Working memory in. development: Links with learning between. typical and atypical populations. TRACY PACKIAM ALLOWAY Durham University, UK

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Working memory in 00 000 00 0 000 000 0 development: Links with learning between typical and atypical populations 4 2 5 TRACY PACKIAM ALLOWAY Durham University, UK

Outline 00 000 00 0 000 000 0 Working memory: A definition 4 2 Working memory profiles of typical and atypical groups 5 Measuring working memory

What is working memory? 00 000 00 0 000 000 0 Some key features: Capacity to hold material in mind and manipulate for brief period Limited in capacity 4 2 5 Mental workspace

An example 00 000 00 0 000 000 0 25 X 3 25 x 39 25 x 30 = 4 2 5 25 x 9 = 225

An example 00 000 00 0 000 000 0 Listening recall True or False: Lions have four legs Fish live in water 4 2 Now, what are the last words in the sentence? 5

Why is working memory 00 000 00 0 000 000 0 important? A pure measure of a child s learning potential 4 2 5 Measures fluid not crystallized cognitive skills

Working memory & SES 00 000 00 0 000 000 0 Not strongly associated with inadequacies in preschool experiences or education Number of years in nursery 4 2 Nor with the quality of social or intellectual stimulation in the home Maternal education level UK & Netherlands 5 Low-income vs high-income families Receptive vocabulary (BPVS) & AWMA

Development of working memory 00 000 00 0 000 000 0 Working memory capacity increases steadily with age between 4 and 8 years Large degree of individual variation in working memory capacity at each age 4 2 5

00 000 00 0 000 000 0 Alloway et al (2008) In preparation 4 2 5

Age-related increase in working memory scores, with 0th and 90th centile points 00 000 00 0 000 000 0.5 2 0.5-2.5-3 4 2 5 Alloway et al (2006) Child Development Age in years -0.5 0-4 5 6 7 8 9 0 -.5-2

Measuring working memory 00 000 00 0 000 000 0 The Automated Working Memory Assessment (AWMA) is a computerised tool 4 2 5 Alloway (2007) Pearson/Harcourt Assessment First standardised tool for educators to screen for working memory impairments Standardised for 4-22 years.

Measuring working memory 00 000 00 0 000 000 0 The AWMA is standardised for 4-22 years. Screener: 5-7 minutes 2 tests Short version: 0-5 minutes 4 tests Long version: 40 minutes 2 tests 4 2 5

00 000 00 0 000 000 0 Tests Verbal short-term Digit recall Word recall Nonword recall Visuo-spatial short-term Dot matrix Mazes memory Block recall Verbal working memory Listening recall 4 2 Counting recall Backward digit recall Visuo-spatial working memory Odd one out Mister X Spatial recall 5

00 TEST 000 00 0 000 000 0 VERBAL SHORT-TERM MEMORY STANDARD SCORE PERCENTILES Digit recall 83.0 9.0 Listening recall processing 72.0 2.0 VERBAL WORKING MEMORY 4 2 Listening recall 8.0 9.0 5 VISUO-SPATIAL SHORT-TERM MEMORY Dot matrix 80.0 9.0 VISUO-SPATIAL WORKING MEMORY Spatial recall 89.0 22.0 Spatial recall processing 7.0 3.0

This graph indicates whether Jack is at risk for working memory problems. The grey shaded area represents average or typical performance for this age group. The blue area represents Jack's working memory profile. 00 000 00 0 000 000 0 Verbal short-term memory 50 45 40 35 30 25 20 5 0 05 00 95 90 85 80 75 70 65 Verbal working memory Visuospatial short-term memory Visuospatial working memory 4 2 5

00 000 00 0 000 000 0 Learning profile Verbal short-term memory Jack s performance in the area of verbal shortterm memory skills is below average compared 4 2 to the peers in the same age-group. The scores indicate that Jack is likely to have specific impairments in language learning, and would acquire new vocabulary items at a much slower rate than the peers in the same age-group. 5

Working memory profiles of different atypical groups 00 000 00 0 000 000 0 Children with working memory deficits Children with SLI 4 2 Children with Asperger syndrome 5 Children with DCD Children with ADHD

Children with WM deficits 00 000 00 0 000 000 0 N=389, aged 4-5 yrs & 8-9 yrs 25 primary schools in England 4 2 Screened: Backward digit recall & Listening recall N=308 with working memory problems 0 th percentile on both measures None had physical, sensory or behavioural 5 problems Alloway et al. (in press) Child Development

Children with WM deficits 00 000 00 0 000 000 0 Standard scores <86 in the AWMA Verbal STM = 52% Verbal WM = 95% Visuo-spatial STM = 50% Visuo-spatial WM = 7% Alloway et al. (in press) Child Development 4 2 5

Children with WM deficits 00 000 00 0 000 000 0 Standard scores <86 IQ (WASI): Vocabulary = 89% IQ (WASI): Block Design = 45% Receptive vocabulary (BPVS): 36% Alloway et al. (in press) Child Development 4 2 5

Children with WM deficits 00 000 00 0 000 000 0 Reading (WORD) = 67% Math (WOND) = 70% Only 2% had SS >96 in BOTH WORD & WOND (n=6) 4 2 Hierarchical regression analysis: WM predicted reading and math scores even after IQ was statistically 5 controlled. Alloway et al. (in press) Child Development

5 0 00 000 00 0 000 000 0 05 00 95 90 85 Control ADHD DCD SLI AS 80 75 4 2 5 VSTM VWM VS-STM VS-WM Alloway et al. (2008) Manuscript submitted

Specific Language Impairment 00 000 00 0 000 000 0 Also known as Developmental language disorder, language delay, or developmental dysphasia Delayed or disordered language development in the absence of any obvious cause 4 2 Normal IQ Disorder not linked with hearing loss or physical problems such as cerebral palsy Prevalence: 7-8% of young children more males than females affected (3/4:) 5

Specific Language Impairment 00 000 00 0 000 000 0 0 00 90 80 60 Verbal STM Verbal WM Visuo-spatial STM Alloway & Archibald (2008) Journal of Learning Disabilities 4 2 5 Visuo-spatial WM 70

Developmental coordination 00 000 00 0 000 000 0 disorder Motor Dyspraxia and "Clumsy Child Children who have a marked impairment in the development of motor coordination that significantly 4 2 interferes with academic achievement or activities of daily living (APA, 994) A neurologically based disorder of motor planning present from birth. Believed to be an immaturity of parts of the motor cortex that prevents messages from being properly transmitted to the body. Prevalence 6%, with more males than females (between 5 years)

DCD 00 000 00 0 000 000 0 0 00 90 80 70 60 Verbal STM Verbal WM Visuo-spatial STM Alloway (2007) Journal of Experimental Child Psychology 4 2 5 Visuo-spatial WM

DCD 00 000 00 0 000 000 0 Two groups: 4 2 High VS-Memory (SS>85, n=20) 5 Low VS-Memory (SS<86, n=35) Low VS group was worse in all areas of learning (reading & maths) Even after controlling for IQ Alloway (2007) Journal of Experimental Child Psychology

DCD 00 000 00 0 000 000 0 DCD children struggle with visuospatial memory tasks Difficulties with movement planning: mentally rotating objects and tracking movement. 4 2 5 They also perform poorly as a result of the combined processing and storage demands of these tasks. Alloway (2007) Journal of Experimental Child Psychology

00 000 00 0 000 000 0 Group SLI (n=20) DCD: normal language (n=) DCD: Language Impairment (LI) (n=2) DCD all DCD and SLI BPVS 80^ 0*^ 87* 94 TROG 80 98 CELF (raw scores) 5.92^ 3.43*^ 4 2 6.9* 5 6.39 Archibald & Alloway (2008) Intl. Journal of Communication and Language Disorders

00 000 00 0 000 000 0 DCD and SLI Group Verbal STM Verbal WM VS* STM VS* WM SLI DCD: normal language DCD: Language Impairment (LI) DCD all 83 80 79 79 8 80 8 80 Alloway & Archibald. (2008) Journal of Learning Disabilities 92* 4 2 78^ 5 82 78* 80 90*^ 70* 74

00 000 00 0 000 000 0 DCD and SLI Group Numeracy Reading Spelling SLI DCD: normal language DCD: Language Impairment (LI) DCD all 87 88 83 86 88 85 8 83 Alloway & Archibald. (2008) Journal of Learning Disabilities 9 4 2 86 5 80 83

00 000 00 0 000 000 0 DCD: Intervention Intervention: Exercise Motor skills Learning VS WM only Working memory Alloway & Warner (in press) Perceptual & Motor skills 4 2 5

00 000 00 0 000 000 0 ADHD Characteristics: inattention, hyperactivity and impulsivity 4 2 Trouble focusing, easily distracted, trouble staying still, frequently unable to control impulsive behaviour Must be more frequent than their peers and evident in 2 or more settings (ie school & home) Prevalence 3-7% of school children, with more males 5 than females (between 5 years)

ADHD 00 000 00 0 000 000 0 0 00 90 4 2 5 60 80 70 Verbal STM Verbal WM Visuo-spatial STM Visuo-spatial WM

00 000 00 0 000 000 0 ADHD No deficit in verbal short-term memory tasks Deficits in storage + processing tasks, both verbal and visuo-spatial 4 2 Visuo-spatial tasks less automatic, and so demand more processing than verbal ones. Visuo-spatial memory tasks involve the right hemisphere, which has been implicated in ADHD 5

ADHD 00 000 00 0 000 000 0 30 20 0 Mean Standard Score 00 90 80 70 50 Verbal STM Verbal WM Visuo-spatial STM Visuo-spatial WM Working Memory Component 4 2 5 ADHD-C Controls Poor WM 60

ADHD 00 000 00 0 000 000 0 ADHD-C Controls Poor WM Reading 82.60 (6.7) 97.54 (2.05) 78.90 (6.2) Maths 82.83 (4.69) 97.90 (9.82) 8.58 (6.47) IQ 89.84 (3.30) 0.08 (.40) 4 2 84.34 5 (3.30)

Asperger Syndrome 00 000 00 0 000 000 0 4 2 5

Asperger Syndrome 00 000 00 0 000 000 0 Working memory performance depends on IQ Low functioning autistic adolescents performed more 4 2 poorly than chronological age-matched participants, but did not differ from IQ-matched participants on measures of both verbal and visuo-spatial working memory. High functioning autistic persons performed in a similar manner as age and IQ matched controls 5

Asperger Syndrome 00 000 00 0 000 000 0 Poor performance restricted to verbal STM The result of a computerized presentation of verbal 4 2 stimuli as the AS children were not able to benefit from phono-articulatory features available in spoken presentation Relatively strong performance in verbal WM and visuo-spatial memory suggest that AS children do not struggle with the simultaneous task of processing 5and storing information.

00 000 00 0 000 000 0 Findings Domain-specific impairments associated with particular developmental disorders can have 4 2 a cascading effect on other cognitive skills. Their cognitive profile may mirror those with domain-general impairments and could explain why pure cases of developmental disorders are rare. 5

00 000 00 0 000 000 0 Findings The memory deficits evidenced in children with developmental disorders may not reflect 4 2 a separate cognitive deficit. The specificity of the poor working memory scores suggest that these impairments may be a secondary consequence of a core deficit that lies elsewhere. 5 This impacts the storage and manipulation of information of that particular kind.

00 000 00 0 000 000 0 Summary Distinct memory profiles associated with each disorder reflect the nature of their deficit to some degree. 4 2 The uniqueness of the diagnosis indicated by the AWMA identifies not only areas of deficit, but also areas of strength on which compensatory strategies can be effectively 5 built.

THANK YOU 00 000 00 0 000 000 0 Email t.p.alloway@durham.ac.uk 4 2 5 www.durham.ac.uk/t.p.alloway