Robust comparative and diagnostic norms for the
elderly are provided for the Selective Reminding Test (Buschke,
1973). Correcting for factors such as age and education
level are appropriate for comparative norms, which are
intended for ranking individuals with respect to their
age and education matched peers. However, because age and
education are both risk factors for dementia, correcting
for these factors decreases test sensitivity for detecting
dementia. Age- and education-corrected Selective Reminding
scores have a sensitivity for detecting dementia that is
28% lower than uncorrected scores. Using information about
age in combination with memory scores provided optimal
discrimination of dementia. It is concluded that statistically
removing the contribution of dementia risk factors from
memory test scores can severely decrease discriminative
validity for detecting dementia in the elderly. (JINS,
1997, 3, 317–326.)