The present investigation examined the validity of the revised Hopkins Verb
al Learning Test (HVLT-R). In a principal components analysis with varimax
rotation, measures of new learning and delayed recall loaded on a single fa
ctor distinguishable from measures related to general cognitive function an
d visual memory. The HVLT-R also correlated most strongly with other tests
of verbal memory and relatively weakly with a test of general intelligence.
Group comparisons showed that normal controls performed better than age- a
nd education-matched patients with probable Alzheimer's disease (AD) or vas
cular dementia (VaD). Discriminant function analyses and Bayesian statistic
s revealed high classification accuracies for dementia patients versus cont
rols. When scores on the HVLT-R and other neuropsychological tests were sub
jected to discriminant function analyses, performance on the HVLT-R delayed
recognition task was found to be the most useful in discriminating patient
s with AD from those with VaD. We conclude that the HVLT-R is a valid test
of verbal learning and memory that is best suited for use with elderly pati
ents suspected of dementia.