Is the n-back task a valid neuropsychological measure for assessing working memory?

Arch Clin Neuropsychol. 2009 Nov;24(7):711-7. doi: 10.1093/arclin/acp063. Epub 2009 Sep 18.

Abstract

The n-back is a putative working memory task frequently used in neuroimaging research; however, literature addressing n-back use in clinical neuropsychological evaluation is sparse. We examined convergent validity of the n-back with an established measure of working memory, digit span backward. The relationship between n-back performance and scores on measures of processing speed was also examined, as was the ability of the n-back to detect potential between-groups differences in control and Parkinson's disease (PD) groups. Results revealed no correlation between n-back performance and digit span backward. N-back accuracy significantly correlated with a measure of processing speed (Trail Making Test Part A) at the 2-back load. Relative to controls, PD patients performed less accurately on the n-back and showed a trend toward slower reaction times, but did not differ on any of the neuropsychological measures. Results suggest the n-back is not a pure measure of working memory, but may be able to detect subtle differences in cognitive functioning between PD patients and controls.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Attention / physiology
  • Executive Function / physiology
  • Female
  • Humans
  • Male
  • Memory, Short-Term / physiology*
  • Middle Aged
  • Neuropsychological Tests*
  • Parkinson Disease / physiopathology*
  • Psychomotor Performance / physiology
  • Reaction Time / physiology