Rey–Osterrieth complex figure normative data for the psychiatric population

Bern G. Lee · Julie-Ann Kent · Bernice A. Marcopulos · Beth C. Arredondo · Monique Wilson

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Abstract

Objective: Appropriate normative data are crucial for competent neuropsychological assessment. Although individuals with psychiatric illness often perform more poorly than healthy adults on neuropsychological testing, data that reflect the psychiatric population are often lacking. We present a normative dataset and calculation tools for the Rey–Osterrieth Complex Figure Test (RCFT) derived from the psychiatric inpatient population. Method: A sample of 301 psychiatric inpatients completed the RCFT and the Test of Memory Malingering (TOMM) between 1999 and 2018. Participants were 59.5% male, 82.1% Caucasian, 13.3% black, and 4.6% identified as another racial demographic, largely consistent with recent Substance Abuse and Mental Health Services Administration (2018) data for inpatients in U.S. psychiatric facilities. Scores for RCFT Copy, Short-Delay Free Recall, Long-Delay Free Recall, Total Recognition, and Percent Retained were modeled via multiple regression with age and education as predictors. Base rates were computed for subscores comprising Total Recognition to aid clinical decision making. Results: Age and education served as significant individual predictors for all models except one model predicting percent retained across delay that included only age. Regression equations and regression standard errors were used to produce a score calculator using a commonly available spreadsheet software package. Healthy adult norms under-estimated performance in our sample, underscoring the importance of these normative data. Conclusions: These normative data for the RCFT represent a large cohort of psychiatric inpatients. For clinical practice and research, both the data and the tools provided are likely to be of particular usefulness among individuals with serious mental illness.

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2013Diagnostic and Statistical Manual of Mental Disorders 2010Financial Exploitation and Psychological Mistreatment Among Older Adults: Differences Between African Americans and Non-African Americans in a Population-Based Survey 1997The Test of Memory Malingering (TOMM): Normative data from cognitively intact and cognitively impaired individuals.2006Clinical and empirical applications of the Rey–Osterrieth Complex Figure Test 1993Psychological examination of traumatic encephalopathy 2020American Academy of Clinical Neuropsychology consensus conference statement on uniform labeling of performance test scores 1995Rey complex figure test under four different administration procedures 1999Adult Norms for the Rey-Osterrieth Complex Figure Test and for Supplemental Recognition and Matching Trials from the Extended Complex Figure Test

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