IQ–Memory Evaluation (Co-norming) • Floor Effects Addressed Copyright © 1997 by The Psychological Corporation. All rights reserved. 12 WMS–III Dimensions • Modality of Presentation Auditory versus Visual • Temporal Immediate versus Delayed • Subtest Format Free Recall versus Cued Recall Recall versus Recognition Copyright © 1997 by The Psychological Corporation. All rights reserved. 13 Primary Indexes • Auditory Immediate • Visual Immediate • Immediate Memory • Auditory Delayed • Visual Delayed • Auditory Recognition Delayed Ability to remember information immediately after oral presentation Ability to remember information immediately after visual presentation Ability to remember information immediately after a visual and oral presentation Ability to remember orally presented information, 25–35 minutes later Ability to remember visually presented information, 25–35 minutes later Ability to remember (via recognition) auditory information, 25–35 minutes later • General Memory Delayed memory capacity • Working Memory Capacity to remember and manipulate both visually and orally presented information in short-term memory Copyright © 1997 by The Psychological Corporation. All rights reserved. 14 AUDITORY VISUAL Primary Subtests IMMEDIATE MEMORY Logical Memory I Verbal Paired Associates I Faces I Family Pictures I DELAYED MEMORY Logical Memory II Verbal Paired Associates II Faces II Family Pictures II WORKING MEMORY Letter-Number Sequencing Spatial Span Copyright © 1997 by The Psychological Corporation. All rights reserved. 15 AUDITORY PRESENTATION VISUAL PRESENTATION Primary Subtests • Logical Memory I and II • Verbal Paired Associates I and II • Letter-Number Sequencing • Faces I and II • Family Pictures I and II • Spatial Span Optional Subtests • • • • Information and Orientation Word Lists I and II Digit Span Mental Control • Visual Reproduction Copyright © 1997 by The Psychological Corporation. All rights reserved. 16 Record Form Insert Figure 3.5, page 40 of Administration & Scoring Manual (51A) Copyright © 1997 by The Psychological Corporation. All rights reserved. 17 Record Form Insert Figure 3.6, page 42 of Administration & Scoring Manual (51B) Copyright © 1997 by The Psychological Corporation. All rights reserved. 18 Record Form Insert Figure 3.7, page 44 of Administration & Scoring Manual (51C) Copyright © 1997 by The Psychological Corporation. All rights reserved. 19 Reliability Coefficients: Indexes Average Internal Consistency WMS–III Primary Index Auditory Immediate Visual Immediate Immediate Memory Auditory Delayed Visual Delayed Auditory Recognition Delayed General Memory Working Memory WMS–III WMS–R .93 .82 .91 .87 .83 .74 .91 .86 .77 (Verbal Index) .70 (Visual Index) .81 (General Memory Index) .77 (Delayed Recall Index) .77 (Delayed Recall Index) .90 (Attention/Concentration Index) Copyright © 1997 by The Psychological Corporation. All rights reserved. 20 Reliability Coefficients: Subtests Average Internal Consistency WMS-III Primary Subtest WMS–III WMS–R Logical Memory I Faces I Verbal Paired Associates I Family Pictures I Letter-Number Sequencing Spatial Span Logical Memory II Faces II Verbal Paired Associates II Family Pictures II Auditory Recognition Delayed .88 .74 .93 .81 .82 .79 .79 .74 .83 .84 .74 .74 .60 .81 .75 .41 Copyright © 1997 by The Psychological Corporation. All rights reserved. 21 Stability Coefficients: Indexes Average (All Ages) WMS–III Primary Index Auditory Immediate Visual Immediate Immediate Memory Auditory Delayed Visual Delayed Auditory Recognition Delayed General Memory Working Memory WMS–III .85 .75 .84 .84 .76 .70 .88 .80 WMS–R .73 (Verbal Index) .71 (Visual Index) .80 (General Memory Index) .79 (Delayed Recall Index) .86 (Attention/Concentration Index) Copyright © 1997 by The Psychological Corporation. All rights reserved. 22 Alzheimer’s Disease WAIS–III Scales/Indexes 100 95 90 85 80 75 70 65 60 55 50 V P F I I S Q Q I Q V P W P C O M S I I I I WMS–III Auditory Process Composites WMS–III Primary Indexes 100 95 90 85 80 75 70 65 60 55 50 (N=35) % 36 31 26 21 16 11 6 1 A V I I I M A V A G D D R M D W M S L R R T S T T L N L Copyright © 1997 by The Psychological Corporation. All rights reserved. 23 Traumatic Brain Injury WAIS–III Scales/Indexes 100 95 90 85 80 75 70 65 60 55 50 V P F I I S Q Q I Q V P W P C O M S I I I I WMS–III Auditory Process Composites WMS–III Primary Indexes 100 95 90 85 80 75 70 65 60 55 50 % 51 46 41 36 31 26 21 16 11 6 1 A V I I I M A V A G D D R M D (N=22) W M S L R R T S T T L N L Copyright © 1997 by The Psychological Corporation. All rights reserved. 24 Parkinson’s Disease WAIS–III Scales/Indexes 100 95 90 85 80 75 70 65 60 55 50 V P F I I S Q Q I Q V P W P C O M S I I I I WMS–III Auditory Process Composites WMS–III Primary Indexes 100 95 90 85 80 75 70 65 60 55 50 % 56 51 46 41 36 31 26 21 16 11 6 1 A V I I I M A V A G D D R M D (N=10) W M S L R R T S T T L N L Copyright © 1997 by The Psychological Corporation. All rights reserved. 25 Level of Performance Description Example Relative to individuals of comparable age, this individual is currently functioning in the [descriptive classification ] range on a standardized measure of [name of index ]. Copyright © 1997 by The Psychological Corporation. All rights reserved. 26 Patterns and Profiles of Performance • Profile analyses can be used to evaluate scatter within or among indexes. • Profile analyses can be used to generate hypotheses that are, in turn, either corroborated or refuted by other evaluation results, such as background information, direct behavioral observation, additional evaluation, consistency with injury or disorder. Copyright © 1997 by The Psychological Corporation. All rights reserved. 27 Statistical Versus Clinical Significance • Although statistically significant differences between scores can occur in many clinical groups, the same differences may also occur frequently in the normally functioning population (Matarazzo, 1990). Statistical significance does not necessarily mean clinical significance. • It is critical to evaluate the frequency of discrepancies between scores. Copyright © 1997 by The Psychological Corporation. All rights reserved. 28 Base Rate Interpretation • Base rate information provides a basis for estimating the rarity or commonness of the examinee's obtained difference within the normal adult population. • A discrepancy that is statistically significant yet frequent in the standardization sample most likely reflects normal variations in an individual’s abilities. • A discrepancy that is both statistically significant and rare in the standardization sample could represent a meaningful difference. • In general, the larger the discrepancy and the less frequent its occurrence in the general population, the less likely it can be explained as normal variation. Copyright © 1997 by The Psychological Corporation. All rights reserved. 29