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Pgims Report

The document presents a comprehensive overview of the Post Graduate Institute Memory Scale (PGIMS), detailing its significance in assessing memory functions and identifying cognitive impairments. It discusses the types of memory, neurocognitive disorders, their prevalence in India, and the diagnostic criteria for major and mild neurocognitive disorders. Additionally, it outlines the development, administration, reliability, and validity of the PGIMS as a crucial tool for evaluating memory in clinical settings.

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0% found this document useful (0 votes)
99 views24 pages

Pgims Report

The document presents a comprehensive overview of the Post Graduate Institute Memory Scale (PGIMS), detailing its significance in assessing memory functions and identifying cognitive impairments. It discusses the types of memory, neurocognitive disorders, their prevalence in India, and the diagnostic criteria for major and mild neurocognitive disorders. Additionally, it outlines the development, administration, reliability, and validity of the PGIMS as a crucial tool for evaluating memory in clinical settings.

Uploaded by

parianand923
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MPS251: PSYCHODIAGNOSTIC LAB 1

CIA - II

POST GRADUATE INSTITUTE MEMORY SCALE (PGIMS)

REPORT

Submitted by

Pari Anand 24223038

Submitted to

prof. Saswati Bhattacharya

March 15, 2025


2

Practical 2

Post Graduate Institute Memory Scale (PGIMS)

Memory is described as "how individuals utilize past experiences to inform present

actions" (Sternberg, 1999). It encompasses the psychological mechanisms of acquiring, storing,

retaining, and retrieving information, involving three primary stages: encoding, storage, and

retrieval. Memory facilitates both the preservation and recovery of information, though it is

susceptible to errors. Impairments in memory can range from minor lapses, such as forgetting

birthdays, to severe conditions like Alzheimer's disease and other forms of dementia, which

significantly impact quality of life and functional abilities.

Memory is categorized into three primary types: sensory memory, short-term memory

(STM), and long-term memory (LTM). Sensory memory serves as a transient system that

processes sensory input, acting as the initial phase of memory processing. Short-term memory,

often equated with working memory, is responsible for temporarily storing and manipulating

information. In contrast, long-term memory manages the prolonged storage of information, with

a vast capacity and duration that can span from hours to a lifetime, encompassing knowledge,

skills, and experiences.

Neurocognitive disorders

Neurocognitive disorders (NCDs) encompass a group of conditions characterized by

significant cognitive decline that is acquired rather than developmental. These disorders affect

cognitive domains such as memory, attention, executive function, language, perceptual-motor

abilities, and social cognition. The onset of NCDs represents a decline from a previously attained
3

level of functioning and is linked to various underlying medical conditions or neurological

diseases.

The spectrum of NCDs, as defined in the DSM-5, begins with delirium, followed by 3

major and mild neurocognitive disorders.

The major and mild NCD subtypes include:

●​ Neurocognitive disorder due to Alzheimer’s disease – The most common cause of

dementia, characterized by progressive memory loss and cognitive decline.

●​ Vascular Neurocognitive disorder– Resulting from cerebrovascular events leading to

cognitive impairment.

●​ Neurocognitive disorder with Lewy bodies – Marked by fluctuating cognition, visual

hallucinations, and Parkinsonian symptoms.

●​ Neurocognitive disorder due to Parkinson’s disease – Cognitive decline associated with

Parkinson’s pathology.

●​ Frontotemporal Neurocognitive disorder – Characterized by changes in behavior,

personality, and language deficits.

●​ Neurocognitive disorder due to traumatic brain injury (TBI) – Resulting from head

trauma with varying cognitive effects.

●​ Neurocognitive disorder due to HIV infection – Cognitive impairment associated with

HIV-related neurodegeneration.

●​ Substance/medication-induced Neurocognitive disorder – Caused by prolonged substance

use or exposure to neurotoxic medications.


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●​ Neurocognitive disorder due to Huntington’s disease – A genetic disorder leading to

cognitive, motor, and psychiatric symptoms.

●​ Neurocognitive disorder due to prion disease – A rapidly progressive condition, including

Creutzfeldt-Jakob disease.

●​ Neurocognitive disorder due to another medical condition – Cognitive impairment 4

resulting from systemic or neurological diseases.

●​ Neurocognitive disorder due to multiple etiologies – Cognitive decline resulting from a

combination of factors.

●​ Unspecified Neurocognitive disorder – Cognitive impairment that does not fit into

established subtypes.

Prevalence in India

According to the Global Burden of Disease Study (GBDS) 2019, the number of dementia

cases is projected to increase by 166% between 2019 and 2050, affecting approximately 152.8

million individuals, similar to estimates by the WHO. This rise is expected to be most significant

in countries like India, with an increase of up to 330%, primarily due to its low ranking on the

Socio-demographic Index (SDI) (Nichols et al., 2022).

In 2019, India was the fourth-largest contributor to the global burden of dementia and is

expected to surpass Japan and the USA by 2050. The prevalence of mild and major

neurocognitive disorders in the population is 17.6% and 7.2%, respectively.

Clinical Picture
5

Memory impairments are common in neurological disorders like Alzheimer’s, vascular

dementia, Parkinson’s, traumatic brain injury, stroke, and epilepsy. These conditions affect brain

areas crucial for memory, leading to deficits in short-term and long-term recall, attention, and

information retention.Major NCDs involve significant cognitive impairment that interferes with

independence in everyday activities, while mild NCDs represent a more modest cognitive

decline that does not significantly hinder daily functioning but may require compensatory 5

strategies.

Diagnostic Criteria

Major Neurocognitive Disorder

A.​ Evidence of significant cognitive decline from a previous level of performance in one or

more cognitive domains (complex attention, executive function, learning and memory,

language, perceptual-motor, or social cognition) based on:

1.​ Concern of the individual, a knowledgeable informant, or the clinician that there

has been a significant decline in cognitive function; and

2.​ A substantial impairment in cognitive performance, preferably documented by

standardized neuropsychological testing or, in its absence, another quantified

clinical assessment.

B.​ The cognitive deficits interfere with independence in everyday activities (i.e., at a

minimum, requiring assistance with complex instrumental activities of daily living such

as paying bills or managing medications).

C.​ The cognitive deficits do not occur exclusively in the context of a delirium.
6

D.​ The cognitive deficits are not better explained by another mental disorder (e.g., major

depressive disorder, schizophrenia).

Specify (see coding table for details):

Without behavioral disturbance: If the cognitive disturbance is not accompanied by

any clinically significant behavioral disturbance.

With behavioral disturbance (specify disturbance): If the cognitive disturbance 6 is

accompanied by a clinically significant behavioral disturbance (e.g., psychotic symptoms,

mood disturbance, agitation, apathy, or other behavioral symptoms).

Specify current severity:

Mild: Difficulties with instrumental activities of daily living (e.g., housework, managing

money).

Moderate: Difficulties with basic activities of daily living (e.g., feeding, dressing).

Severe: Fully dependent.

Mild Neurocognitive Disorder

A.​ Evidence of modest cognitive decline from a previous level of performance in one or

more cognitive domains (complex attention, executive function, learning and memory,

language, perceptual-motor, or social cognition) based on:

1.​ Concern of the individual, a knowledgeable informant, or the clinician that there

has been a mild decline in cognitive function; and.

2.​ A modest impairment in cognitive performance, preferably documented by

standardized neuropsychological testing or, in its absence, another quantified

clinical assessment.
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B.​ The cognitive deficits do not interfere with capacity for independence in everyday

activities (i.e., complex instrumental activities of daily living such as paying bills or

managing medications are preserved, but greater effort, compensatory strategies, or

accommodation may be required).

C.​ The cognitive deficits do not occur exclusively in the context of a delirium.

D.​ The cognitive deficits are not better explained by another mental disorder (e.g., major

depressive disorder, schizophrenia).

Specify (behavioral disturbance cannot be coded but should still be recorded):

Without behavioral disturbance: If the cognitive disturbance is not accompanied by

any clinically significant behavioral disturbance.

With behavioral disturbance (specify disturbance): If the cognitive disturbance is

accompanied by a clinically significant behavioral disturbance (e.g., psychotic symptoms,

mood disturbance, agitation, apathy, or other behavioral symptoms).

Need for Assessment

Memory plays a very crucial role in our day to day lives by allowing us to learn, make

judgments, and navigate the world around us. Evaluating memory functions is crucial to

understand cognitive abilities and to identify deficits that can interfere with our everyday life.

The Post Graduate Institute Memory scale (PGIMS) is an essential tool for assessing an

individual’s memory functions including efficient encoding, storage and retrieval and identifying

possible deficits in cognitive processing.

PGIMS is helpful in evaluating people with neurological or psychiatric disorders, brain

injuries, and cognitive decline. It makes it easier to differentiate between different kinds of
8

memory deficits and comprehend the underlying reasons for them. Furthermore, regular

evaluation using PGIMS helps in monitoring changes in cognition over time, tracking the course

of the disease, and assessing the efficacy of treatment.

PGIMS assists clinicians in identifying memory-related problems and creating 8

individualized intervention plans by offering a thorough and impartial assessment. This

guarantees improved cognitive health management, which eventually raises a person's standard

of living overall.

Available Assessment Measure

Mini-Mental State Examination (MMSE)

Developed by Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975).The MMSE is a

brief cognitive screening tool that assesses orientation, attention, memory, language, and

visuospatial abilities. It evaluates short-term memory, long-term memory, language (e.g.,

naming, repetition), and orientation (e.g., date, place).Commonly used to screen for cognitive

impairment in older adults, particularly for Alzheimer's disease and other dementias.

Wechsler Memory Scale (WMS)

The Wechsler Memory Scale (WMS), developed by David Wechsler in 1945, is a

comprehensive tool designed to measure various aspects of memory, including immediate recall,

delayed recall, visual and verbal memory, and working memory. It is particularly useful in

assessing memory deficits in individuals with dementia, traumatic brain injury, stroke, and other

neurological conditions.

Frontal Assessment Battery (FAB)


9

The Frontal Assessment Battery (FAB), developed by Dubois et al. in 2000, evaluates

executive functions such as planning, mental flexibility, inhibition, and verbal fluency, which are

crucial to memory. It is commonly used to assess individuals with Parkinson’s disease,

frontotemporal dementia, and other conditions that affect executive function.

Memory Assessment Scale (MAS)

The Memory Assessment Scale (MAS), developed by Woods and colleagues in 1992, is

another important tool used to assess various aspects of memory functioning. This scale is

primarily designed to evaluate memory impairment in older adults, particularly those with

dementia or memory-related disorders. The MAS includes both subjective and objective

assessments, allowing it to measure different dimensions of memory, such as short-term memory,

long-term memory, verbal memory, and visual memory.

Recognizing the need for a brief, objective, and reliable memory assessment, Indian

psychiatrists, neurologists, and clinical psychologists developed the P.G.I. Memory Scale.

Standardized by Dwarka Prasad and N.N. Wig in 1977, this scale serves as a crucial tool for

evaluating memory function in clinical settings. By assessing various aspects of memory,

including retention, recall, and recognition, the P.G.I. Memory Scale aids professionals in

diagnosing and managing cognitive impairments effectively.

Postgraduate Institute Memory Scale (PGIMS)

Background

The Postgraduate Institute Memory Scale (PGIMS) was developed at the Postgraduate

Institute of Medical Education and Research (PGIMER) in Chandigarh, India. Dwarka Prasad

and N.N. Wig developed the scale in 1977. This is a comprehensive scale that is designed to
10

measure the verbal and non-verbal memory. The construction of memory scale efforts were made

to ensure that it was not unduly dependent on intelligence and was equally valid for both sexes

and applicable and acceptable to illiterate and unsophisticated subjects who constituted the

majority of subjects in Indian hospitals and clinics.

The scale was validated against four hypotheses– that (1) the subjects suffering from 10

neurological disorders would obtain poorer scores that the subjects suffering from the functional

psychiatric illness, (2) the older subjects should obtain lower scores than younger normal adults,

(3) the scores on memory scale should have a positive relationship with education, and (4) it

should not have high correlation with intelligence test scores.

The PGIMS has become a popular memory scale throughout India and replaced the

Boston Memory Scale and Wechsler Memory Scale at both the premier institutes of psychiatry

i.e., National Institute of Mental Health and Neuro Sciences, Bangalore and Central Institute of

Psychiatry, Ranchi.

Description of the test

The PGIMS measures verbal and non-verbal memory; it contains 10 sub-tests –

- Remote memory

- Recent memory

- Mental balance

- Attention concentration

- Delayed recall

- Immediate recall (sequential reproduction of sentences)

- Retention of similar pairs

- Retention of dissimilar pairs


11

- Visual retention

- Recognition

PGIMS consists of 64 items distributed across its 10 subtests, which measure various

aspects of memory. It is for people who are 20 years of age or older.

Reliability

The reliability of the scale was tested by repeating the scale after an interval of one week,

for this the test was re-administered on 40 subjects after an interval of one week. The test- retest

reliability ranged between -70 and .84 for organic psychotic groups, and .48 to .84 for

neurotic-normal groups. Split-half reliability was found to be .91 and .83 (Pershad, D., & Wig,

N. N, 1977).

Validity

PGIMS was found to have a correlation of .71 with the Boston memory scale and .85

with the Wechsler memory scale. It also confirmed the four hypotheses set to demonstrate its

validity (Pershad, D., & Wig, N. N,1977).

Administration

The PGIMS (Post Graduate Institute Memory Scale) measures various memory domains

and can be administered to individuals aged between 20 and 80 years.

Instructions

During the administration of the test, specific instructions were provided to the

respondent to ensure accuracy and reliability. The respondent was instructed to listen carefully,

seek clarifications before starting, and maintain focus throughout the test. They were informed

that there were no right or wrong answers and encouraged to respond to the best of their ability.

The respondent received the necessary materials like paper, a pencil, and an eraser. Instructions
12

were delivered clearly to ensure comprehension, and the test was conducted under standard

conditions to maintain consistency.

Procedure

The individual shall be seated in a comfortable, well-lit environment. A friendly 12

conversation can be initiated to make the individual feel at ease in the room and ensure a rapport

formation. The test's purpose and instructions should be communicated to the individual.

Informed consent must be obtained. A simple language that is well understood by the individual

should be used. The tester should clarify all the doubts.

Precautions

Firstly, the instructions to the respondent were given in simple and understandable

language. Secondly, the respondents were seated in a well-lit, ventilated environment. Thirdly,

adherence to standardized administration procedures was necessary to maintain the validity and

reliability of the test. Lastly, the intervals and the total time taken were noted appropriately.

Scoring

In Sub-test I and II, participants receive 1 score for each correct response. For Sub-test

III, different scoring criteria apply based on the task. In the alphabet and counting backward

tasks, 3 scores are awarded if all responses are correct within 15 seconds, 2 scores if it takes

longer than 15 seconds, 1 score if there is 1 mistake or omission, and 0 scores if there are two or

more mistakes or omissions. For counting backward by 3s, 3 scores are given if all responses are

correct within 30 seconds, 2 scores if it takes longer than 30 seconds but all responses are

correct, 1 score if there is 1 mistake or omission, and 0 scores if there are two or more mistakes

or omissions. The maximum possible score for this sub-test is 3+3+3=9.


13

The Sub-test IV consists of two sections: Digits Forward and Digits Backward. In Digits

Forward, scoring is based on the number of digits correctly recalled in sequence. For 3 and

4-digit sequences, participants earn 1 score for correctly repeating all digits. For 5 and 6-digit

sequences, they receive 2 scores for perfect recall and 1 score if they make 1 mistake and 0 score

for 2 or more mistakes. In the case of 7 and 8-digit sequences, 3 scores are awarded for correctly

repeating all digits, 2 scores for 1 mistake, and 0 scores for 2 or more mistakes. The maximum

possible score for this section is 12.

In Digits Backward, participants must recall the digits in reverse order. For 2 and 3-digit

sequences, 1 score is given for correctly repeating all digits in reverse. For 4 and 5-digit

sequences, 2 scores are awarded for perfect recall, and 1 score is given for 1 mistake and 0 for 2

or more mistakes. For 6 and 7-digit sequences, 3 scores are awarded for perfect recall, 2 scores

for 1 mistake, and 1 score for 2 mistakes and 0 for 3 or more mistakes. For 8-digit sequences, 4

scores are given for a perfect recall, 3 scores for 1 mistake, and 2 scores for 2 mistakes and 0 for

3 or more mistakes. The maximum possible score for this section is 16. Thus, the total maximum

possible score for subtest IV (Digits Forward and Digits Backward) is 12 + 16 = 28.

In subtest V, participants receive 1 score for each correctly recalled word. The total

maximum possible score for this sub-test is 10. For sub-test VI, participants are given 1 score for

each correctly reproduced clause. The total maximum possible score for this sub-test is 12. For

subset VII, participants are awarded 1 score for each correctly reproduced associated word of the

pair. The total maximum possible score for this sub-test is 5. For subtest VIII. participants

receive 1 score for each correctly reproduced pair separately. A maximum of three trials is

allowed. The total maximum possible score for each trial is 5, and the sum of all three trials

results in a maximum score of 15 (5+5+5=15).


14

In Sub-test IX, participants are scored based on the correct reproduction of geometrical

figures in sequence and number. For Cards 1 to 3, they receive 2 scores each, totaling 6 scores

(2+2+2 = 6). For Card 4, 3 scores are awarded, and for Card 5, 4 scores are given. This results in

a total maximum possible score of 13 for this sub-test. In Sub-test X, participants earn 1 score for

each correctly recognized and named object. However, 1 score is deducted for each incorrectly

14 identified objects from the total earned score.

The total maximum possible score for this sub-test is 10. The total maximum possible

score for the full test is 114 (8+ 5 + 9 + 12 + 16 + 10 + 12 + 5 + 15 + 13 + 10 = 115).

Interpretation

The next step in the assessment process involves interpreting the scores for each sub-test

using the percentile norm table for individuals aged 20 to 45 years. Each sub-test score will be

compared against the established percentile ranges to determine the participant's performance

level.

Additionally, the grand total score will be evaluated to provide an overall assessment of

the participant’s memory abilities. The percentile range obtained from the total score will then be

used to classify the participant’s memory level, based on the norms for interpretation of

percentiles table. This step ensures a standardized evaluation of memory functioning relative to

the normative population.


15

Clinical Application of the Test

Research has demonstrated that the PGIMS effectively differentiates between normal and

impaired memory performance across various clinical groups, such as neurotic, psychotic, and

organic cases, thereby helping clinicians identify memory deficits and building treatment

strategies (Persad & Wig, 1978). It helps in diagnosing memory impairments related to

neurological conditions like dementia, traumatic brain injuries, and stroke. It is also useful in

evaluating cognitive decline in aging populations and individuals with neurodegenerative

disorders such as Alzheimer's disease. Its reliability and validity make it a crucial instrument in

neurocognitive assessments, contributing significantly to monitoring cognitive disorders over

time (Pershad & Wig, 1978). The scale has huge relevance to the Indian context as it was made

without the influence of any foreign methods of assessment and generalised on the Indian

population.

Methodology

Client profile

Name: B.A.

Age: 45
16

Sex: Female

Date of birth: 15/2/1980

Education: Postgraduate

Occupation: Housewife

Marital status: Married

Administration

The PGI Memory Scale is a comprehensive instrument that is intended to measure several

aspects of memory, such as remote, recent, immediate, and visual memory, as well as attention

and concentration. The test takes about 25–30 minutes to administer, depending on the pace and

response time of the participant. Each subtest has a standardized procedure, with clear

instructions given to ensure reliability and consistency. The examiner should use a neutral tone,

refrain from providing feedback on responses, and provide a quiet testing environment.

Results

Table 1.

Raw scores, percentile range and interpretation of the scores

Sr. No. Subtest Name Raw Scores Percentile Range interpretation

I. Remote Memory 8 P80 - P100 Excellent Memory

II. Recent Memory 5 P40 - P60 Average/ Moderate


Memory

III, Mental Balance 9 P60 - P80 Above Average Memory

IV. Attention and 22 P60 - P80 Above Average Memory


Concentration

V. Delayed Recall 8 P20 - P40 Below Average Memory

VI. Immediate Recall 9 P40 - P60 Average/ Moderate


Memory
17

VII. Verbal Retention for 5 P40 - P60 Average/ Moderate


similar pairs Memory

VIII. Verbal Retention for 14 P60 - P80 Above Average Memory


dissimilar pairs

IX. Visual Retention 13 P80 - P100 Excellent Memory

X. Recognition 10 P60 - P80 Above Average Memory

Total 103 P80 - P100 Excellent Memory


Scores

Interpretation

Remote memory (subtest I)

The client received a raw score of 8, which falls within the range of 80th to 100th

percentile, showing an excellent remote memory. This indicates that the client possesses good

retrieval and recall skills of past situations and long term preserved information. Her memory of

past experiences, facts, and history is preserved well, thus demonstrating good long-term

memory storage and retrieval.

Recent Memory (subtest II)

A raw score of 5 was attained by the client in this dimension, this raw score falls within

the range of 40th to 60th percentile, indicating that the client has an average/moderately average

recent memory. This implies that even though the client remembers things from the recent past,

for instance, discussions, activities, or tasks from the last few days or weeks, there are occasional

challenges to remember or recall things.

Mental Balance (subtest III)

The client attained a score of 9 on this particular subtest, indicating that the client has

above average mental balance, belonging to the percentile range of 60th to 80th. This implies
18

that the client has good cognitive stability, concentration and control over her thoughts. She has a

good ability to switch between cognitive tasks.

Attention and Concentration (subtest IV)

The client recorded a raw score of 22 on this particular dimension, placing it in the 60th

to 80th percentile, representing above-average attention and concentration. This indicates that the

client has an excellent capability for concentrating on tasks, maintaining attention, and

eliminating distractions. Although concentration ability is highly developed, there might be rare

slips in attention, particularly in extended or extremely intricate tasks.

Delayed Recall (subtest V)

The client received a raw score of 8, which puts them in the 20th to 40th percentile,

indicating a below average delayed recall. This implies that the client has difficulties in retaining

and remembering information after a gap. This may affect her ability to recall information after a

delay.

Immediate Recall (subtest VI)

​ The client’s raw score was 9 on this subtest, which falls in the 40th to 60th percentile,

indicating average or moderate immediate recall. This subtest measures the capacity to store and

reproduce information immediately after it has been presented. The obtained score implies that

she can reproduce information immediately after hearing it but might have occasional difficulty.

Verbal Retention for Similar Pairs (subtest VII)

​ The client received a raw score of 5 on this subtest, falling within the range of 40th to

60th percentile, reflecting average verbal retention for similar pairs. This subtest assesses the

capacity to recall word pairs that have semantic similarities. The scores imply that the client can

remember the paired information moderately but may have a few lapses,
19

Verbal Retention for Dissimilar Pairs (subtest VIII)

​ The client scored a raw score of 14 on this subtest, ranging within the range of 60th to

80th percentile, signifying above average recall for dissimilar pairs. An above average score on

this particular subtest indicates that the client has a good capacity to make significant

associations between apparently disparate information, a skill needed in problem-solving,

analytical reasoning, and creative reasoning.

Visual Retention (subtest IX)

The client scored a raw score of 13 on this subtest, falling in the 80th to 100th percentile,

which reflects excellent visual retention. This subtest tests the capacity to recall and remember

visual patterns, symbols, or shapes. Scoring high in this domain suggests good visual memory

skills, which are essential for spatial thinking, navigation, and face or object recognition. This 37

ability is especially useful for activities that need pattern recognition, visual learning, and rapid

recall of diagrams or images.

Recognition (subtest X)

​ The client received a raw score of 10, which is within the 60th and 80th percentile,

reflecting above average recognition memory. This subtest tests the capacity for discrimination

between prior exposure and novel information. A good score indicates that the client has the

ability to correctly recognize familiar stimuli, reflecting an effective recognition system,

however, some areas may require improvement.

​ The client received a total raw score of 103, falling within the range of 80th to 100th

percentile, denoting excellent overall memory functioning. This elevated total score suggests

that the client has excellent cognitive functions in several areas of memory, such as long-term

recall, short-term retention, attention, concentration, and recognition. The memory performance
20

is substantially above average, and it implies well-maintained neurological functioning and

effective information processing.

Summary

The client achieved a percentile of 60 to 80 on majority of the subtests which indicates that she

has an overall above average memory and the long term as well as short term memory of the

client is intact. Her total scores placed her in the excellent range from the 80th to 100th

percentile although she attained this only on a few subtests. She had a below average score in the

delayed recall subtest, various activities like association, visualization, etc can help improve this

area.
21

References

Emmady, P. D., Schoo, C., & Tadi, P. (2022, November 19). Major Neurocognitive Disorder

(Dementia). StatPearls - NCBI Bookshelf.

https://www.ncbi.nlm.nih.gov/books/NBK557444/

Nichols, E., Steinmetz, J. D., Vollset, S. E., Fukutaki, K., Chalek, J., Abd-Allah, F., Abdoli, A.,

Abualhasan, A., Abu-Gharbieh, E., Akram, T. T., Hamad, H. A., Alahdab, F., Alanezi, F.

M., Alipour, V., Almustanyir, S., Amu, H., Ansari, I., Arabloo, J., Ashraf, T., . . . Vos, T.

(2022). Estimation of the global prevalence of dementia in 2019 and forecasted

prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. The Lancet

Public Health, 7(2), e105–e125. https://doi.org/10.1016/s2468-2667(21)00249-8

Pershad, D., & Wig, N. N. (). Manual for P.G.I. memory scale. National Psychological

Corporation. Retrieved January 31, 2025, from

https://www.scribd.com/document/781123303/Pgims-Manual

Pershad, D., & Wig, N. N. (n.d). Reliability And Validity Of A New Battery Of Memory Tests (P.

G. I. Memory Scale). Indian Journal of Psychiatry 20(1):p 76-80, Jan–Mar 1978. Tiwari,

M. (2021). PGI memory scale [PowerPoint slides]. SlideShare. Retrieved January 31,

2025, from https://www.slideshare.net/MissTiwari/pgi-memory-scalepsychology


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Appendix
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