Assessing Cognition in Older Adults with the WAIS-IV, WMS-IV, and ACS

Lisa Whipple Drozdick, James A. Holdnack, Timothy Salthouse, C. Munro Cullum

Research output: Chapter in Book/Report/Conference proceedingChapter

9 Scopus citations


Age associated declines in cognitive functioning are commonly observed in older adults without dementia or significant neurological conditions. While some cognitive skills (e.g., verbal intellectual abilities and reading) are maintained well into older adulthood, other cognitive abilities (e.g. memory and processing speed) decline more precipitously with age. This chapter provides an overview of typical versus atypical changes in cognitive functioning and the tests used to identify potential pathological changes in cognitive functioning. The Brief Cognitive Status Exam (BCSE) and Texas Functional Living Scale (TFLS) are rapidly administered tests that are sensitive to cognitive impairment and its impact on daily living skills. Identification of deficits in specific cognitive domains such as perceptual reasoning, working memory, memory, and processing speed are important in diagnosing Mild Cognitive Impairment (MCI) and Dementia. Performance on WAIS-IV and WMS-IV index and subtests are presented for patients diagnosed with MCI and dementia. The diagnostic usefulness of premorbid prediction methodologies (i.e., TOPF, OPIE-IV, and Demographic Normative Adjustments) is presented. New index scores, multivariate base rates, and variability measures are compared in MCI and dementia patients relative to healthy older adults. The WAIS-IV/WMS-IV, ACS, and TFLS can be useful for assessing older adults.

Original languageEnglish (US)
Title of host publicationWAIS-IV, WMS-IV, and ACS
Subtitle of host publicationAdvanced Clinical Interpretation
PublisherElsevier Inc.
Number of pages77
ISBN (Print)9780123869340
StatePublished - Jul 2013


  • Alzheimer's disease
  • Cognitive screening
  • Dementia
  • Functional living skills
  • MCI
  • MMSE
  • Mild cognitive impairment
  • Mini-mental state examination
  • Premorbid functioning

ASJC Scopus subject areas

  • Psychology(all)


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