Complex figure recall in the elderly: a deficit in memory or constructional strategy?

Spatial memory declines with age. This study investigated the hypothesis that the decline in spatial memory in the elderly is due to a dysfunction in frontal lobe-mediated planning and organization. The copy and recall ability of 49 elderly subjects and 20 younger subjects was assessed using the Rey-Osterrieth Figure. In addition, the manner of construction, (e.g., the order that each line was produced) was compared between groups. Despite comparable performance with the younger subjects when copying the figure, older subjects performed significantly worse than younger subjects when asked to reproduce the figure from memory. However, this was not due to the organizational strategies they used while copying the figure. They constructed the figure in the same manner as the younger subjects. Therefore, the spatial memory deficits in the elderly are not due to an abnormal organizational strategy. These results are discussed in relation to those of patients with frontal lobe damage and preliminary data from subjects with mild dementia.