The Test of Visuospatial Construction: A Novel Test of Non-motoric Visuoconstruction

• Published in: Archives of clinical neuropsychology 2023-05, Vol.38 (4), p.586-597
• Main Authors: McDermott, Adam T, Frazier, Rebecca L, Stewart, Peter V
• Format: Article
• Language: English
• Subjects: Cognitive Dysfunction - diagnosis; Dementia - diagnosis; Humans; Neuropsychological Tests; ROC Curve
• ISSN: 1873-5843; 1873-5843
• DOI: 10.1093/arclin/acac087

Abstract Objective The Test of Visuospatial Construction (TVSC) was designed as an easily administered measure of non-motor visuoconstruction, though only preliminary data exists regarding the clinical utility of this task. The current study examined the diagnostic accuracy of the TVSC by comparing performance between healthy subjects and various clinical groups. The authors also wanted to determine whether previous findings could be replicated regarding its effectiveness at tracking cognitive decline. Method Archival data collected over a period of more than 10 years were utilized and the overall sample consisted of 955 individuals, 372 healthy subjects, and 583 subjects who were categorized into various clinical groups. Only TVSC test data and demographic variables were utilized for statistical analyses in this study. Results The control group obtained significantly higher scores on the TVSC than the clinical groups. AUC values were indicative of excellent discrimination between cases and controls. Exploratory ROC curve analyses suggested adequate to excellent discrimination between the control group and the individual clinical groups as well as between the mild cognitive impairment (MCI) subgroups and the two dementia groups. Conclusions This study demonstrates that the TVSC can effectively differentiate between healthy subjects and neurologically compromised individuals. Additionally, the TVSC may be able to measure the progressive decline in visuoconstructive abilities that occurs as patients traverse the spectrum of MCI and dementia.