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Table 1 Studies Examining LTM Skills in Individuals with DS Organized by Age Group and Presented Chronologically

From: Memory profiles in Down syndrome across development: a review of memory abilities through the lifespan

Study

Comparison Group

Matching Assessment

CA of DS group (Yrs)

MA of DS group (Yrs)

Task

Findings

Preschool studies (< 5 years old)

 Milojevich 2015 [54]

MA-matched TD

Bayley- III

M = 2.75

(Range 1- 4)

M = 0.9

Visual LTM

Deferred Imitation

DS ~ TD-MA on number of target actions after 1 month delay

DS < TD-MA temporal sequence of actions after 1 month delay

TD-MA: Familiar target actions > Novel target actions

DS: Familiar target actions ~ Novel target actions

 Roberts 2015 [35]

Verbal MA-matched TD

MSEL

(Verbal scales)

M= 4

(Range 3-5)

M = 2.8

Visual LTM

Deferred Imitation Task

Object Location Retention task

DS > TD-Verbal MA

DS ~ TD-Verbal MA

(Results same when groups matched on nonverbal ability)

School Age and Adolescent studies (6 to 17 years old)

 Carlesimo 1997 [56]

ID group

MA-matched TD

WISC-R or

WAIS

M=16

M = 9.1

Verbal and Visual LTM

Word List Learning

Story Recall

Word Recognition

Rey Figure Form B

DS < ID < TD-MA on immediate & delayed recall

DS < ID < TD-MA

DS < TD-MA; DS~ID on hit rate and false alarms

DS < TD-MA; DS~ID on immediate & delayed recall

 Mattson 1999 [59]

TD & FAS

--

M=12.9

(Range = 9.3-16.0)

--

Verbal LTM

Word Recall

Word Recognition

DS < FAS < TD

DS < FAS < TD

 Dawson 2001 [157]

MA - matched TD & ASD

Preschool Language Scale-3

M=5.7

M=2.5

Visual LTM

Visual Paired Comparison (5-minute delay)

DS ~ TD-MA

DS ~ ASD

 Byrne 2002 [60]

Reading Matched & Average TD

Readers

BAS Word Reading

M=8

(Range= 4-12)

M=6.3

Visual LTM

Delayed Visual Recall

DS < TD-RM and TD-AR

*All 3 groups showed steady progress in their memory abilities. Groups did not significantly differ in amount of progress made over the two years

 Pennington 2003 [9]

MA-matched TD

DAS

M=14

(Range=11-19)

M=4.5

Verbal, Spatial, Visual LTM

List Learning

Maze Learning task

Pattern Recognition

Paired Associates Learning

Ecological Memory task

DS < TD-MA

DS < TD-MA

DS < TD-MA

DS < TD-MA

DS < TD-MA on some aspects of task; DS~TD-MA on other aspects

 Nichols 2004 [57]

MA-matched TD

SLI

WS

Focal Lesions

WISC-R or WAIS-R

M=15.0

M=7.9

Verbal LTM

CVLT-C

Long Delay Free Recall: DS<TD-MA; DS~WS, SLI

Number of Intrusions: DS > TD-MA, FL

Recognition Memory/Discriminability: DS < TD-MA; DS~WS, SLI

 Bird 2004 [158]

NVMA-matched TD

SB

M=16.4

(Range=12 -20)

M=5.4

Verbal LTM

Immediate & Delayed Story Recall

(with embedded novel, nonsense words)

DS<TD-NVMA on immediate not delayed verbatim story recall

(which included nonsense words)

 Vicari 2005 [62]

MA-matched TD

SB

M=16

(Range=8-30)

M=5.3

Visual and Spatial LTM

Visual-Object Learning

Visual-Spatial Learning

DS < TD-MA

DS ~ TD-MA

 Jarrold, 2007 [55]

WS group

TD

Not matched

M=13

(Range=10-16)

M=5.3

Verbal and Visual LTM

People Test – verbal recall

Shapes Test – visual recall

DS ~ TD

DS < TD; DS~WS

 Visu-Petra 2007 [120]

MA-matched TD

SB

M=14

(Range=8-21)

M=5.75

Visual & Spatial LTM

Delayed Match to Sample

Paired Associates Learning Number of Stages Completed

Spatial Recognition Memory

DS < TD-MA

DS < TD-MA

DS < TD-MA

 Edgin 2010 [25]

IQ-matched WS group

WASI

M=17.8

--

Verbal and Visual LTM

NEPSY List Learning

CANTAB Paired Associates Number of Stages Completed

DS > WS

DS > WS

 Heimann 2016 [61]

TD,

Language- matched ASD

--

M=5.25 (SD=1.03)

M=2.63 (SD=.72)

Visual LTM

Deferred Imitation

DS ~ TD

DS > ASD

Adult and Older adult studies (18 years and older)

 Dalton 1974 [159]

Young and Old ID group

--

Young M= 20.9 Intermediate M=41.7

Old M= 50.8 (Range=19-58)

--

Visual LTM

Delayed Matching to Sample

Young DS < Young & Old ID; Young DS = Intermediate DS

Intermediate DS < Old ID; Intermediate DS = Young ID

Old DS < all other DS and ID groups

 Varnhagen 1987 [64]

IQ-matched ID group

SB

M=22.70

(Range=19-25)

M=4.78

Verbal LTM

Lexical Access – a measure of lexical LTM access derived from verbal measures

DS < ~ ID (p=.06)

 Ellis 1989 [160]

TD group

(matched roughly on CA)

--

M=26.8

(Range=14-51)

--

Visual LTM

Picture Recall

Picture Location Recall

DS < TD college students

DS < TD college students

 Devenny 1992 [161]

ID < 35

ID > 35

-

Young DS M=31.7

Old DS M=41.8

-

Verbal LTM

Selective Reminding Test

Both TD and DS participants showed no significant change in performance from Time 1 to Time 2

 Brugge 1994 [63]

CA-matched ID group

--

M=31

(Range=22-51)

--

Verbal LTM

CVLT

DS<ID on various scores

CVLT Short Delay Savings score predictive of group.

DS performance inversely related to age

 Simon 1995 [70]

IQ-matched ID &

CA-matched TD

--

M=30

--

Verbal and Visual LTM

Word Recall

Facial Recognition

Picture Recall

DS < TD-CA; DS~ID

DS ~ ID; DS<TD-CA

DS < ID & TD-CA

 Devenny 1996 [65]

Young DS

(CA 30-39)

Middle-Aged DS (CA 40-49)

Old DS

(CA 50+)

ID group with similar IQ & Age

Subtests of WISC-R were used to estimate IQ

Young DS M=37

Middle-Aged DS M=45

Older DS M=55

-

Verbal LTM

Selective Reminding Test (SRT)– word recall

Participants were tested at 6 time points across 5 years

DS: Less improvement than ID on repeated testing

Young DS ~ Improvement on SRT across time points

Middle-Aged and Older DS ~ Decrease in SRT across time points

*Note: This study focused on a more mildly impacted subgroup of adults with DS

 Dulaney 1996 [71]

CA- matched TD; ID

--

M=33.6 (SD=6.8)

--

Visual & Spatial LTM

Picture Recognition

Spatial Location Recall of pictures

DS < TD-CA; DS ~ ID

DS < TD-CA; DS ~ ID

 Vicari 2000 [36]

MA-matched TD

SB

M= 21

M=6.5

Verbal and Visual LTM

Word Recall

Picture Recognition

Spatial Sequence Learning

DS <TD-MA on word recall; DS > TD-MA on false alarms

DS < TD-MA on picture recognition; DS > TD-MA on false alarms

DS > TD-MA on number of trials to learn sequence *higher number of trials indicates worse performance

 Krinsky-McHale 2005 [162]

IQ Matched WS

ID

 

M=44.36 (SD=5.56)

 

Verbal LTM

Selective Reminding Task

For both DS and WS, number of words recalled decreased with age; not observed in ID group

 Davis 2014 [67]

MA-matched TD and ID

Leiter-Revised Brief Form

& KBIT-2

M~18

M=5.0

Spatial LTM

Route Learning Recall

DS< TD-MA & ID

 Purser 2015 [69]

WS group

TD group

(similar mental age)

--

M=18

(Range=10-39)

--

Visual Spatial LTM

Route Learning Task – Errors

DS > TD & WS (errors)

 Lavenex 2015 [68]

NV MA-matched TD

Leiter-Revised

M=18.8

(Range=11-29)

M=5.3

Spatial LTM

Allocentric Spatial Memory Task

DS<TD-MA

Within DS Group Comparisons of Older Adults

 Haxby 1989 [163]

35+ DS

(4 with dementia)

Under 35 DS

--

Under 35 M=26

35+ non-demented M=48

35+ demented

M=57

Under 35 M= 6.1

35+ non-demented M=4.3

35+ demented M=2.5

Visual LTM

Hidden Object Memory

Recognition for Designs

35+ Non-demented DS < Under 35 DS; demented DS not compared

All 35+ DS (demented & non-demented) < Under 35 DS

 Alexander 1997 [66]

Young DS

(CA 22-38)

Old DS without dementia

(CA 41-61)

--

Young DS M=30.1

Old DS M=47.4

Young DS M=5.7

Old DS M=4.7

Visual LTM

Hidden Object Memory

(10-second delay)

Hidden Object Memory

(2-minute delay)

Old DS < Young DS

Old DS < Young DS

 Crayton 1998 [72]

Young DS (CA Under 40)

Middle-Aged DS (CA 40-49)

Older DS

(CA 50+)

--

--

M =4.8

(for whole group on BPVS)

Visual and Spatial LTM

Pattern Recognition

Spatial Recognition

Delayed Associative learning

Young DS ~ Middle-Aged DS ~ Older DS

Middle Aged DS < Young DS

Older DS < Young DS

 Hon 1998 [73]

Young DS

(CA 30-44)

Old DS

(CA 45-65)

- 10 with AD

--

Overall M=42.6

--

Verbal and Visual LTM

Rivermead - Name Learning

Rivermead - Face Learning

Rivermead - Route Learning

Rivermead- Story Recall

Old DS < Young DS

Old DS < Young DS

Old DS < Young DS

Old DS < Young DS

 Dalton 1999 [164]

Young DS (CA 17-39)

Old DS (CA 40-58)

--

--

--

Visual LTM

Matching to Sample

(25 second delay)

Old DS < Young DS

 Krinsky-McHale 2002 [18]

DS with dementia (DS+DAT)

DS without Dementia (DS)

 

DS+DAT

Females M=52.23

Males M-45.32

DS

Females M=42.06

Males M=44.36

--

Verbal LTM

Selective Reminding Test

(word list recall)

DS+DAT greater decline in performance over 3 years relative to DS

Older DS+DAT & DS greater decline in performance over 3 years than Younger DS & DS+DAT

 Devenny 2002 [165]

--

--

DS no DAT=47.3, DS DAT= 54.8

--

Visual LTM

Cued Recall Task

DS DAT < DS no DAT

  1. Key: Comparison Groups: CA chronological age, DAT Dementia of the Alzheimer’s Type, DS Down Syndrome, ID Intellectual Disability, MA mental-age, NVMA Nonverbal mental-age, RA-matched reading age matched, SLI Specific Language Impairment, TBI Traumatic Brain Injury, TD typically developing, WS William’s Syndrome
  2. Tests: BAS British Abilities Scale, Bayley Bayley Scales of Infant Development, BPVS British Picture Vocabulary Scale, CANTAB Cambridge Neuropsychological Test Automated Battery, CVLT-C California Verbal Learning Testing Children’s Version, DAS Differential Ability Scales, K-BIT Kaufman-Brief Intelligence Test, Leiter Leiter International Performance Scale, MSEL Mullen Scales of Early learning, RCPM Raven’s Coloured Progressive Matrices, Rivermead Rivermead Behavioral Memory Test for Children, SB Stanford Binet Intelligence Scale, WAIS-R Wechsler Adult Intelligence Scale-Revised, WASI Wechsler Abbreviated Scale of Intelligence, WISC-R Wechsler Intelligence Scale for Children- Revised
  3. Note: Italicized authors’ names indicate studies included in effect size analyses