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Rey - Osterrieth Complex Figure Test (ROCF / RCFT)

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REY –

OSTERRIETH
COMPLEX
FIGURE TEST
(ROCF/ RCFT)
Non-verbal Neuropsychological Test

Sruthi Raj M K
Assistant Professor
St. Mary’s College, MPM
University of Calicut
ROCF - an overview

Objective: Evaluation of different cognitive


functions, such as visuo-spacial abilities, memory
attention, planning and working memory
(executive functions).

Instrument Type: Test

Publication Date: 1941/1944

Duration: Not timed, but length of time needed


recorded
PURPOSE

Assesses contructional, organisational and Provides insight into multiple cognitive


motor skills: Visuospatial constructional areas:
ability
Visual memory (short- and long-term memory) Attention & concentration
Perceptual organisation & planning (executive A Planning & organising
function) (Huguet & Regner, 2007; Sargenius et al., Nonverbal memory (difficult to encode verbally)
2017)
Fine-motor coordination (Zhang et al., 2021)
Rationale
- Visual drawing memory tests are mostly unaffected by language, culture & education
(Roselli & Ardilla, 2003)
- Abstract figure so it eliminates semantic knowledge (Zhang et al., 2021)

- Ability to recall is influenced by the order a figure is organized when reconstructing


- Ideal approach - see big picture, draw external features first (global processing)
- Not ideal - see internal features first (local processing) (Savickaite et al., 2021; Slapik et al.,
2019)
Insights offered by the original design:
- Precise copy under 3 minutes – normal processing
- Accurate copy but slow – possible issues with perception or executive function
- Poor copy and very slow – mental disability or dementia (Rey & Osterrieth, 1993)
Applications
- Clinically and in research across a wide range of ages (6 to 93 years) (Petilli et al., 2021)

- In conjunction with other tests Rey Complex test can detect:


➤ Neurological diseases
- Alzheimer disease, various dementias, Parkinson's disease, cerebellar ataxia, traumatic brain injury or brain
tumours (Zhang et al., 2021)

➤ Psychological/psychiatric diseases
- Attention Deficit Hyperactivity Disorder, eating disorders, schizophrenia (Zhang et al., 2021)
- Malingering or suspect effort (criminal cases) as it's difficult to ascertain what's being assessed (Liu et al., 2003;
Reedy et al., 2013)

➤ Executive and cognitive function (Sargenius et al., 2017).


ROCF

Format: 3 Conditions
Examinees are asked to reproduce a complicated line Copy: examinees copy image to the best of their
drawing. ability with image in front of them
They are not told initially that they have to Immediate Recall: examinees draw image to the
remember it best of their ability from memory
Delayed Recall: after
PSYCHOMETRIC PROPERTIES - RELIABILITY
Psychometric Properties - Validity
Construct validity

- Moderate - RCF scores load heavily on visuospatial / nonverbal memory factors

- Links to WAIS and WISC Block Design

Criterion-related validity

- RCF scores compared between probable Alzheimer's Disease [AD] patients and control - RCF scores
significantly lower for AD patients

(Berry et al., 19991, Feldman et al., 1999, Poulton & Moffitt, 1995)
NORMATIVE DATA
Administration
Step 1 – Administered after instructions and materials provided
Copy Trial (Max 5
mins; Min 2 1⁄2 Participant asked to copy figure using the printed card to refer
mins)
Step 2 - Immediate Administered 3 minutes after Copy Trial
Recall Trial (No
Time Limit) Participant asked to draw the figure without the stimulus card

Step 3 - Delayed Administered 30 minutes after Immediate Recall Trial


Recall Trial (No
Time Limit) Participant asked to draw the figure without the stimulus card

Step 4 - Recognition Administered immediately after the Delayed Recall Trial


Trial
Participant asked to recognise 24 geometric figures, 12 of which are part of the stimulus figure and 12 of
which are distractors

Kreutzer et al., 2011; Shin et al, 2006; Strauss et al., 2006.


SCORING
Limitations
- Different test versions have different criteria & scoring systems that do not align with standardised results - comparisons
difficult (Kreutzer et al., 2011)

- Although total administration time is around 45mins, time lapse of 30 mins can be disruptive to other assessments that might
be occurring at the same time (Kreutzer et al, 2011)

- Total score provides quantitative information but no detail regarding executive function and planning (Stern et al., 1994)

- Qualitative scoring system available but are lengthy in administration (BQSS; Stern et al., 2006; Swensen et al., 2013)

- No universal approach. Scoring is subjective and complex and can lead to bias (Kreutzer et al., 2011; Strauss et al., 2006)

- Alternate forms (i.e. Taylor) are less sensitive to pick up deficits (Strauss et al., 2006)

- Cultural factors need to be considered as RCF is western orientated (Rosselli & Ardila, 2003).

- Gender and handedness are other aspects that need to be examined in any interpretation (Strauss et al., 2006)
Strengths
- Easy to administer (Strauss et al., 2006)

- Good psychometric properties, adequate norms and validity (Mitrushina et al., 2005)

- Screening assessment tool for malingering or suspect effect Recognition trial (Lu et al., 2003)

- Enables explanatory detail regarding any secondary effect of brain injury (Shin et al., 2006)

- Evaluates brain dysfunction i.e., enables a comparison between brain hemispheres (Shin et al., 2006)

- Tests for presence of psychological conditions i.e., ADHD, Eating Disorder, Schizophrenia (Shin et al.,
2006)

- Tests for presence of dementia & other neurological conditions (Shin et al., 2006)

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