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Book and Test Review: Arthur Macneill Horton, JR., Associate Editor
Book and Test Review: Arthur Macneill Horton, JR., Associate Editor
Book and Test Review: Arthur Macneill Horton, JR., Associate Editor
Cohen's ``Children's Memory Scale'' (CMS; Cohen, 1997) provides a measure of learning
and memory for children aged 5 to 16 years. Cohen states that the development of this
instrument aims to improve upon existing children's memory tests by (a) better accounting for
childhood developmental change, (b) allowing meaningful comparisons with commonly used
children's intelligence tests, (c) allowing for comparison with the Wechsler Memory Scale-III
(WMS-III; Wechsler, 1997), (d) providing a memory test which is academically and clinically
germaine, and (e) keeping the subtests and administration ``child friendly.''
1. Theoretical model
The test was developed using the ``Milkjug of Memory'' model, based on current research
in human memory theory. In brief, Cohen presents a sequential model in which directed
attention promotes short-term immediate memory, which is divided into Auditory-Verbal and
Visual-Nonverbal domains. Data from each domain is maintained in working memory, which
leads to new learning. Information is then stored in long-term memory. Long-term memory is
divided into two types, declarative and procedural memory. Declarative (explicit) memory is
further divided into episodic memory (event specific memories from daily living) and
semantic memory, which contains factual information. Procedural (implicit) memory is
divided into skill learning (i.e., how to ride a bike) and classical conditioning. The retrieval
of stored memory is understood as a function of either free recall or recognition recall, which
returns data to working memory. For reasons of practicality, procedural memory is not
measured by the CMS.
Based on this model, and supported with a confirmatory factor analysis, the test is divided
into three domains (factors). Auditory/Verbal (A/V), Visual/Nonverbal (V/N), and Attention/
Concentration (A/C). Each domain consists of two subtests, with a supplemental test
available for each domain. Which of two record forms are used depends on the child's age
(5±8 years or 9±16 years). Normative data is provided based on a sample of 1,000 children in
10 age groups (ages 13/14 and 15/16 are combined groups). Each age group was divided
according to race/ethnicity, geographic region, and parents' education, with some case
weighting to adjust proportions to match those in the 1995 U.S. Census report. There were
an equal number of girls and boys in the sample.
There are eight index scores: Visual Immediate, Visual Delayed, Verbal Immediate, Verbal
Delayed, General Memory, Attention/Concentration, Learning, and Delayed Recognition.
Standard scores, confidence intervals, and percentiles are computed for each index. Because
2.1. Subtests
There are six subtests in the core battery. Dot Locations is an easily administered visual
learning task with three learning trials and a delay. Stories is a verbal memory task with two
short stories for each of three age bands (5±8, 9±12, and 13±16). Like the WMS-III,
responses are scored for both story units and thematic units recalled. A delayed free recall
and delayed recognition trial are included. Faces provides an immediate and delayed
measure of facial recognition. Faces subtest is a monotonous task that requires the subject
to view 16 photographs (for the 9±16-year-olds) during the identification trials and 48 more
photographs during the immediate recognition trials. Frequent prompting may be required to
keep the child's interest and avoid random responding. Word Pairs has three learning trials of
14 word pairs, along with a long delay and recognition trials. The Numbers subtest is a
measure of digit span, both forward and backward. Sequences is a timed measure of 12
different series, ranging from numbers to months of the year. Points are awarded for
accuracy and speed.
There are also three supplemental subtests. For the V/N domain, the Family Pictures
subtest measures the subject's ability to recall details from four family scenes with both
immediate and delayed trials. This test is problematic, as it requires substantial verbal
encoding for success and it is more difficult to administer than the core subtests within this
domain. As an option for the A/V domain, Word Lists is a selective reminding task with a
delayed free recall and delayed recognition trials. Picture Locations is a test of A/C in which
the subject must remember the locations of pictures dispersed within a rectangle.
Book and test review / Archives of Clinical Neuropsychology 16 (2001) 193±198 195
The CMS does a nice job of providing delayed measures on a majority of the tasks, with
recognition trials on two of the core subtests. Once scored, the information on the summary
sheet is comprehensive and useful. Comparisons of predicted and actual scores can be easily
transformed into learning curves for three of the subtests. Computer software is available
from the vender.
The test is attractively detailed with colorful stimuli well suited to keep a child's interest.
Instructions are clearly written in the stimulus booklets and easy to follow. The core subtests
are relatively similar to existing child and/or adult neuropsychological instruments and
require little practice time. However, learning to administer the supplemental tests (Family
Pictures, Word lists, and Picture Locations) is more difficult. Hand scoring is somewhat
Based on the information provided in the manual, the test's internal consistency was
robust, with the General Memory Index correlation across age groups ranging from .88 to .93.
Index reliability coefficients tended to be greater than individual subtest coefficients, as
would be expected with a larger number of data points. Significant practice effects can be
expected if the test is readministered within a 2-month period. Interrater reliability was high,
with most subtest correlations at .98 or above. The lowest interrater correlation was found for
the retroactive score on the Word List subtest (.88). Construct validity was determined by
comparing within-subtest differences, differences between subtests within a given domain,
and differences between indexes. Moderate-to-high correlations were reported between
immediate and delayed trials within subtests. Correlations between subtests within domains
were found to be low to moderate. Dot Locations and Faces subtests (V/N) had the lowest
correlation (r = .06±.16). The General Memory Index exhibited a moderate-to-high correla-
tion with all indexes. As anticipated, correlations within domains were higher than those
comparisons between domains.
The CMS General Memory Index has a moderate positive correlation with the FSIQ scores
of the WISC-III and WPPSI-R (.58 and .56, respectively). CMS verbal indexes correlate
moderately with VIQ scores in the expected direction. The CMS visual/nonverbal indexes
had a weak positive correlation with PIQ scores, actually having a higher correlation with the
WPPSI-R VIQ than the PIQ. The correlation was high (.73) between the WISC-III Freedom
From Distractibility factor and the CMS Attention/Concentration Index.
Memory Indexes (.64). The verbal indexes correlated moderately with their corresponding
measures, while the Visual Memory Index on the WRAML correlated moderately with the
CMS Visual Delayed Index, but only at .26 with the CMS Visual Immediate Index. Although
the WRAML does not have an Attention/Concentration measure, the CMS Attention/
Concentration Index correlates highly with the WRAML Verbal Index. There was a moderate
relationship between the Learning indexes on the two instruments.
Cohen also compared the performances of 86 16-year-olds who were administered both the
CMS and WMS-III. It should be remembered that with the exception of Dot Locations, the
WMS-III shares variations of all the CMS core subtests. Variations of two supplemental
subtests, Family Pictures and Word Lists, can also be found on the WMS-III. The correlation
Executive functioning, as measured by the Wisconsin Card Sorting Test (WCST; Heaton,
1981) and the Children's Category Test (CCT; Boll, 1993), was moderately correlated to the
CMS General Memory Index on both instruments. Auditory/verbal indexes were more
strongly correlated to WCST and CCT performance than were the visual/nonverbal indexes.
The Attention/Concentration Index exhibited a low to moderate correlation with WCST scores.
Language Processing, as measured by the Clinical Evaluation of Language Fundamentals-
3rd Edition (Semel, Wiig, & Secord, 1995), was found to be significantly correlated with A/C
in both the expressive and receptive language indexes. Receptive language also was
significantly correlated with the CMS General Memory Index, the Verbal Immediate Index,
and the Learning Index.
Book and test review / Archives of Clinical Neuropsychology 16 (2001) 193±198 197
Preliminary studies indicate the CMS may be sensitive to the effects of several common
neurological disorders. When 17 children with temporal lobe epilepsy were tested, nearly one
third were within the impaired range (index standard score 69) on the General Memory,
Verbal Delayed, and Delayed Recognition Indexes. Over one fourth of a traumatic brain
injury group tested in the impaired range on the Verbal Immediate Index, whereas one fifth of
the traumatic brain injury group scored in the impaired range on the General Memory and
Verbal Delayed Indexes. In a small group of children with a known brain tumor, over half
performed in the impaired range on the Delayed Recognition Index, whereas one in four were
impaired in the Attention/Concentration Index.
Children with learning disabilities in reading, writing, math, or in combination obtained
as a problem with the WMS III), the similarities between the two instruments do allow for
great continuity across the life span.
References
Boll, T. (1993). Children's Category Test. San Antonio, TX: Psychological Corporation.
Cohen, M. J. (1997a). Children's Memory Scale. San Antonio, TX: Psychological Corporation.
Cohen, M. J. (1997b). Manual for the Children's Memory Scale ( p. 84). San Antonio, TX: The Psycho-
logical Corporation.
Delis, D., Kramer, J., Kaplan, E. & Ober, B. (1994). California Verbal Learning Test-Children's Version. San
Antonio, TX: Psychological Corporation.
Heaton, R. (1981). Wisconsin Card Sorting Test. Odessa, FL: Psychological Assessment Resources.
Semel, E., Wiig, E., & Secord, W. (1995). Clinical Evaluation of Language Fundamentals (3rd ed.). San Antonio,
TX: Psychological Corporation.
Sheslow, D., & Adams, W. (1990). Wide Range Assessment of Memory and Learning. Wilmington, DE:
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Wechsler, D. (1989). Wechsler Preschool and Primary Scale of Intelligence (Revised). San Antonio, TX: Psy-
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Wechsler, D. (1991). Wechsler Intelligence Scale for Children (3rd ed.). San Antonio, TX: Psycholo-
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Wechsler, D. (1992). Wechsler Individual Achievement Test. San Antonio, TX: Psychological Corporation.
Wechsler, D. (1997). Wechsler Memory Scale (3rd ed.). San Antonio, TX: Psychological Corporation.