Cognitive Reserve Theory
Cognitive Reserve Theory
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Dev Psychol. Author manuscript; available in PMC 2011 December 5.
Published in final edited form as:
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Abstract
The term cognitive reserve is frequently used to refer to the ubiquitous finding that, during later
life, those higher in experiential resources (e.g. education, knowledge) exhibit higher levels of
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cognitive function. This observation may be the result of either (1) experiential resources playing
protective roles with respect to the cognitive declines associated with aging or (2) the persistence
of differences in functioning that have existed since earlier adulthood. These possibilities were
examined by applying accelerated longitudinal structural equation (growth curve) models to 5 year
reasoning and speed data from the no-contact control group (N=690, 65 to 89 years of age at
baseline) of the ACTIVE (Advanced Cognitive Training for Independent and Vital Elderly) study.
Vocabulary knowledge and years of education, as markers of cognitive reserve, were related to
levels of cognitive functioning, but unrelated to rates of cognitive change, both before and after
the (negative) relations between levels and rates were controlled for. These results suggest that
cognitive reserve reflects the persistence of earlier differences in cognitive functioning rather than
differential rates of age-associated cognitive declines.
Keywords
cognitive reserve; brain reserve; education; cognitive decline; aging
One particularly important and longstanding topic within the social, behavioral, and
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cognitive sciences concerns the role that the environment plays with respect to our
interactions, behaviors, and cognitive functioning (Sternberg & Grigorenko, 1997). Levels
of educational attainment, and products of educational achievement such as knowledge and
literacy, are particularly meaningful indices of environmental quality that have well
established relations with cognitive performance throughout the lifespan (Salthouse, 1991).
Much research has focused on childhood development and on determination of the causal
direction of the education-cognition relation. There is a good deal of evidence to suggest that
this relation is reciprocal during childhood. (Ceci, 1996; Crano, Kenny, & Campbell, 1972;
Dickens & Flynn, 2001; c.f. Jensen, 1998). Researchers have also recently begun to
investigate the possibility that having had an enriched environment during earlier parts of
one’s life may play a protective role with respect to the cognitive deficits associated with
adult aging (Satz, 1993; Stern, 2002). Hypotheses addressing the education late-life
Address correspondences regarding this manuscript to: Elliot M. Tucker-Drob, Department of Psychology, University of Virginia, PO
Box 400400, Charlottesville, VA 22904-4400. Phone: 917-670-4641. [email protected].
Tucker-Drob et al. Page 2
cognition relation have been generally referred to as cognitive reserve hypotheses1. The
major issue that has not yet been resolved with respect to this group of hypotheses, and
which is the focus of this paper, is whether the late-life relations between education and
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cognitive performance reflect (1) a relation between the quality of earlier life environment
and rates of age-associated cognitive declines or (2) the persistence of education-cognition
relations that have existed since earlier adulthood.
In seeming contradiction to these findings, Andel, Vigen, Mack, Clark, & Gatz (2006) found
that, among patients with a confirmed Alzheimer’s disease diagnosis, higher education was
related to faster declines in Mini Mental State Examination scores over an average of 2.5
years. Education was positively related to baseline scores. Interestingly, these results were
interpreted to mean that greater reserve is related to the postponement of dementia but also
to accelerated cognitive decline after the onset of dementia symptoms. Similar results have
been found by Stern, Albert, Tang, and Tsai (1999), Teri, McCurry, Edland, Kukull, and
Larso (1995), and Unverzagt, Hui, Farlow, Hall, and Hendrie (1998).
1The cognitive reserve hypothesis is sometimes distinguished from the similar brain reserve hypothesis. The brain reserve hypothesis
is discussed in detail by Christensen, Anstey, Leach, & Mackinnon (2008), who explain that “the hypothesis is that high premorbid
intelligence, education, an active, stimulating lifestyle, or a physically larger brain provide reserve capacity which protects the
individual from the negative effects of aging and disease on brain function.”
Partially contradictory findings have also been reported by Christensen, Hofer, and their
colleagues (Christensen et al. 2001; Hofer et al., 2002; Mackinnon, Christensen, Hofer,
Korten, & Jorm, 2003), who found evidence for a relation between education and levels of
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memory, speed, and verbal performance, but no evidence for a relation between education
and 7 year changes in performance. Moreover, in a series of dynamic longitudinal
investigations, Ghisletta and colleagues (Ghisletta & Lindenberger, 2003; Ghisletta &
Lindenberger, 2004; Ghisletta & Ribaupierre, 2005) have demonstrated that changes in
culture-based (crystallized, or pragmatic; e.g. vocabulary knowledge) abilities are predicted
by levels of process (fluid, or mechanic; e.g. processing speed) abilities better than changes
in process abilities are predicted by levels of culture-based abilities. For a comprehensive
review of relevant longitudinal studies published before 2000, see Anstey and Christensen
(2000).
Stern (2002) has proposed that cognitive reserve mechanisms are active processes through
which, in response to neurobiological degradation, the brain actively attempts to compensate
by using either brain networks or cognitive paradigms that are less susceptible to disruption.
Such active models would predict that, all else being equal, more highly educated people, or
individuals possessing more knowledge, would be able to postpone reaching clinical levels
of impaired cognitive functioning. Salthouse (2003) has proposed five possible mechanisms
by which this might occur: (1) knowledge can enhance memory in the form of richer and
more elaborate encoding and more effective retrieval cues facilitated by a superior
organizational structuring of information; (2) knowledge can result in easier access to
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Passive models (Satz, 1993; Stern, 2002) maintain that in response to similar levels of
neurobiological degradation, high reserve individuals will experience less impairment than
low reserve individuals. Resilience of nervous system functioning is theoretically indexed
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by brain size or synapse count, although Satz (1993) has proposed that education may be an
appropriate proxy. Such models often postulate the presence of a neuropathological
threshold that is higher for high reserve people, and only beyond which cognitive
impairment begins to take place. These models therefore predict that the rate of cognitive
decline will be slower, or at least delayed, for high reserve individuals who have not yet
reached their neuropathological threshold, even if their rate of neurobiological degradation
is comparable to that of low reserve individuals. However, this view is problematic for
examining normal age-associated declines because it is very clear that age-related effects on
cognitive performance begin in early adulthood and are continuous rather than abrupt
(Salthouse, 2004). A continuum-based passive model might instead predict that high reserve
individuals respond to neurobiological degradation to a lesser extent than do lower reserve
individuals (i.e. differential preservation), although some passive models (c.f. Figure 3 of
Stern, 2002), are difficult to distinguish from functional threshold models.
According to functional threshold models, high and low reserve individuals experience the
same rate of cognitive decline. However, low reserve individuals begin adulthood with
lower levels of cognitive performance, and therefore take less time to drop below a threshold
beyond which their level of functioning is considered clinically severe or pathological.
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These models explain that findings linking reserve markers, such as education, with reduced
prevalence and incidence of dementia may be artifacts of arbitrary clinical cutoffs. While
such models have not been discussed in great detail in the cognitive reserve literature, they
are consistent with the diagnostic thresholds discussed by Stern (2002), and the diagnostic
criteria for various dementias described in the Diagnostic and Statistical Manual of Mental
Disorders (IV-TR; American Psychiatric Association, 2000).
There are both methodological and theoretical reasons to expect level-slope relations to
exist. In cases of poor instrument sensitivity, ceiling effects can prevent detection of changes
within the upper levels of functioning, and floor effects can prevent detection of changes
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within the lower levels of functioning, thus resulting in spurious relations between initial
performance and change. This is of particular relevance to cognitive reserve research, where
many of the measures used are known to have low measurement ceilings (e.g. the Mini
Mental State Exam-see Anstey & Christensen, 2000; Verbal Learning tests- see Uttl, 2005).
Similar artifacts can occur with respect to the regression to the mean phenomenon
(Campbell & Kenny, 1999; Nesselroade, Stigler, & Baltes, 1980). In such cases, subjects
scoring at the extremes as the result of ordinary statistical noise, are likely to score closer to
their true, less extreme, scores when measured again. This results in spurious negative
correlations between initial level and change. From a theoretical standpoint, if there are
physical or biological limits to the upper and lower ends of functioning, then changes
towards these extremes will be smaller in magnitude than changes towards the mean,
regardless of instrument sensitivity (Ackerman, 2005; the “Law of Initial Values,” Wilder,
1967).
Method
The current study seeks to test the specificity of the relation between popularly hypothesized
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cognitive reserve variables (years of educational attainment and vocabulary knowledge) and
levels of reasoning and speed performance (“intercepts”) and rates of longitudinal changes
in reasoning and speed performance (“slopes”) in cognitively normal older adults. In
contrast to most examinations of cognitive reserve moderation hypotheses, the longitudinal
analyses presented in this study examine the degree to which cognitive reserve variables are
related to maturational changes both in conjunction with and independently of initial levels
of performance. Moreover, we examine maturational decline as a component separate from
that associated with the benefits of cumulative test experience (retest effects) associated with
repeated assessments.
baseline, 12 week “post test”, first annual, second annual, third annual, and fifth annual
assessments were analyzed. For more detail on design see Jobe, et al. (2001), Ball et al.
(2002), and Willis et al. (2006).
Participants
ACTIVE participants were recruited from a number different settings, registries, and rosters
(e.g. state driver’s license and identification card registries, medical clinical rosters, senior
center and community organization rosters, congregate senior housing sites, local churches,
and rosters of assistance and service programs for the low-income elderly) with the goal of
enrolling a diverse sample of older adults who were living independently and in good
functional and cognitive status, but at risk for loss of functional independence. Recruitment
was focused on six metropolitan areas in the United States. Participants considered for the
current analyses were 704 persons aged 65 to 94 who were randomly assigned to a no
contact control group from a parent sample of 2,832 persons. Six participants were excluded
due to protocol violations.
Table 1 reports the number of participants in each 5 year age group present at each testing
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occasion. Because only 8 participants were ages 90 and older, they were excluded from
analyses. This exclusion was necessary because of the multiple age group accelerated
longitudinal design implemented in the analysis. This resulted in a working sample of
N=690 (74% female) at baseline assessment with a five year, 6 occasion, retention rate of
54% (77% female). Reasons for dropout included death, withdrawal, site decision, and
unavailability. Scores on the Mini Mental State Exam (Folstein, Folstein, & McHugh, 1975)
ranged from 23 to 30 (the means for each age group ranged from 26.7 to 27.6, with standard
deviations ranging from 1.8 to 2.1; models excluding participants with Mini Mental State
Exam scores less than 25 did not change the patterns of results). Twenty-eight percent of
participants were nonwhite.
education (c.f. Ronnlund & Nilsson, 2006) produced very similar patterns of results to those
reported in this paper.
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Figure 1 depicts the distributions of years of education across individuals in each 5 year age
group. It can be seen that all age groups contained individuals ranging from less than a high
school education to greater than a college education, the largest proportion of individuals
having a complete high school or partial college education. While no groups contained large
proportions of participants with very low education (i.e. less than high school), this can be
viewed as a strength, because deprivation of basic schooling is likely to be accompanied by
other extreme environmental deficiencies that could confound results.
For additional information on sample characteristics and recruiting procedures see Ball et al.
(2002).
Measures
Measures were selected because they were deemed sensitive enough at the upper ranges of
performance to detect potential gains of training interventions, and at the lower ranges of
performance to detect declines associated with late-life aging (Ball et al., 2002).
Processing speed measures were timed, and required participants to identify and localize
information at 75% accuracy under varying levels of cognitive demand. They involved three
tasks from the useful Field of View measure (Owsley, Ball, McGwin, et al., 1998).
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The vocabulary measure (Ekstrom et al., 1976) tested participants’ abilities to choose the
best synonym for a target word from a number of alternatives.
Equally weighted composite test scores representing reasoning and speed were created by
pooling all scores for all participants in the parent population and applying a Blom
transformation (Blom, 1958) to make them more normally distributed, as in Ball et al.
(2002). To facilitate interpretation, reasoning composite, speed composite, and vocabulary
scores were each then standardized with respect to the baseline scores for the youngest age
group using a T score metric (mean = 50, standard deviation = 10). All scores were scaled
such that higher values indicate superior performance (i.e., the Speed composite was
reversed).
Cross-sectional analyses
If it is the case that higher levels in variables hypothesized to index cognitive reserve, such
as education and knowledge, are related to shallower rates of cognitive decline, then one
should expect cross-sectional differences in cognitive performance between individuals
differing in their levels on those variables to be larger at older ages. This was tested by
examining age × education and age × baseline vocabulary knowledge interactions in
regressions predicting baseline speed and reasoning performance. In all such regressions,
age, education, and vocabulary knowledge were centered by subtracting their means.
Age × education interactions were examined using hierarchical regressions with age and
education entered in the first step, and product of age × education entered in the second step.
Consistent with the preserved differentiation hypothesis but inconsistent with the differential
preservation hypothesis, age and education significantly accounted for both reasoning and
speed performance, but the age × education interaction did not.
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In examining age × vocabulary knowledge interactions, vocabulary and age were entered in
the first step, and the product of vocabulary × age was entered in the second step, of
hierarchical regressions predicting reasoning and speed. Both regressions resulted in
interaction terms that were statistically significant, but in the direction opposite to that
predicted by cognitive reserve moderation hypotheses. Figure 2 demonstrates these findings,
with higher vocabulary individuals exhibiting larger age differences than lower vocabulary
individuals.
Longitudinal Analyses
Hypotheses concerning age-related longitudinal changes in reasoning and speed abilities
were examined using latent growth curve modeling (LGM) techniques, which are employed
using the structural equation modeling framework. LGM techniques are similar to mixed
effects or hierarchical modeling techniques in that they allow for the estimation of fixed
effects, in the form of population level growth parameters, and random effects, in the form
of individual differences in growth parameters. Individual differences in variables
representing these parameters can then be further examined by regressing them onto
exogenous variables, such as education or vocabulary.
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For the current analyses, we considered a number of alternative time-based, age-based, and
occasion-based growth curve models (see Appendix for a discussion of the strengths and
weaknesses of each of these models, and their results). Here we report a version of the
multiple group accelerated latent growth curve model (c.f. Chapter 6 of Duncan, Duncan,
Strycker, Li, & Alpert, 1999) allowing for retest effects. This model was chosen because (1)
retest effects can be maximally separated from maturational change by scaling retest effects
by occasions of test experience but scaling maturational change by approximate age at
testing, (2) whether the quality of change, and predictors of change, differ across age groups
can be formally tested, (3) the models can be fit with conventional structural equation
modeling methods, allowing for detailed fit indices, estimation of indirect effects with
standard errors, and, for ease of interpretation, standardized parameter estimates. We note
however, that the substantive conclusions drawn regarding the cognitive reserve hypothesis
were the same for all models considered.
The multiple group accelerated latent growth curve model is schematically depicted in
Figure 3. In this diagram, squares represent observed variables, such as scores at each
measurement occasion, and circles represent latent, or unobserved variables, such as those
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corresponding to maturational slope (s), intercept (i), and retest effects (r). Regression
coefficients are represented as one-headed arrows, and the variance terms of variables, or
their residuals, are represented as two-headed arrows attached to the specific variables. The
unit constant (allowing for the estimation of means) is represented as a triangle.
The model depicted in Figure 3 fits a similar 6 occasion model to each age group (5 year
cohort) individually, and across-group equality constraints are placed on the latent means,
latent variances, covariance and regression relations, and residual variances. Some of these
constraints can then be removed and the resulting chi-square and degrees of freedom change
documented to test for between-group differences. By parameterizing the basis coefficients
for the latent slope (s) to reflect cohort age (centered at 65), mean age related change in
cognitive functioning is assumed to be linear and reflected by cross-sectional age differences
(the convergence assumption; Bell, 1953), while still allowing for individual differences in
change to be determined by longitudinal information from repeated measurements. The
basis coefficients defining the shape of the retest curve (r) can then be freely estimated from
the data. The basis coefficients defining the growth curve intercept (i) are all fixed to 1,
allowing the intercept to be interpreted as performance at 65 years of age. Residual
variances are all constrained to be equal, reflecting the assumption of homoscedasticity over
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time.
The growth curve portion of the model depicted in Figure 3 can be expressed as
(1)
or in expanded form as
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where g indicates that a variable is group specific, and n indicates that a variable varies
across individuals. AgeBL,g represents the designated age (in years) of age group g at
baseline assessment (Age[o]g therefore corresponds to the designated age of the group at any
given occasion, centered at 65). Equation 1 explains that individual scores at each
measurement occasion Y[o]n can be fully accounted for by individual differences in growth
curve intercept (in), maturational slope (sn), retest effects (rn), and unexplained variance
(u[o]n).
Growth curve intercept, slope, and retest effects are regressed onto education and baseline
vocabulary knowledge (education and vocabulary were both centered at their means for each
age group, such that μE=0 and υV=0) according to the following equations:
(2)
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(3)
(4)
where υ’s represent regression intercepts, β’s represent regression coefficients, and e’s
represent residuals. These equations allow for identification of relations between individual
growth curve parameters and hypothesized cognitive reserve variables. Note that growth
curve slope and retest effects are regressed onto the growth curve intercept to determine the
degree to which relations are mediated through initial performance, and the degree to which
relations are independent of initial performance. Finally, vocabulary is regressed onto
education according to:
(5)
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under the assumption that vocabulary knowledge is, in part, the product of education. To
account for the possibility that, as a result of social inequalities, years of education may have
different meaning for men and women, and whites and non-whites (Manly et al., 2003),
models were considered in which variables representing gender and race were included as
covariates in Equations 2 through 5. This addition did not change the overall pattern of
results, or the substantive interpretations drawn. We therefore report the simpler models.
All LGM analyses were conducted using the Mplus software package (Muthén & Muthén,
1998–2006) with Full Information Maximum Likelihood (FIML) estimation methods. FIML
estimates parameter values based on all available data, under the Missing at Random (MAR)
assumption that any systematic patterns of missingness are functions of the variables
included in the model, and that the patterns of and predictors of growth and change are the
same for complete and incomplete subgroups. Longitudinal growth curve methods
employing the MAR assumption to handle selective attrition, have been successfully applied
to simulated data (e.g. McArdle & Hamagami, 1992) and are regularly applied to real data
(e.g. Ferrer, Salthouse, McArdle, Stewart, & Schwartz, 2005; McArdle, Ferrer-Caja,
Hamagami, & Woodcock, 2002). In the current study, attrition analyses indicated that those
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who were lower performing on cognitive measures at baseline were more likely to drop out
of the study, but that neither education nor vocabulary knowledge was related to study
dropout. Moreover, models fit to data from participants with complete data on all six
measurement occasions produced similar patterns of results to those reported here.
Therefore, while the MAR assumption remains untestable, these follow-up analyses suggest
that the substantive findings are robust.
Table 2 reports fit statistics for the unconditional reasoning and speed growth curve models
with the mean retest effect and retest curve shape constrained to be equal across age groups,
the mean retest effect allowed to differ across age groups, and the mean retest effect and
retest curve shape allowed to differ across age groups. Because these models were nested
within each other, chi square difference tests were used to select models. It can be seen that
the preferred reasoning model was one in which the mean and shape of the retest curve was
allowed to differ among the age groups, whereas the preferred speed model was one in
which the shape of the retest curve was invariant across age groups, but the mean retest
effect was allowed to differ across age groups.
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Figures 4 and 5 depict maturational components, retest components, and net trajectory of the
population average growth curves implied by the reasoning and speed models respectively.
It can be seen that, for both reasoning and speed, the largest retest benefit occurs during the
first retesting, and the younger groups tend to benefit more than the older groups. Moreover,
maturational age gradients for speed (−.70 T score units per year, p<.05) were considerably
steeper (pdifference<.05) than for reasoning (−.49 T score units per year, p<.05).
Table 3 reports the fit statistics for the reasoning and speed growth curve models (the best
fitting reasoning and speed models selected from Table 2) with the relations (βEs, βEr, βvs,
βvr from Equations 2 through 5, and Figure 3) between hypothesized cognitive reserve
variables and latent change components held constant across age groups (fully constrained
models), and the change in fit after freeing these relations across groups (predictors freed
models). All other parameters in Equations 2 through 5 were constrained to be constant
across groups in both sets of models. The fit statistics indicate well fitting models, with all
RMSEAs less than .07, and CFIs all greater than .96. Because these fully constrained
models did not fit significantly worse (by nested chi square comparison) than the less
parsimonious predictors freed models, we accept them as the best representations of 5 year
changes in reasoning and speed performance, and their relations with education and
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Tables 4 and 5 report the relations between hypothesized cognitive reserve variables and
growth curve variables for the reasoning and speed models respectively. Unstandardized
parameter estimates and, for ease of interpretation, standardized parameter estimates are
reported. Total effects (the sum of unique and mediated effects), direct (unique) effects, and
indirect (mediated) effects are reported. This allows for examinations of the relations
between cognitive reserve markers (education and vocabulary) and maturational changes
both with and without controlling for the intercepts, as well as the relation that is completely
attributable to the intercepts.
A number of observations are of note. First, the intercepts (i) were highly related to both
hypothesized cognitive reserve variables (education and vocabulary), but most of the
education effect was mediated through vocabulary. Second, maturational slopes (s) were not
significantly related to hypothesized cognitive reserve variables, whether or not the
significant influences of the intercepts were controlled for. Third, there were significant
negative relations between intercepts and maturational slopes, such that individuals at higher
levels of functioning declined more steeply. Finally, for speed, the retest component was
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positively related to the intercept, but there were no significant direct or total relations
between the retest component and hypothesized cognitive reserve variables. For reasoning
there were no significant relations between the retest component and intercepts or the retest
component and hypothesized cognitive reserve variables.
To examine coupled change, the unconditional reasoning and speed models used in the
previous analyses were combined into a multiple-group bivariate latent growth curve model
(McArdle & Nesselroade, 2003). To maintain consistency with the models reported in tables
4 and 5, the basis coefficients defining the shape of the retest effects, the variances of the
intercepts, and the residual variances of the reasoning and speed scores for each occasion,
were fixed to the values that had been estimated with those models. To control for the
possibility that latent slopes may be related to each other by way of their relations to the
intercepts, latent slopes were regressed onto both latent intercepts, and their residuals
allowed to covary. Similarly, retest components were regressed onto latent intercepts, and
their residuals allowed to covary. The covariance between the latent intercepts was also
estimated. To maintain further consistency with the models previously reported, variance,
covariance, and regression parameters were constrained to be equal across age groups.
Parameters for the bivariate growth curve model are presented in Table 6. Consistent with
the positive manifold (Spearman, 1927) intercepts were strongly related to each other (r = .
626). Moreover, even after controlling for the influences of the latent intercepts, highly
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significant relations were found between latent maturational slopes (r = .636), but not latent
retest components. We therefore conclude that the latent slopes were modeled with
sufficient reliability to have detected relations with hypothesized cognitive reserve variables,
had they been present. Our failures to detect predictors of retest components, however, may
be attributable to failures to reliably assess them (or lack of sufficient individual differences
in these components).
Discussion
Summary and Discussion of Findings
In this study, we examined the hypotheses that education and vocabulary knowledge, as
markers of cognitive reserve, are (1) associated with higher levels of functioning in old age,
and (2) associated with shallower rates of age-associated declines in functioning, for
variables indexing reasoning and speed. We found evidence for the former hypothesis, but
not for the latter.
Processing speed, compared to reasoning, showed smaller level relations with education and
vocabulary, and steeper age gradients, suggesting that processing speed may be a cognitive
primitive that is less related to skill or acquired knowledge, and more reflective of age-
associated neurobiological degradation (c.f. Salthouse, 1996). If it is the case that reasoning
is more environmentally influenced than speed, and therefore potentially more amenable to
protective cognitive reserve processes, one might have expected rates of change in reasoning
to show greater positive relations to hypothesized cognitive reserve markers. We found no
evidence for this, as neither reasoning nor speed changes were significantly associated with
vocabulary or education in the predicted directions.
The relations between education and levels of cognitive performance were substantially
mediated by vocabulary knowledge, suggesting that the benefits of education may be best
indexed by knowledge measures, for which confounds concerning quality (or “yearly
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Based upon these findings we conclude that cognitive reserve models predicting stability,
rather than moderation, of performance differences are most plausible. In cases of active
cognitive reserve models, this would mean that, rather than increasing reliance on
knowledge-based paradigms and brain networks with age, individuals high in knowledge
and education rely upon these advantages consistently over their late adult lives. Contrary to
the predictions of passive cognitive reserve models, these findings suggest that individuals
high in knowledge and education exhibit similar degrees of age-associated cognitive
decrements as those less knowledgeable and educated.
Consistent with functional threshold predictions, cognitive reserve variables were found to
be related to levels of reasoning and speed performance, but unrelated to rates of decline in
reasoning and speed performance. Prevalence and incidence studies supportive of cognitive
reserve may therefore simply be artifacts of arbitrary clinical cutoffs for pathological
functioning and dementia. This is because, on average, more highly educated individuals
begin adulthood with higher levels of cognitive functioning. Therefore, they take longer to
reach clinically significant levels of functioning compared to lower educated individuals
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Limitations
It is important to acknowledge that this study included participants who were, on the whole,
at healthy levels of cognitive functioning. Our findings may therefore only be relevant to the
patterns of aging that precede senile dementia, but not the patterns ensuing from dementia.
Moreover, although there was little evidence that results qualitatively differed for low and
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high education participants (see Participants section), very few participants with severely
impoverished educational backgrounds (e.g. less than 8 years of education) were included in
the sample, and we are therefore unable to make strong generalizations to such populations.
It is also possible that cognitive reserve mechanisms may act differently on different abilities
(e.g. memory), and we must therefore limit our conclusions to levels and rates of change in
reasoning and processing speed, the cognitive outcomes measured in this study. Finally, it is
important to keep in mind that, while popularly examined, educational attainment and
measures of acquired knowledge may only be surrogate markers for theoretical constructs
hypothesized to protect against cognitive decline. For instance it is possible that, rather than
being related to earlier-life environmental quality, those factors that truly serve to mitigate
late-life cognitive changes themselves emerge during late-life. It might therefore be
desirable for future examinations of potential moderators of cognitive aging to examine
hypothesized cognitive reserve markers that are measured at closer temporal proximities to
the senescent changes of interest.
Conclusions
The current study yielded considerable evidence unsupportive of the notion that formal
education during earlier life is related to rates of decline in cognitive functioning during later
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These findings argue for an integrated approach to developmental psychology that continues
to emphasize both early life and late life phenomena (Baltes, 1987; Craik & Bialystok,
2006). Developing a fuller understanding of the education-cognition relation in late life
certainly requires further untangling of the causal components of the education-cognition
relation during childhood, and determination of the effects of continuing education and
cognitive training (e.g. Willis et al., 2006) during adulthood. Moreover, research focusing on
lifespan longitudinal data (e.g. Deary et al., 2000; McArdle et al., 2002) will continue to
prove useful in better understanding and characterizing the processes of change that occur
within individuals as they grow and mature.
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Acknowledgments
ACTIVE is supported by grants (U01AG14260; U01AG14263; U01AG14276; U01AG14282; U01AG14289;
U01NR04507; U01NR04508) from the National Institute on Aging and the National Institute of Nursing Research.
Elliot M. Tucker-Drob was supported as a trainee by a grant (T32AG020500) from the National Institute on Aging,
and Richard N. Jones was supported by the Harvard Older Americans Independence Center grant (P60AG008812)
from the National Institute on Aging. We would like to acknowledge the valuable suggestions by Timothy A.
Salthouse, John R. Nesselroade, and those at the Center for Developmental and Health Research Methodology at
the University of Virginia.
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One set of models considered assumes that rates of change are person-specific functions of
the time since baseline evaluation, and/or the number of occasions of measurement. The
simplest of these models can be written as
(A1)
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where Y[o] n is the observed score of person n at occasion o, in is the growth curve intercept
of person n, Time[o] is the time (in years) that has elapsed since the baseline assessment (i.e.
0, .23, 1.23, 2.23, 3.23, 5.23), sn is the growth curve slope of person n, and u[o]n is the
unexplained component for person n at occasion o. This model assumes only one source of
variance in change, and therefore confounds change that may be due to age-related
maturation, and change that may be due to the experience of repeated testing. Change is
assumed to occur linearly, and therefore any potential nonlinear change in cognitive
performance over time is not captured. Moreover, because performance is a function of time
since baseline evaluation, rather than age at testing, the model fails to capitalize on age at
testing as a source of information (for a discussion see McArdle et al., 2002).
Assumptions about linear change in the above model can be relaxed by allowing the shape
of the growth curve to be produced by the data. Such a growth curve can be written as
(A2)
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where rn represents nonlinear change, scaled by occasion (i.e. B[o] = 0, 1, B[1], B[2], B[3],
B[5]). Again, only one source of variation in change is assumed and age-related information
is neglected.
An elaboration of the above two models is one that includes allowances for both linear and
nonlinear sources of change. This model can be written as
(A3)
We again label the person-specific linear component, scaled by time since baseline
evaluation, as sn, and the person-specific nonlinear component, scaled by occasion, as rn.
However, because age-related information is still neglected, and sn and rn are therefore on
similar scales, it may not be justified to conceptualize these sn and rn components as
individually representative of maturation and retest effects respectively.
A second set of models considered assumes that rates of change are person-specific
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functions of age at testing, and/or the number of occasions of measurement. A simple form
of such a model can be written as
(A4)
where Age[o]n corresponds to the age of the individual at any given occasion, centered at
65. As with the time-based linear model, this model does not account for nonlinear change.
However, it is able to incorporate the age at testing as an additional source of information,
under the assumption that age-related differences are informative about age-related changes
(Bell, 1953).
(A5)
This model is very similar to that described by Equation 1, with the difference being that the
age basis is specific to the individual rather than the cohort (i.e. subscript g is removed from
Equation 1), and no cohort differences in the shape or magnitude of the retest effects are
permitted.
Results
Tables A1 and A2 report fit statistics and parameter estimates for the above described
models fit to the reasoning and speed data, along with the conditional relations described by
Equations 2 through 5. These output are also provided for the model described by Equation
1, with the shape and mean of the retest component, mean maturational component, mean
intercept, conditional relations, and all residual variance terms constrained to be equal across
groups.
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A number of observations are of note. First because the time and occasion basis models are
nested within one another, as are the age and occasion basis models, we can directly
compare their fits. In both cases, the models allowing for both linear and nonlinear sources
of change fit the data best. Second, the time + occasion basis models produce curves (i.e.
basis coefficients) that are difficult to interpret as distinctly representative of retest and
maturation components, as the nonlinear components peak at the second assessment but
subsequently decline (which is uncharacteristic of retest components, which are likely to
accumulate with experience and decay more slowly with time), and the linear components
both have non-significant positive means (inconsistent with maturational decline).
Alternatively, the age + occasion basis models are more readily interpretable as retest and
maturation components, as the nonlinear components have positive means and
approximately asymptotic shapes, and the linear components have negative means. Finally,
it is of particular note that for all models, the relations between hypothesized cognitive
reserve variables and intercept and change components are very similar, overwhelmingly
inconsistent with moderation hypotheses but consistent with stability hypotheses.
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Figure 1.
Distribution of education by age group.
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Figure 2.
Left: Plot of Age × Vocabulary interaction predicting cross-sectional reasoning
performance. Right: Plot of Age × Vocabulary interaction predicting cross-sectional speed
performance. In both plots high and low vocabulary are at one standard deviation above the
mean, and one standard deviation below the mean, respectively.
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Figure 3.
Path diagram depicting the multiple group accelerated latent growth curve model employed.
BL, PT, Y1, Y2, Y3, and Y5 represent vocabulary or speed performance at baseline, 12
week post test, first annual, second annual, third annual, and fifth annual assessments
respectively. Beneath these labels are the designated ages of each age group at each
occasion. See text for further description.
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Figure 4.
Model implied population components of 5 year longitudinal change in reasoning
performance.
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Figure 5.
Model implied components of 5 year longitudinal change in speed performance.
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Table 1
Sample size by age group and assessment.
Table 2
Model Fit Comparisons – Unconditional Models. The best-fitting models are in bold.
Goodness-of-fit indices
Model X2 df CFI TLI AIC BIC RMSEA Δ X2 Δ df p of Δ
Reasoning
Tucker-Drob et al.
Fully Constrained 163.019 121 .990 .994 18186.253 18249.766 .053 baseline
Free Retest Mean 155.239 117 .991 .994 18186.472 18268.132 .049 7.78 4 >.05
Free Retest Mean and Shape 126.101 101 .994 .996 18189.335 18343.582 .042 29.138 16 <.05
Speed
Fully Constrained 189.688 121 .969 .981 20329.851 20393.303 .064 baseline
Free Retest Mean 167.514 117 .977 .985 20315.677 20397.259 .056 22.174 4 <.001
Free Retest Mean and Shape 148.728 101 .978 .984 20328.890 20482.990 .059 18.786 16 >.05
Table 3
Model Fit Comparisons – Conditional Models. The best-fitting models are in bold.
Goodness-of-fit indices
Model X2 df CFI TLI AIC BIC RMSEA Δ X2 Δ df p of Δ
Reasoning - Fully Constrained 205.092 160 .991 .992 26113.245 26340.080 .045 baseline
Tucker-Drob et al.
Reasoning - Predictors freed 187.435 144 .991 .991 26127.588 26427.010 .047 17.657 16 >.05
Speed - Fully Constrained 259.264 176 .966 .973 28497.663 28651.911 .059 baseline
Speed - Predictors freed 248.302 160 .964 .968 28518.701 28745.536 .063 10.962 16 >.05
Table 4
Key Parameter Estimates for Reasoning Model (baseline, fully constrained, model from Table 3).
i on education (βei) 1.464* 10.154* .455* .663* 4.419* .206* .801* 8.778* .249*
i on vocab (βvi) .473* 11.321* .518* .473* 11.321* .518*
s on i (βis) −.030* −4.683* −.668* −.030* −4.683* −.668*
s on education (βes) −.019 −1.481 −.133 .013 .995 .090 −.032* −3.838* −.224*
s on vocab (βvs) −.007 −1.753 −.178 .007 1.539 .167 −.014* −4.335* −.346*
r on education (βer) −.055 −1.152 −.214 −.101 −1.848 −.396 .046 1.613 .182
r on vocab (βvr) .014 .947 .191 −.003 −.145 −.035 .016 1.591 .226
*
Note: p<.05. i, s, and r are latent growth curve intercept, maturational slope, and retest component respectively.
Table 5
Key Parameter Estimates for Speed Model (baseline, fully constrained, model from Table 3).
i on education (βei) .712* 4.230* .240* .261 1.390 .088 .451* 4.771* .152*
i on vocab (βvi) .266* 5.079* .316* .266* 5.079* .316*
s on i (βis) −.020* −2.515* −.819* −.020* −2.515* −.819*
s on education (βes) −.009 −.619 −.127 .011 .755 .153 −.021* −2.471* −.280*
s on vocab (βvs) −.009 −1.829 −.431 −.004 −.766 −.172 −.005* −2.289* −.259*
r on education (βer) .029 .415 .053 −.054 −.670 −.098 .084* 2.012* .150*
r on vocab (βvr) .037 1.643 .233 .015 .635 .095 .022* 2.192* .137*
r on i (βir) .082* 2.437* .434* .082* 2.437* .434*
vocab on education (βev) 1.698* 13.900* .482* 1.698* 13.900* .482*
*
Note: p<.05. i, s, and r are latent growth curve intercept, maturational slope, and retest component respectively.
Table 6
Fit Indices and Key Parameter Estimates for Bivariate Latent Growth Model.
df 423
CFI .974
TLI .980
RMSEA .055
Parameter Estimates
Reasoning slope on Reasoning intercept (sR on iR) −.027* −4.148* −.519*
Reasoning slope on Speed intercept (sR on iS) −.003 −.298 −.045
Reasoning intercept with Speed intercept (iR with iS) 45.734* 15.178* .626*
Reasoning slope with Speed slope (sR with sS) .102* 4.033* .636*
Reasoning retest with Speed retest (rR with rS) .172 .397 .320
Table A1
Fit Indices and Parameter Estimates for Alternative Growth Curve Models of Reasoning
Linear Basis by Latent Basis by Linear + Latent Latent Basis by Multiple Age Group
Time (Equation Occasion Basis b (Equation Linear Basis by Age Occasion Linear + Latent Basis Linear + Latent Basis
A1) (Equation A2) A3) (Equation A4) (Equation A2) b (Equation A5) (Equation 1)
vocab on education (βev) 1.670* 1.671* 1.671* 1.671* 1.671* 1.673* 1.694*
Basis Coefficients
BL on s 0a 0a 0a ageBL,n-65a 0a ageBL,n -65a ageBL,g-65a
Linear Basis by Latent Basis by Linear + Latent Latent Basis by Multiple Age Group
Time (Equation Occasion Basis b (Equation Linear Basis by Age Occasion Linear + Latent Basis Linear + Latent Basis
A1) (Equation A2) A3) (Equation A4) (Equation A2) b (Equation A5) (Equation 1)
Tucker-Drob et al.
BL on r 0a 0a 0a 0a 0a 0a 0a
PT on r 0a 1a 1a 0a 1a 1a 1a
YR1 on r 0a .690* .654* 0a .690* 0.966* 0.952*
YR2 on r 0a .767* .677* 0a .767* 1.264* 1.236*
YR3 on r 0a .868* .733* 0a .867* 1.625* 1.584*
YR5 on r 0a .410* .102 0a .410* 1.596* 1.529*
Residual Variance Estimates
reason res. variance (σy2) 9.089* 9.352* 8.124* 9.495* 9.353* 8.066* 8.070*
i residual variance (σi2) 46.397* 45.497* 45.069* 44.701* 45.494* 48.061* 46.566*
s residual variance (σs 2)
.215* - 0.281* .100* - .077* .090*
r residual variance (σr2) - −3.456* −1.403 - −3.458* .986* .912*
vocab residual variance (σv2) 73.302* 73.311* 73.300* 73.289* 73.312* 73.294* 73.075*
*
Note: p<.05.
a
indicates that a parameter was fixed.
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b
denotes the best fitting model by nested model comparisons relative to the two previous models. ageBL,n is age at first testing. ageBL,g is approximate group age at first testing. All parameters are
unstandardized. Because age at testing varied considerably across individuals, all Age and Occasion Basis Random Effects Growth Models were fit with the RANDOM option of Mplus, which has a
provision for individually varying times of observation (TSCORES).
Tucker-Drob et al.
Table A2
Fit Indices and Parameter Estimates for Alternative Growth Curve Models of Speed
YR1 on s
Tucker-Drob et al.
BL on r 0a 0a 0a 0a 0a 0a 0a
PT on r 0a 1a 1a 0a 1a 1a 1a
YR1 on r 0a .944* .915* 0a .944* 1.218* 1.216*
YR2 on r 0a .959* .897* 0a .959* 1.487* 1.482*
YR3 on r 0a .940* .853* 0a .940* 1.776* 1.763*
YR5 on r 0a .561* .358 0a .561* 1.800* 1.786*
Residual Variance Estimates
speed res. variance (σy2) 24.795* 25.047* 23.228* 26.215* 25.051* 22.890* 22.959*
i residual variance (σi2) 68.978* 56.735 57.609* 62.403 56.729 61.798* 59.613*
s residual variance (σs2) .333* - .421* .093 - .017 −.004
*
Note: p<.05.
a
indicates that a parameter was fixed.
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b
denotes the best fitting model by nested model comparisons relative to the two previous models. ageBL,n is age at first testing. ageBL,g is approximate group age at first testing. All parameters are
unstandardized. Because age at testing varied considerably across individuals, all Age and Occasion Basis Random Effects Growth Models were fit with the RANDOM option of Mplus, which has a
provision for individually varying times of observation (TSCORES).
Tucker-Drob et al.