The Wechsler Memory Scale-Revised: psychometric characteristics and clinical application.

The psychometric characteristics of the Wechsler Memory Scale-Revised (WMS-R) are evaluated and related to its clinical utility. The accuracy of the scale scores is shown to be limited by their high standard error, low reliabilities, and consequent large standard errors of measurement. Specific procedures are discussed for establishing confidence intervals and for testing the significance of differences between scores. It is concluded that the WMS-R, like the original Wechsler Memory Scale, provides only a rough estimate of overall memory functioning. The multidimensional index scores have not been shown effective in describing the nature or the pattern of memory deficits. Recommendations for the clinical use of the WMS-R are provided.