Clinical recognition memory testing in older adults should move beyond accuracy alone

April 24, 2026Frontiers in PsychologyOpen Access

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Key Points

The aim is to advocate for clinical recognition memory testing to move beyond simple accuracy metrics in older adults.
Propose the inclusion of brief subjective, process-sensitive methods alongside standard recognition memory tests.
Suggest adding a remember/know judgment for recognized items to assess recollection versus familiarity.
Advocate for confidence ratings in yes/no recognition decisions to gather more nuanced data.
Current accuracy-based recognition measures may obscure significant cognitive decline in conditions like aMCI.
Introducing subjective methods may enhance the diagnostic process for Alzheimer's disease.
Modest modifications to existing testing formats could yield clinically useful information.

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Opinion piece suggests improving memory tests by incorporating subjective methods in older adults, indicating potential for better diagnostics.

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Maneesh V. Kuruvilla (2026) studied this question.

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