Performance of Girls With ADHD and Comparison Girls On the Rey-Osterrieth Complex Figure: Evidence for Executive Processing Deficits

In spite of a multitude of scoring approaches, the ability of the Rey-Osterrieth Complex Figure (ROCF) to measure executive functions versus grapho-motor skill is still open to question. To clarify this issue, we examined the performance of an ethnically and socioeconomically diverse sample of preadolescent girls (ADHD-Combined, n = 93; ADHD-Inattentive, n = 47; and comparison girls, n = 88) on the ROCF, scoring both immediate copy and delayed recall performance. Girls with ADHD performed the task following a stimulant medication washout. Dependent measures were the established Developmental Scoring System variables of Organization, Accuracy, and Style, plus an operationalized and extensively detailed scoring of errors, featuring an error proportion score (EPS). The major finding is that only EPS differentiated girls with ADHD from comparison girls (a) on both immediate and delayed performance and (b) with stringent statistical control of Performance IQ, fine motor speed, and performance on the Porteus Mazes (as well as comorbidities), with effect sizes in the medium range. Perseverative errors contributed significantly to EPS. Overall, error scores on the ROCF appear to tap planning, a key executive function, and are quite sensitive to deficits in this domain for girls with ADHD.     

A comparison of administration procedures for the Rey-Osterrieth Complex Figure: flowcharts versus pen switching

The Rey-Osterrieth Complex Figure (ROCF) is commonly used to assess visuospatial skills, visuoconstruction, visual memory, and executive functioning. Two different methods are traditionally used to record the order in which the figure is drawn: the flowchart method and the pen-switching method. Although it has been suggested that pen switching may interfere with performance, to date no research has been conducted to assess whether ROCF performance significantly differs due to administration method. As part of routine neuropsychological evaluation, 100 inpatients and outpatients were randomly assigned to either method. Using the Boston Qualitative Scoring System and the traditional 36-point scoring method, the authors unexpectedly found that the pen-switching group generally performed better than the flowchart group, and productions drawn with pen switching were also significantly faster to score.     

Copy and recall performance of 6-8-year-old children after standard vs. Step-by-step administration of the Rey-Osterrieth complex figure.

The Rey-Osterrieth Complex Figure (ROCF; Rey 1941; Osterrieth, 1944) is frequently used in the neuropsychological assessment of children and adults. The present study was designed, in part, to examine the impact of providing organizational scaffolding to young children being tested with the ROCF. To this end, 6-, 7-, and 8-year-old children were administered the test either in the standard fashion, or using a format in which the 18 key elements of the figure were introduced sequentially. Participants included 132 children who were randomly assigned to the standard or step-by-step administration groups. Significantly higher accuracy and organization scores for both copy and recall were seen with the step-by-step format than with the standard format, even though children in the step-by-step condition took less time to execute their drawings. Retention of encoded information was not affected by age or testing format. The fact that 6-year-olds in the step-by-step condition performed as well as, or better than, 8-year-olds in the standard condition suggests that the primary problem young children experience with the ROCF lies with organizational strategy formation. Advantages of using the Step-by-step ROCF in clinical practice are discussed.     

Relationship Between Accuracy and Organizational Approach on the Rey-Osterrieth Complex Figure and the Differential Ability Scales: A Pilot Investigation

The present study was designed as an initial exploration of the relationship between global cognitive functioning and organizational and accuracy scores on the Rey-Osterrieth Complex Figure (ROCF) in a sample of children and adolescents. The relationship between ROCF accuracy scores at Copy and Delay as well as Organization and the Differential Ability Scales (DAS) was examined. Results indicate moderate correlations between Copy and Delay ROCF scores and various DAS indicators of nonverbal problem solving and visuospatial processing. Contrary to expectations, organizational scores were not significantly correlated with any of the DAS subscales or composite scales. Although further research is needed to explore the validity of this organizational scoring scheme with younger patients, these findings suggest that organization of the ROCF may be generally unrelated to global measures of cognitive ability or may assess processes associated with executive functioning untapped by the DAS.     

Relationship between accuracy and organizational approach on the Rey-Osterrieth Complex Figure and the differential ability scales: a pilot investigation.

The present study was designed as an initial exploration of the relationship between global cognitive functioning and organizational and accuracy scores on the Rey-Osterrieth Complex Figure (ROCF) in a sample of children and adolescents. The relationship between ROCF accuracy scores at Copy and Delay as well as Organization and the Differential Ability Scales (DAS) was examined. Results indicate moderate correlations between Copy and Delay ROCF scores and various DAS indicators of nonverbal problem solving and visuospatial processing. Contrary to expectations, organizational scores were not significantly correlated with any of the DAS subscales or composite scales. Although further research is needed to explore the validity of this organizational scoring scheme with younger patients, these findings suggest that organization of the ROCF may be generally unrelated to global measures of cognitive ability or may assess processes associated with executive functioning untapped by the DAS.     

Psychometrics of a simple method for scoring organizational approach on the Rey‐Osterrieth complex figure

The Rey‐Osterrieth Complex Figure (ROCF) is a commonly used neuropsychological measure that assesses visuospatial processing, planning and visuomotor integration. Using samples of clinically referred (N=20) and non‐clinical (N=44) adults, the present study examines the psychometric properties of a simple method of scoring organizational approach to the ROCF. Developed by Savage et al. (1999) and refined by Deckersbach et al. (2000) , this simple 5‐point organizational scoring system allows for the quick and accurate assessment of organizational quality. Results suggest that this system is internally consistent and can be scored reliably. Correlations with measures of visuomotor integration and accuracy of rendition after a delay provide evidence of convergent validity. Organization scores were independent of both Verbal and Performance IQ estimates. However, discriminant validity analyses found that high‐functioning patients referred for a neuropsychological assessment did not score significantly different from a non‐clinical sample, raising questions about the diagnostic utility of this measure with less impaired populations. Implications for clinical practice are discussed, as are directions for future research.     

Co-occurring disorders: a possible key to visual perceptual deficits in children with developmental coordination disorder?

A study was conducted to examine how visual perceptual functioning in children with DCD may be influenced by co-occurring learning problems such as reading disabilities (RD) and/or attention deficit hyperactivity disorder (ADHD). Participants included seven groups of children: 27 children with DCD only, 11 with ADHD only, 14 with RD only, 63 with DCD and at least one other disorder (i.e., DCD + ADHD, DCD + RD, DCD + ADHD + RD), and 73 typically developing controls. Visual perceptual skills were assessed using the Test of Visual Perceptual Skills (TVPS) and the Rey Osterreith Complex Figure (ROCF; copy and delayed recall). Children with DCD and at least one other disorder were found to have impairments on the TVPS compared to children with DCD only, ADHD only, and typically developing controls, particularly on subtests assessing visual memory. On the ROCF, children with DCD and at least one other disorder scored significantly lower than children with ADHD only or RD only. Children with DCD plus one other disorder were then subdivided into three groups: DCD + ADHD, DCD + RD, and DCD + ADHD + RD and compared to children with DCD only, ADHD only, and RD only. Results indicated that children with DCD + ADHD + RD had significant impairments on the TVPS compared to children with DCD only and children with ADHD only. On the ROCF, children with DCD + ADHD + RD scored significantly lower than all of the groups, except the DCD+RD group. These findings suggest that DCD on its own is not associated with visual perceptual problems; rather, it is the presence of co-occurring disorders that is a possible key to visual perceptual deficits in children with DCD. The number of co-occurring disorders present with DCD is associated with the severity of the visual perceptual dysfunction. Deficits in visual memory skills appear to be a specific area of difficulty for children with DCD and co-occurring RD and/or ADHD.     

Comparability of the Rey-Osterrieth Complex Figure, the Taylor Complex Figure, and the Modified Taylor Complex Figure in a normal sample of Japanese speakers

The comparability of recall performance was examined on the Rey-Osterrieth Complex Figure, the Taylor Complex Figure, and the Modified Taylor Complex Figure as measures of visuospatial abilities and visual memory in 66 healthy Japanese university students. A between-subjects design was used in which each of the participants received the three figures. The interrater reliability of each was excellent. While the three figures yielded equivalent copy scores, the Taylor Complex Figure produced significantly higher scores than the other two on both short (3-min.) and delayed (30-min.) recall tests. There were no significant differences between recall scores of the Rey-Osterrieth and the Modified Taylor figures. These results are consistent with the findings of the 2002 study of English-speakers by Hubley and Tremblay, and support that the Modified Taylor Figure is superior to the original one for the companion figure to the Rey-Osterrieth Complex Figure.     

Normative indications for Xhosa speaking unskilled workers on the Rey–Osterrieth Complex Figure Test

The aim of this study was to establish normative indications for the Rey-Osterrieth Complex Figure (RCF) copy, incidental recall and delayed recall tasks, administered in English on a non-clinical population of Xhosa, unskilled workers (N?=?33) (females n?=?21; males n?=?12), with a background of relatively disadvantaged quality of education up to Grades 11 and 12. The sample was stratified into two age groupings (18 – 29 years, n?=?17; 30 – 40 years, n?=?16), equally distributed for sex and level of education. Within group statistical analyses compared subgroup test performances for sex and age within the total sample. Between group analyses were used to compare the performance of the present sample with age equivalent data derived from a meta-analysis of US normative data on the RCF task. There was an age effect in favour of the younger group for both the immediate and delayed recall tasks. The local data for all RCF tasks were significantly lower than the US normative data, with the indication that higher levels and/or quality of formal school education might advantage performance on this complex visuoperceptual copy and recall task.     

Visuomotor coordination and visuospatial working memory of children with specific reading disabilities: a study using the Rey-Osterrieth Complex Figure

The aim of the present study was to examine the visuospatial perception, short-term working memory, and motor skills of children with special reading difficulties, using the Rey-Osterrieth Complex Figure, which can record visuomotor and memory skills, observe drawing processes, and detect deficiencies in specific skills. 306 right- and left-handed boys and girls, ages 6.6 to 9.6 yr. (102 with special reading difficulties, 102 normal readers, and 102 with general learning difficulties) comprised one experimental and two control groups, respectively. The task was to depict the Rey-Osterrieth Complex Figure under two conditions, copying and drawing it from memory. Analysis indicated that (a) difficulty of the depiction of the Rey-Osterrieth Complex Figure, especially from memory, sharply affects children's performance and (b) the experimental group's performance was significantly poorer than that of controls in both conditions. The results are discussed in view of the predictive value of certain motor and cognitive skill deficiencies of children with special reading difficulties.     

Knowledge and imagery of contractile mechanisms do not improve muscle strength

Improving performance in strength tasks requires modifications charateristic of motor skill learning, such as more efficacious motor-unit firing behavior. Because domain-specific knowledge is integral to learning and performing motor kills, the present purpose was to examine selected factors of strength-specific knowledge and effects they might have on acquiring strength. Following baseline testing for maximal strength on a knee-extension task, participants were matched by sex and strength and placed into control (n=8) and treatment (n=8) groups. Quadriceps muscle electromyographic data were also collected. The treatment group underwent two educational sessions detailing muscle physiology, neural control of muscle force, and imagery training using this knowledge. The control group underwent two educational sessions about health and fitness. Following the educational sessions the participants were retested for strength. Analysis indicated that the education and imagery treatment had no effect on strength, nor did electromyographic measures indicate that the treatment group benefitted from intervention. It was concluded that the knowledge was simply not relevant to knee extension-force production or that use of the knowledge involved a disadvantageous internal focus of attention away from relevant task demands.     

Performances on Rey Auditory Verbal Learning Test and Rey Complex Figure Test in a healthy, elderly Danish sample--reference data and validity issues

This study presents Danish data for Rey Auditory Verbal Learning Test (RAVLT) and Rey Complex Figure Test (RCFT) from 100 subjects aged 60-87 years. Education and estimated verbal intelligence (DART score) had a significant impact on the RAVLT trial 1-5 score but not on other RAVLT measures. The RCFT copy score was significantly related to age and the DART score. On RCFT recall a highly significant difference was found between persons who could make a faultless copy and persons with incomplete copy performance. Thus, this study presents separate data for RCFT recall scores according to the subjects' copying performance (in separate tables for age and education groups). For all measures on both RAVLT and RCFT wide distributions of scores were found and the impact of this broad score range on the tests' discriminative validity is discussed. RAVLT performances for elderly were similar to previous published meta-norms, but the included sample of elderly Danes performed better on RCFT (copy and recall) than elderly from the United States.     

How do included and excluded students with SEBD function socially and academically after 1,5 year of special education services?

ABSTRACT

The present study tested three conflicting hypotheses as to how students with social/emotional/behavioural difficulties (SEBD), who showed similar social-emotional, behavioural and academic functioning prior to placement, function socially and academically after they have received additional support either in inclusive regular education or in exclusive special education. Thirty-six included and 15 excluded students with SEBD participated. We collected data from students and teachers with classroom surveys, individual testing sessions with students with SEBD, and from application files. Using Bayesian statistics, our results suggest that excluded students are better socially embedded in exclusive special education and that they perform better academically than comparable included students with SEBD. Special education services in exclusive settings may thus afford certain benefits to some students with SEBD, not typically found in regular education, which can be considered a first indication that there may be valid counterarguments against the ‘inclusion for all’ perspective on educational needs.     

Norming and Performing: Using Microworlds to Understand the Relationship Between Team Cohesiveness and Performance1

The current study used a microworld simulation to investigate the direction of the relationship between group cohesiveness and performance. The study involved ten 4‐person teams who undertook 12 sessions of an air traffic control simulation. Performance and cohesiveness data were collected at each 1‐hr session. Using hierarchical linear modeling, group performance was found to predict group cohesiveness and not vice‐versa. These findings are discussed with respect to previous research and popular theories of group development.     

Copying strategies and memory on the Complex Figure Test in psychiatric patients

We assessed three copying strategies on the Rey-Osterrieth Complex Figure Test among 50 psychiatric patients. The strategies were featural (detail-focused), contextual (framework-focused), and mixed. Reliable classification of each patient's copying strategy showed 7 patients used a featural and 7 patients used a contextual strategy. The remaining 36 used a mixed strategy involving both elements. Analysis indicated that patients who met DSM-III-R criteria for schizophrenia tended to use a mixed strategy. Nonschizophrenic patients also favoured the mixed approach. Moreover, when subjects were divided into groups based on their strategies, there were no differences in copying accuracy. However, the groups differed on immediate and delayed recall of the Complex Figure Test. Patients who adopted a featural strategy on the copy trial had the lowest recall scores. "Process" variables may be important in understanding neurocognitive functioning in schizophrenia; however, there is little evidence that schizophrenic patients use copying strategies consistent with lateralized impairment of brain function.     

A method for analyzing changes in response efficiency.

Although experimental effects typically are evaluated by summarizing levels of responding across time (e.g., calculating the mean levels of problem behavior during 10‐min sessions), these data summaries may obscure important mechanisms that may be responsible for changes in responding. A case study is reported to illustrate alternative methods of data analysis when decreasing trends in responding may be due to increases in response efficiency.     

Concurrent variable‐interval variable‐ratio schedules in a dynamic choice environment

Most studies of operant choice have focused on presenting subjects with a fixed pair of schedules across many experimental sessions. Using these methods, studies of concurrent variable‐ interval variable‐ratio schedules helped to evaluate theories of choice. More recently, a growing literature has focused on dynamic choice behavior. Those dynamic choice studies have analyzed behavior on a number of different time scales using concurrent variable‐interval schedules. Following the dynamic choice approach, the present experiment examined performance on concurrent variable‐interval variable‐ratio schedules in a rapidly changing environment. Our objectives were to compare performance on concurrent variable‐interval variable‐ratio schedules with extant data on concurrent variable‐interval variable‐interval schedules using a dynamic choice procedure and to extend earlier work on concurrent variable‐interval variable‐ratio schedules. We analyzed performances at different time scales, finding strong similarities between concurrent variable‐interval variable‐interval and concurrent variable‐interval variable‐ ratio performance within dynamic choice procedures. Time‐based measures revealed almost identical performance in the two procedures compared with response‐based measures, supporting the view that choice is best understood as time allocation. Performance at the smaller time scale of visits accorded with the tendency seen in earlier research toward developing a pattern of strong preference for and long visits to the richer alternative paired with brief “samples” at the leaner alternative (“fix and sample”).     

Repeated,within‐session resurgence

Resurgence is a reliable, transient effect that only occasionally is replicated more than once within a single experiment or subject. In the present experiments, within‐session resurgence was generated repeatedly by dividing individual sessions into three phases (Training, Alternative‐Reinforcement, and Resurgence‐Test). In Experiments 1 and 2, resurgence reliably occurred in most of the 22‐30 daily sessions when responding was reinforced on, respectively, fixed‐ and variable‐interval schedules. Resurgence magnitude and duration did decrease across replications for some subjects, but not for others. To examine the utility of the procedure in studying the effects of an independent variable on resurgence, in Experiment 3 the effects of rich and lean baseline and alternative reinforcement rates on resurgence were compared. The target response was eliminated more rapidly, resurgence occurred more often, and usually was greater following rich alternative reinforcement rates. Resurgence was of greater magnitude when the baseline reinforcement rate was relatively lean compared to the alternative reinforcement rate. These experiments provide a reliable method for generating resurgence within individual sessions, instead of across multiple‐session conditions, that can be repeated over many successive sessions.     

Reliability estimates for the immediate and delayed memory tasks

The Immediate and Delayed Memory Tasks are variations of the Continuous Performance Test. While previous research with the tasks has focused on group performance across multiple blocks and sessions, reliability estimates have not been established. We estimated reliability (1) between blocks of a single testing session (N=106), (2) across four sessions within a single testing day (N=20), and (3) across sessions on four consecutive testing days (N=20). Analyses indicated that the primary variable of interest, i.e., commission of errors, showed acceptable reliability within and across testing periods.