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Table 2 Studies Examining STM 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

Tasks

Findings

Valencia-Naranjo 2017 [83]

CA & MA-matched FXS

K-BIT

M=4.29

--

Verbal and Visual STM 1

Story Recall

Object Recall

DS< FXS

DS< FXS

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

Study

Comparison Group

Matching Assessment

CA of DS Group (Yrs)

MA of DS Group

Tasks

Findings

Dodd 1975 [166]

ID

--

M=9.1

--

Verbal STM

Real & Nonsense Word Discrimination

(0, 15, and 30 second delays)

DS>ID - Recognition on 0 and 30 sec delay; DS<ID Recall on 15 and 30 sec delay

McDade 1980 [167]

CA-matched TD

MA-matched TD

SB

M~10

Range=

3.5 – 5.5

Verbal STM

Digit Span Recall

Verbal Recognition Test (forced choice recognition on a word recall task)

DS < TD-MA < TD-CA

DS < TD-CA; DS ~ TD-MA

Strattford 1982 [168]

TD & ID

SB & PPVT

M=10.6

(SD=3.92)

M=4.9

Visual STM

Immediate design reproduction

DS < TD; DS~ID

Snart 1982 [169]

ID group &

IQ-matched TBI

SB

WISC-R

M=16.3

DS & control

(Range = 9-22)

--

Verbal STM

Auditory Serial Recall

DS< ID and TBI on successive auditory recall factor score

Marcell 1988 [170]

VMA-matched TD

ID group

PPVT

M=16.75

M=4.89

Verbal STM

Digit Span –

Auditory Freefield (traditional)

Auditory presentation with headphones

Auditory presentation with participants

wearing goggles (to reduce distraction)

Visual/Verbal STM

Digits presented visually, recalled orally

DS< TD-MA, ID

DS< TD-MA, ID

DS< TD-MA, ID

DS~ TD-MA, ID

Bower 1994 [88]

IQ and CA matched ID

--

Range=5-18

M=4.6

Verbal STM

Digit Recall

Sentence Recall

DS < ID

DS < ID

Kay-Raining 1994 [171]

MA-matched TD

SB

M=14

 

Verbal STM

Digit Span Recall

DS < TD-MA

Wang 1994 [89]

IQ & CA matched WS group

WISC-R

M=15.4

--

Verbal & Spatial STM

Digit Span

Corsi Block Recall

DS < WS

DS > WS

Cornish 1999 [95]

CA-matched TD,

MA-matched TD, FXS

--

M=10.82 (SD=1.89)

M=5.10 (SD=1.21)

Visual STM

K-ABC Spatial Memory Task

DS < FXS, TD-CA& TD-MA

Munir 2000 [58]

MA-matched TD, CA-matched TD and FXS

BPVS

M= 11.17 (2.49)

M=6.09

Verbal & Visual STM

Children’s Nonword Repetition Task

WISC-III Forward Digit Span

Kaufman Spatial Location Recall

DS >FXS; DS ~ TD-MA & TD-CA

DS ~ FXS; DS <TD-MA & TD-CA

DS > FXS; DS < TD MA & TD-CA

Seung 2000 [26]

NVMA-matched TD

MLU controls

SB NV subtests for NVMA TD group

M=16.4

(Range=9-24)

M=5.58

Verbal STM

ITPA Forward Digit Span Length

DS < TD-NVMA

DS ~ MLU

Kanno 2002 [172]

TD (with similar MA)

--

M=16.10

(SD=1.64)

M=6.02

Verbal STM

Serial Recall of words

DS < TD-MA

Jarrold 2002 [49]

ID group

VMA-matched TD

BPVS

M=14.28

(Range=8-17)

M=5.09

Verbal & Spatial STM

Digit Span Recall +/- visual support

Corsi Span Recall

DS < Combined ID & TD-VMA comparison group

DS ~ Combined ID & TD-VMA comparison group

Laws 2002 [147]

VMA-matched TD

BPVS-II

M=11.1 (Range=7-17)

M=4.0

Verbal, Visual, & Spatial STM

Digit Span Recall

Corsi Span Recall

Color Memory

DS < TD-VMA

DS > TD-VMA

DS< TD-VMA on focal colors

DS ~ TD-VMA on non-focal colors

Byrne 2002 [60]

Reading Matched TD

Average readers TD

BAS Word Reading

M=8

M=6.3

Verbal & Visual STM

BAS Digit Recall

BAS Immediate Visual Recall

DS < TD-RM < TD-AR

DS < TD-RM & TD-AR

Eadie 2002 [127]

SLI group

TD group

matched on MLU

--

M=7.2

--

Verbal STM

Sentence repetition

DS < TD-MLU; DS ~ SLI

Pennington 2003 [9]

MA-matched TD

DAS

M=14

(Range=11-19)

M=4.5

Verbal STM

Digit Recall

DS <TD-MA

Vicari 2004 [96]

MA-matched TD; MA & CA matched WS

SB

M=13.4

(SD=4.4)

M=5.2

Verbal & Visual STM

Digit Forward Span Test

Spatial Forward Span Test

DS < WS; DS < TD-MA

DS ~ WS; DS < TD-MA

Lanfranchi 2004 Study 1 [115]

MA-matched TD

Logical Operations Test

M=11.75

(Range = 7-16)

M=5.42

Verbal STM

Word Span Recall

DS < TD-MA

Lanfranchi 2004 Study 2 [115]

MA-matched TD

Logical Operations Test

M=14.5

(Range= 11-18)

M=4.5

Visual STM

Memory for Positions

Pathway Forwards (recall of sequenced moves)

DS ~ TD-MA

DS ~ TD-MA

Seung 2004 [174]

MA-matched TD, MLU

--

M=17.1

(SD=4.4)

M=5.8

Verbal STM

SB Sentence memory subtest

DS < TD MA

DS ~ MLU

Fidler 2005 [173]

NV IQ-matched ID

K-BIT

M=13.25

(Range=7-21)

---

Verbal STM

Number Sequential Recall

DS<ID

Brock 2005 [175]

TD group

Groups similar on BPVS, though not explicitly matched

--

M=17.6

(Range=8-25)

M=7.1

Verbal STM

Digit Span recall

Digit Reconstruction recall (pointing to numbers)

DS<TD

DS<TD

Cairns 2005 [176]

VMA-matched TD

BPVS

M=15.43

(Range=12-19)

M=5.16

Verbal STM

Word & Nonword Repetition

Digit Span Recall

DS<TD-VMA

DS<TD-VMA

Hick 2005 [177]

NVMA-matched SLI

NVMA-matched TD

Leiter

M=9.75

M=4.5

Verbal & Visual STM

Digit Span Recall

Word Span Recall

Pattern Recall

DS < TD-NVMA, DS ~SLI

DS < TD-NVMA, DS ~ SLI

DS~SLI~TD-NVMA

Verbal STM Tasks – SLI made progress over time that was not seen in DS

Vicari 2006 [178]

MA-matched TD

SB

M=15.83

(SD=5.66)

M=5.16

Visual & Spatial STM

Spatial Location Span

Visual Span

DS < TD-MA

DS < TD-MA

Visu-Petra 2007 [120]

MA-matched TD

SB

M=14

(R=8-21)

M=5.75

Spatial STM

CANTAB Spatial Span Task

DS ~ TD-MA (TD-MA> DS trend)

Keller-Bell 2007 [179]

NVMA-matched TD

Columbia Mental Maturity Scale

M=9.40

(Range=5-12)

M=4.65

Verbal STM

Nonword Repetition task

DS < TD-NVMA

Lanfranchi, 2009 [142]

MA-matched TD

PPVT-Revised and RCM

M=12.5

(Range=7-17)

M=6.0

Visual STM

Pathway Recall

Positions Recall

DS ~ TD-MA

DS < TD-MA

Frenkel 2009 [87]

MA-matched TD

K-ABC

M=12

(Range=6-17)

M=5.01

Verbal, & Spatial STM

Auditory Word Span Task

Visual Patterns Task

Corsi Block Recall Task

DS < TD-MA

DS < TD-MA

DS ~ TD-MA

Kogan 2009 [97]

FXS group

VMA-matched TD

CA-matched TD

PPVT- III

M=17.16

(Range=11-36)

M=6.35

Visual & Spatial STM

Delayed-non-matching-to-sample

Delayed-non-matching-to-position (spatial)

DS~FXS~TD-VMA

DS ~ FXS; DS < TD-CA

Cardoso-Martins 2009 [180]

MA-matched TD

DAS

M=14.48

--

Verbal & Spatial STM

Digit Span

Corsi Blocks Recall

DS< TD-MA

DS~TD-MA

Lanfranchi 2009 [117]

VMA matched TD

Verbal matched TD

PPVT-R

and WPPSI Verbal

M=13.1

(Range=8-19)

M=4.11

Verbal & Spatial STM

Word Span

Path Recall

DS< TD-VMA & TD-verbal matched

DS~TD-VMA & TD-verbal matched

Abdelhameed 2010 [181]

MA-matched TD

SB-4

M=9.94

(Range=7-13)

M=3.94

Verbal STM

Digit Span Recall

Nonword Repetition

DS < TD-MA

DS < TD-MA on all syllable lengths

Carretti 2010 [182]

MA-matched TD

PPVT

M=7.6

(SD=2.2)

M=5.2

Visual STM

Spatial Recall – Structured Pattern

Spatial Recall – Random Pattern

DS < TD-MA

DS < TD-MA

Edgin 2010 [25]

IQ matched WS group

WASI

M=17.8

(Range=13-23)

--

Verbal & Spatial STM

Digit Span Recall

Corsi Block Recall

DS<WS

DS > WS

Duarte 2011 [183]

MA-matched TD

VMA-TD

PPVT

M=12.5

(Range=7-18)

M=4.0

Verbal & Spatial STM

Digit Span Recall

Corsi Span Task

DS < TD-MA & TD-VMA

DS < TD-MA; DS ~TD-VMA

Also manipulated input & output (verbal vs. visual) of information to be recalled in novel tasks & added spatial support to a visual task. Reported that DS group showed similar performance in pure verbal and verbal-visual tasks. DS group did perform better on visual task with additional spatial support.

Costanzo 2013 [90]

WS group

NVMA-matched TD

Leiter-Revised or SB

(1 child matched with SB, all others matched on Leiter-R)

M=14.5

(Range=8-21)

M=6.2

Verbal & Spatial STM

Digit Span Recall

Nonword Repetition

Corsi Span Task

DS < WS & TD-NVMA

DS < WS & TD- NVMA

DS & WS < TD- NVMA; DS ~ WS

Carney 2013 [92]

WS group

TD participants with similar MA

SB Abbreviated Battery

M=14.5

(Range=10-21)

M=6.0

Verbal & Spatial STM

Word List Recall

Block Recall

DS~WS~TD

DS ~ TD; DS & TD> WS

DS Group– Visuospatial > Verbal

Carretti 2013 [94]

VMA-matched TD

PPVT-Revised

M=14.17

(Range=9-17)

M=5.17

Spatial STM

Spatial-Sequential Test

Spatial-Simultaneous Test

DS ~ TD-VMA

DS < TD-VMA

Lanfranchi 2014 [93]

MA-matched TD

Logical Operations Test

M=15.66

(SD=3.08)

M=5.75

Visual STM

Picture Span Recall

DS < TD-MA

Naess 2015 [85]

NVMA-matched

TD

WPPSI Block Design

M=6.32

(Range=5-6)

--

Verbal STM

Sentence Memory

Nonword Repetition

DS < TD-NVMA

DS < TD- NVMA

Lanfranchi 2015 [184]

MA-matched TD

PPVT-Revised

RCM

M=14.17

(Range=9-17)

M=5.17

Spatial STM

Patterned Spatial Recall

Random Spatial Recall

DS < TD-MA

DS ~ TD-MA

Loveall 2016 [185]

TD & ID with similar NVMA

(measured with the Leiter-R)

 

M=14.91

M=5.35

Verbal STM

Nonword repetition

DS < TD-NVMA & ID group

Danielsson 2016 [91]

MA-matched WS

MA-matched TD

SB-abbrev.

M=14.6

(Range=10-21)

M=5.9

Verbal & Spatial STM

Word List Recall

Block Recall

DS ~WS; DS & WS < TD-MA

DS >WS; DS ~ TD-MA

Heimann 2016 [61]

TD

Language matched ASD

--

M=5.25

(SD=1.03)

M=2.63

Visual STM

Immediate Elicited Imitation

DS > ASD; DS~TD

Adult and Older adult studies (18 years and older)

Study

Comparison Group

Matching Assessment

CA of DS Group (Yrs)

MA of DS Group

Tasks

Findings

Dalton 1974 [159]

Young & Old ID

--

Young M= 20.9 Intermediate M=41.7

--

Verbal STM

Digit Span

Young & Intermediate DS < Old ID

Thase 1984 [186]

ID

--

M=37.1

(SD=10.4)

--

Verbal & Visual STM

Digit Span

Delayed Matching to Sample

DS < ID

DS < ID

Huang 1987 [109]

CA & MA matched ID

--

M=38.65

--

Verbal & Visual STM

Digit Span

Picture recall

DS ~ ID

Adults with DS were more likely to recall a picture in a series of black and white pictures orally if it was in color.

Varnhagen 1987 [64]

CA & IQ matched ID group

SB

M=22.70

(Range=19-25)

M=4.78

Verbal STM

Auditory Span Recall

DS~ID, but DS group had marginally worse lexical access and did not demonstrate acoustic similarity effect seen in ID group

Marcell 1988 [84]

ID group

VMA-matched TD

PPVT

M=18.12

M=4.98

Verbal STM

Digit Span Recall

(with presentation [auditory vs. visual] and recall [oral vs. manual] differences)

DS< TD-VMA; DS~ID on overall performance collapsed across conditions

DS< ID on auditory recall (collapsed across output conditions)

TD-VMA & ID: Auditory > Visual Performance

DS: Auditory ~ Visual Performance

Marcell 1992 [187]

IQ-matched ID group

SB

M=18.84

--

Verbal STM

Digit Span Recall

Sentence Recall

DS < ID

DS < ID

Devenny 1992 [161]

ID < 35

ID > 35

--

<35 M=31.7

>35 M=41.8

--

Visual STM

Visual Memory Test

>35 DS showed greater decreases in performance at 5 and 10 second delays compared to their performance at 0 second delays than any other participant group

Marcell 1995 [188]

CA & IQ matched ID

SB

M = 18.83 (SD=3.33)

--

Verbal STM

Sentence Repetition

Digit Span

DS < ID on number of sentences repeated and number of words recalled across sentences

DS < ID

Devenny 1996 [65]

Young DS (CA 30-39)

Middle-Aged DS (CA 40-49)

Older DS (CA 50+)

ID group with similar IQ & Age

Subtests of WISC-R used to estimate IQ

Young DS M=37

Middle-Aged DS M=45

Older DS M=55

 

Visual LTM

Delayed Match to Sample

Participants tested at 6 time points across 5 years

DS~ID, but DS showed decrements with increased delay

Young ~ Middle-Aged ~ Older DS

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

Vicari 2000 [36]

MA-matched TD

SB

M=21

M=6.5

Verbal & Visual STM

Word List Recall

Word Recognition

Picture Recognition

DS<TD-MA

DS<TD-MA

DS<TD-MA

Natsopoulos 2002 [189]

VMA-matched TD

WPPSI-R Information, Vocabulary & Similarities subtest

M=30.6

(Range=19-39)

--

Verbal STM

Sentence Repetition

DS < TD-VMA

Brock 2004 [99]

TD group with similar BPVS MA, but not explicitly matched

--

M=18.5

(Range=12-25)

M=7.7

Verbal STM

Digit Span Recall

Word and Nonword Order & Item Recall Memory

DS < TD

DS < TD

Kittler 2004 [190]

IQ-Matched ID

WAIS-R or SB

M=44.8

M=6.57

(PPVT-R)

Verbal STM

Word List Recall

DS < ID on all lists except phonologically similar words; semantic similarity of words reduced DS performance only

Purser 2005 [107]

TD group with similar NVMA

--

M=19.78

M=8.02

Verbal & Visual STM

Word List Recall

Picture Location Recall

DS < TD

DS ~ TD

Kittler 2006 [102]

IQ and VMA-matched ID group

WAIS-R and PPVT

M=44.3

M=6.52

Verbal STM

Word List Recall

DS < ID

Kittler 2008 [103]

MA- matched WS and ID group

--

M=44.7

(SD=7.2)

--

Verbal & Visual STM

Digit Span

Word Span

Corsi Span

DS < WS; DS ~ ID

DS < WS & ID

DS > ID and DS>~WS (p=.057)

Jarrold 2009 [191]

TD group with similar NVMA

--

M=20.82

(Range=14-29)

M=7.33

(PPVT)

Verbal STM

Serial Recall

Serial Recognition

DS < TD

DS < TD

Lee 2010 [98]

VMA-matched TD

PPVT

M=19.18

(Range=11-25)

M=6.95

Verbal STM

Digit Span Recall

DS < TD-VMA

Mosse 2011 [192]

VMA-matched TD

BPVS

M=19.5

(Range=9-28)

--

Verbal STM

Immediate serial recall

DS < TD-VMA

Roch 2012 [122]

Reading comprehension matched TD (CAM)

Standardized test of reading comprehension (administered collectively)

M~18.5

(Range=11-26)

--

Verbal STM

Sequential word recall

Sequential word recall with visual presentation

DS < TD-CAM

DS ~ TD-CAM

Michael 2012 [193]

VMA-matched TD

PPVT-4th Edition

M=18.9

(Range=11-32)

--

Verbal STM

Digit Span Recall

Word Span Recall

Sentence Memory

Nonverbal Digit Span Recall

Nonverbal Word Span Recall

Nonverbal Spatial Memory

(*Nonverbal tasks involved pointing to answers on page)

DS~TD-VMA

DS~ TD-VMA

DS< TD-VMA

DS~ TD-VMA

DS~ TD-VMA

DS~TD-VMA

Purser 2013 [100]

NVMA- matched TD

VMA-matched TD

BPVS- II, RCM

M=19.4

(Range=13-26)

M= 7.9

(BPVS-II)

Verbal STM

Word List recognition

DS < TD-NVMA & TD-VMA

Smith 2014 [101]

VMA-matched TD

BPVS-II

M=20

(Range=9-30)

--

Verbal STM

Word Recall

Word Order Recall

DS < TD-VMA

DS < TD-VMA

Belacchi 2014 [108]

NVMA and SES matched TD

RCM

M=18.8

(Range=15-29)

MA~5.5

Verbal & Visual STM

Word Recall

Spatial-simultaneous Recall

DS< TD-NVMA

DS ~ TD-NVMA

Stavroussi 2016 [104]

CA & VMA ID group

PPVT-R

M=33.92

(Range=26-38)

--

Verbal STM

Digit Span Recall

DS ~ ID

Reid 2017 [105]

Cornelia de Lange Syndrome group (CdLS)

--

M= 24.38

(SD=5.82)

M=6.29 (BPVS)

Verbal & Visual STM

Digit Span

Corsi Span

DS > CdLS

DS > CdLS

Within DS Group Comparisons of Older Adults

Study

Comparison Group

Matching Assessment

CA of DS Group (Yrs)

MA of DS Group

Tasks

Findings

Haxby 1989 [163]

Under 35 DS

35+ DS

(4 with dementia)

--

Under 35 M=26 (Range=19-34)

35+ non-demented M=48 (Range=37-54)

35+ demented M=57 (Range= 47-64)

Under 35 M= 6.1

35+ non-demented M=4.3

35+ demented M=2.5

(SB used to measure MA)

Verbal & Visual STM

Digit Span Recall

Block Tapping Span

Object Pointing Span

35+ demented < 35+ nondemented & Under 35

35+ demented < Under 35 on Block Tapping Span & Object Pointing Span

Alexander 1997 [66]

Young DS (CA 22-39)

Old DS (CA 40-61) without dementia

--

Young DS M=30.1

Old DS M=47.4

Young DS M=5.7

Old DS M=4.7

(SB used to measure MA)

Verbal & Visual STM

Digit Span Recall

Hidden object Memory Recall

Block Tapping Span

Old DS ~ Young DS

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 STM

Matching to Sample

Young DS ~ Middle-Aged DS ~ Older DS

  1. Key: Comparison Groups: CA chronological-age, DS Down Syndrome, FXS Fragile X Syndrome, ID Intellectual Disability, MA mental-age, MLD Moderate Learning Difficulties, MLU matched language production, NVMA Nonverbal mental-age, SLI Specific Language Impairment, TD typically-developing, VMA Vocabulary (receptive) mental-age, WS William’s Syndrome
  2. Tests: BAS British Ability Scales, BPVS British Picture Vocabulary Scale, CVLT-C California Verbal Learning Testing Children’s Version, DAS Differential Ability Scales, EVPT English Picture Vocabulary Test, ITPA Illinois Test of Psycholinguistic Abilities subtest, K-ABC Kaufman Assessment Battery for Children, K-BIT Kaufman-Brief Intelligence Test, Leiter Leiter Performance Intelligence Scales, PPVT-R Peabody Picture Vocabulary Test-Revised, RCM Raven’s Coloured Matrices, 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, WPPSI-R Wechsler Preschool and Primary Scale of Intelligence-Revised
  3. Note: Italicized authors’ names indicate studies included in effect size analyses
  4. 1These tasks were classified as STM by [83]. Details about the methods of this study made it difficult to ascertain if there was a delay that would result in these being classified as LTM according to our system of task classification