Auditory evoked potentials were recorded from the vertex of subjects who listened selectively to a series of tone pips in one ear and ignored concurrent tone pips in the other ear. The negative component of the evoked potential peaking at 80 to 110 milliseconds was substantially larger for the attended tones. This negative component indexed a stimulus set mode of selective attention toward the tone pips in one ear. A late positive component peaking at 250 to 400 milliseconds reflected the response set established to recognize infrequent, higher pitched tone pips in the attended series.

We measured digit span (DS) in two experiments that used computerized presentation of randomized auditory digits with performance-adapted list length adjustment. A new mean span (MS) metric of DS was developed that showed reduced variance, improved test-retest reliability, and higher correlations with the results of other neuropsychological test results when compared to traditional DS measures. The MS metric also enhanced the sensitivity of forward versus backward span comparisons, enabled the development of normative performance criteria with sub-digit precision, and elucidated changes in DS performance with age- and education level. Computerized stimulus delivery and improved scoring metrics significantly enhance the precision of DS assessments of short-term verbal memory.

The sensitivity of the scalp-recorded, auditory evoked potential to selective attention was examined while subjects monitored one of two dichotically presented speech passages for content. Evoked potentials were elicited to irrelevant probe stimuli (vowel sounds) embedded in both the right-and the leftear's message. The amplitude of the evoked potential was larger to probe stimuli embedded in the attended message than to probe stimuli in the unattended message. Recall performance was unaffected by the presence of the probes. The results are interpreted as supporting the hypothesis that this evoked potential sensitivity reflects an initial "input selection" stage of attention.

We used an event-related brain potential (ERP) technique developed by Hillyard et al. (1973) to test abilities to attenuate irrelevant stimuli and to detect target stimuli. Subjects, 12 healthy old (80.3 years) and 12 healthy young adults (22.0 years), heard 1500 Hz tones in one ear and 800 Hz tones in the other ear. Infrequently, the pitch of either tone was raised. During one run, infrequent tones in the right ear were targets, and in the other run those in the left ear were targets. Subjects counted targets. For both groups, an early component of the ERP (N1) was larger to tones in the attended ear than in the unattended ear, and a later component (P3) was largest to the target. This suggests that both groups can attenuate irrelevant stimuli and can use stimulus probability information in this task. That P3 was later for old subjects suggests that they take longer to decide stimulus relevance.

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We analyzed error patterns during digit span (DS) testing in four experiments. In Experiment 1, error patterns analyzed from a community sample of 427 subjects revealed strong primacy and recency effects. Subjects with shorter DSs showed an increased incidence of transposition errors in comparison with other error types and a greater incidence of multiple errors on incorrect trials. Experiment 2 investigated 46 young subjects in three test sessions. The results replicated those of Experiment 1 and demonstrated that error patterns of individual subjects were consistent across repeated test administrations. Experiment 3 investigated 40 subjects from Experiment 2 who feigned symptoms of traumatic brain injury (TBI) with 80% of malingering subjects producing digit spans in the abnormal range. A digit span malingering index (DSMI) was developed to detect atypical error patterns in malingering subjects. Overall, 59% of malingering subjects with abnormal digit spans showed DSMIs in the abnormal range and DSMI values correlated significantly with the magnitude of malingering. Experiment 4 compared 29 patients with TBI with a new group of 38 control subjects. The TBI group showed significant reductions in digit span. Overall, 32% of the TBI patients showed DS abnormalities and 11% showed abnormal DSMIs. Computerized error-pattern analysis improves the sensitivity of DS assessment and can assist in the detection of malingering.

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