31 I ^Vl/ 57 tr.^ UNITED STATES PUBLIC HEALTH SERVICE RUPERT BLUE, Surgeon General MEMORY TESTS OF SCHOOL CHILDREN MEMORY SPAN OF 1,585 WHITE SCHOOL CHILDREN (751 BOYS, 834 GIRLS) IN THE CITY OF X BY ■ C. W. STILES Professor of Zoology United States Public Health Service L REPRINT No. 316 FROM THE PUBLIC HEALTH REPORTS December 24, 1915 Pages 3738-3745 WASHINGTON GOVERNMENT PRINTING OFFICE 1916 Monograph D. of D. nB 19 1916 MEMORY TESTS OF SCHOOL CHILDREN.^ MEMORY SPAN OF 1,585 WHITE SCHOOL CHttDREN (751 BOYS, 834 GIRLS) IN THE CITY OF X.i By C. W. Stiles, Professor of Zoology, United States Public Health Sen-ice. Of the 1,585 children (751 boys, 834 girls) for whom memory-span data are available, 1,223 (586 boys, 637 girls) belong to group S (from homes provided with sewer connection, but without privies), 271 (106 boys, 165 girls) belong to group P (from homes with privy sanitation), and 91 (59 boys, 32 girls) to group U (from homes of unknown sanitation). In taking the memory span the following table was used : Table 1. — Strong's memory-span numbers.^ 3 years old: 2 numbers: 7-2 1-6 8-1 4 years old: 3 numbers: 7-4-8 2-9-4 6-3-7 6 years old: 4 numbers: 5-1-8-3 9-2-7-4 5-9-2-6 8 years old: 5 numbers: 4-7-3-9-5 7-4-2-8-1 5-8-3-7-6 10 years old: 6 niimbers: 8-5-4-7-2-6 2-7-4-6-5-1 9-4-1-7-3-8 12 years old: 7 numbers: 2-9-6-4-3-7-5 9-2-8-.5-1-6-4 1-3-9-5-8-4-7 8 numbers: 4-7-2-9-3-8-1-5 7-1-8-3-6-2-9-5 4-6-1-5-8-2-9-7 9 numbers: 9-2-4-7-3-8-6-1-5 4-7-5-2-9-6-3-1-8 9-5-8-3-7-2-6-4-1 10 numbers: 8-3-9-5-1-6-2-7-0-4 2-1-4-6-0-7-3-8-5-9 4-0-5-2-8-1-7-9-6-3 1 Reprint from the Public HeaUh Reports, vol. 30, No. 52, Dec. 24, 1915, pp. 3738-3745. For other articles on the city of X see Public Health Reports, 1915, as follows: Difficulties in obtaining ages, v. 30(5), Jan. 29, pp. 310-311; Zooparasitic intestinal infections, v. 30(27), July 2, pp. 1991-2002; School grades, V. 30(28), July 9, pp. 2060-2067; Tobacco and snufl, v. 30(40), Oct. 1, pp. 2926-2928; Heights and weights of children, v. 30(41), Oct. 8, pp. 2990-3003; I-ung capacity, v. 30(42), Oct. 15, pp. 3067-3072. 2 Prepared by E. K. Strong, jr., professor of psychology, George Peabody College for Teachers, Nashville, Tenn. 21096—16 e q 4 MEMORY TESTS OF SCHOOL CHILDEEN. Method of giving the memory span. — In giving the memory-span test, we followed the method used by psychologists and psychia- trists. The test was explained to each child separately. The tester would then begin with the first line of the foregoing table and repeat deliberately and in a monotone: "Seven [very short pause], two." If the child failed to repeat these numbei-s in the order given, he was granted a second chance on the next line: "One, six." If he failed on this, he was given a third chance on the third line: *' Eight, four." Not* more than three chances were given on any one series of (2, 3, 4, 5, — x) numbers. As soon as a child repeated the 2, 3, 4, or x numbers in any series, he was tested on the next higher series. (It will be noticed that one extra number is added in each series. See foregoing table.) This was continued until the pupil failed three times on a group. He was accredited with the highest number of figures he could repeat without error. The tests were given by local substitute school teachers, who were, of course, given preliminary practice. As I have seen this test given by other investigators, two different ''stage settings" have been used. Some investigators have the "subject" in a room that is perfectly quiet and free from distraction (other than the distraction of isolation); others have the "subject" in a room that is not necessarily perfectly quiet and in which there is or may be some distraction in the way of noise or movement. There are certain arguments in favor of both methods. In our tests separate rooms were impossible, even if desirable. Tlie tests were made in a very large school assembly hall and the substitute school teachers were placed at intervals around the room. The pupils passed from one teacher to another for certain different mental and physical tests. The confusion was about equal to that found in the average classroom of a weU-regulated Southern school. In other words, the children were tested under conditions that cor- responded as closely as possible to their daily school life. Most of the children looked upon the tests in the light of playing games; some of the pupils were not so thorouglily at their ease. That some children did better work with this "stage setting" than they would have done if entirely isolated from the other children seems practically certain; that the reverse holds for other children is equally certain. For instance, a certain girl gave a memory span of 8 numbers; personally, I tested this same girl at her home on several occasions, and she repeatedly showed a memory span of 9 and 10 numbers. The personal equation, as to nervousness, diffidence, etc., can not be entirely eliminated, but the results obtained show what can be reasonably expected of city school children (white) in the locality in question and with the "stage setting" that was used. MEMORY TESTS OP SCHOOL CHILDREN. Table 2. — Memory span of 751 boys, 6 to 17.75 years old, inclusive, of the city of X, summarized by quarter-year periods, total-year periods, and sanitary groups. [P= children from homes provided with a privy; S= children from homes with sewer connection but with- out a privy; U=home sanitation unknown; T= total of P, S, and U.| Age. Number in memory span, with num- ber of children attainmg each span. Num- ber of pu- pils. Memory span. 3 4 5 6 7 8 9 10 11 To- tal. A ver- age. 6.00 T 1 3 3 2 8 1 1 6 12 10 23 5 1 29 17 21 18 17 57 13 3 73 18 16 23 22 65 12 2 79 24 22 25 21 76 12 4 92 23 27 25 22 75 12 10 97 26 25 20 15 60 21 5 86 17 18 22 13 52 10 8 70 15 15 57 13 56 9 5 70 14 19 12 4 38 3 8 49 13 4 28 63 59 121 28 5 154 94 118 100 95 326 67 14 407 112 99 144 143 413 73 12 498 158 141 160 134 500 70 23 593 151 186 167 154 513 78 67 658 1«76 163 128 97 397 136 31 564 109 128 155 91 354 73 56 483 97 104 187 93 385 58 38 481 93 139 89 30 269 23 59 351 91 4.00 4.67 5.25 5.90 5 ''6 6.25 T 2 3 2 5 1 1 7 5 6 9 6 21 •4 1 26 3 3 2 4 9 3 1 6 2 7 2 6.50 T 6.75 T. 3 2 1 1 1 6S 6P 5 60 6U 5 00 6T 9 3 1 1 2 3 4 7 9 6 11 5 6 23 4 1 28 9 4 13 6 25 5 2 32 5 11 5 5 20 4 2 26 5 6 11 4 17 6 3 26 7 10 9 7 26 6 1 33 9 6 5 3 18 3 2 23 7 2 4 1 13 1 3 3 1 3 3 9 1 1 5 31 7.00 T 5 53 7.25 T 1 1 5 62 7.50 T 5 55 7.75 T 5 59 7S 1 5 72 7P 5 15 7 U 1 1 4 67 7T 10 5 4 .8 9 22 4 1 1 3 • 5 57 8.00 T 6 22 8.25 T 2 6 19 8.50 T 6 26 8.75 T .. 3 7 6 50 8S ^ 6 35 8P 6.08 8U 6 00 8T 2 i 2 2 1 5 12 4 1 5 5 10 5 'is" 6 1 1 2 8 1 1 10 3 3 .... 6 1 "Y 2 26 9 4 8 ■ 5 22 3 1 26 6 17 9 8 33 3 4 40 7 8 6 6 11 13 3 27 3 6 9 4 15 3 4 22 6 7 12 6 23 6 2 31 1 10 1 1 7 1 5 13 3 7 4 3 4 5 16 6 30 9.00 T 1 .... 6 58 9.25 T 1 6 41 9.50 T.. . . . 6 40 9.75 T 6 38 9.S . . .... 2 1 6 58 9 P 5 83 9 1 6 5.75 9T 16 5 1 3 8 13 2 2 17 6 4 3 1 14 2 1 2 1 1 6.45 10.00 T 6.57 6 89 10.50 T 6 68 10.75 T. 7 00 10 S 4 6 84 6.50 10 U 6 70 10 T 4 2 6.78 11.00 T 1 6.77 11.25 T 6 52 11.50 T 2 6.40 6 47 US 1 1 1 3 2 6.62 HP 6 48 11 u 6.20 11 T.... . . 14 3 4 3 2 10 "2 12 "3 8 5 13 2 6 56 12.00 T 6.41 12.25 T 2 2 1 4 1 7.11 12.50 T 2 2 5 1 1 1 7.05 12.75 T 7.00 12 S 6.81 2 7 30 12 U 7 00 12 T 6 "2 3 1 4 2 5 1 1 2 6.90 13.00 T 1 6 47 13.25 T .. 6 93 13.50 T 6 93 13.75 T 7.15 13 S 1 2 6.87 13 P.... 6 44 13 U 3 16 4 6 5 1 11 2 3 16 1 7 60 13 T... . . . 1 1 6 1 1 1 14 6 1 3 1 11 2 1 "i' 1 3 6 87 14.00 T 6.64 1 1 7 32 14.50 T 7.42 14.75 T.. . .... 7.50 14S 1 3 2 7.08 7.67 14 U 7.37 14 T 1 3 2 11 4 3 2 2 1 7.16 15.00 T 7.00 6 MEMORY TESTS OF SCHOOL CHILDREN. Table 2. — Memory span of 751 hoys, 6 to 17.75 years old, inclusive, of the city of X, summarized by quarter-year periods, total-year periods, and sanitary groups — Contd. / Age. Number in memory span, with num- ber of children attainmg each span. Num- ber of pu- pils. Memory span. 3 4 5 6 7 8 9 10 11 To- tal. Aver- ago. 15 25T 1 "i' 4 5 1 3 9 2 7 6 6 IS 1 3 22 1 3 7 2 11 1 2 14 1 1 2 1 4 1 5 1 4 9 1 1 11 1 4 5 "'9' 1 5 18 8 15 41 4 9 54 8 8 17 3 31 3 2 36 4 4 5 3 12 2 2 16 139 56 103 294 30 6.3 3S9 55 62 127 23 22s 25 14 267 27 33 38 22 92 13 15 120 7.72 15.50 T 7.00 15.75 T 1 4 6.S7 15 S 1 7.17 15 P 7.50 15 U 7.22 15 T 4 4 1 7.20 16.00 T 6. 87 16.25 T 7.75 16.50 T 3 2 7.47 16.75 T 7.67 16 S 7 1 1 7.35 16 P 8.33 16 U 7.00 16 T 7 2 10 1 1 1 "'3' 2 7.42 17.00 T 6.75 17.25 T 8.25 17.50 T ' 1 1 2 1 1 4 1 7.60 17.75 T 7.33 17 S 1 7.67 17 P 6.50 17U 3 7.50 17T 5 3 1 7.50 Table 3. — Memory span of 834 girls, 6 to 17.75 years old, inclusive, of the city of X, summarized by quarter-year periods, total-year periods, and sanitary groups. [P= children from homes provided with a privy; S=children from homes with sewer connection but with- out a privy; U=home sanitation unlcnown; T=total of P, S, and V.] Age. Number in memory span, with num- ber of children attaining each span. Num- ber of pu- pils. Memory span. 3 4 5 6 7 8 9 10 11 To- tal. -Vver- age. 6.00 T 1 1 6 2 9 1 1 1 .... 2 1 2 10 12 7 27 3 1 31 15 18 15 13 39 16 6 61 18 11 17 19 46 17 2 65 19 20 24 15 53 21 4 78 25 13 52 68 38 149 18 4 171 76 111 84 68 218 90 31 339 102 69 103 119 288 96 9 393 119 134 157 104 365 126 23 514 1.58 6.50 6.25 T 1 1 1 7 4 5.20 6.50 T 1 [ 5.67 6.75 T 5.43 6S 2 1.'? 1 6.52 6P 1 6.00 6U 1 4.00 6T 3 4 1 1 3 6 2 1 9 4 14 6 5 6 6 14 5 4 23 2 3 4 3 9 2 1 12 3 1 4 1 3 4 2 9 3 10 5 6 6 2 12 7 "w 6 4 9 6 15 10 3 1 5.52 7.00 T 5.07 7.25 T 2 2 2 4 1 1 6 3 2 3 4 10 2 4 6.17 7.50 T 5.60 7.75 T 6.23 7S 3 1 5.59 7P 5 62 7U 5.17 7T 4 2 2 1 4 9 5.56 8.00 T 1 5 67 8.25 T 6.27 8.50 T 6.06 8.75 T 1 2 2 3 1 6 1 1 6.26 8S 1 6 26 8P 5.65 8U 4.50 8T 1 1 25 6 5 7 2 12 7 1 20 9 12 3 10 10 9 24 7 1 32 8 9 5 2 2 3 11 1 6.05 9.00 T 6 26 9.25 T 1 1 6.70 9.50 T 6.54 9.75T 6.93 9S 1 1 2 6.89 9P 1 6.00 9U 6.75 9T 1 2 2 12 2 2 1 6.59 lO.OOT 6.32 MEMOEY TESTS OF SCHOOL CHILDREN. Table 3. — Memory span of 834 girls, 6 to 17.75 years old, inclusive, of the city of X, summarized by quarter-year periods, total-year periods, and sanitary groups — Continued. Age. Number in memory span, with num- ber of children attaining each span. Num- ber of pu- pils. Memory span." 3 4 5 e 7 8 9 10 11 To- tal. Aver- age. 10.25 T 2 7 2 13 1 8 6 10 22 10 1 33 9 3 7 4 17 5 1 23 3 8 5 7 17 5 1 23 6 22 6 2 2 2 6 2 1 .... 1 2 20 24 22 69 21 1 91 26 12 31 10 60 17 2 79 14 18 28 17 59 15 3 77 14 21 31 27 75 15 3 93 26 19 31 14 66 19 5 90 22 17 19 13 56 14 1 71 16 21 19 12 58 6 4 68 11 8 4 7 29 1 129 150 144 434 141 6 581 170 S5 21s 71 415 116 13 544 99 lis 190 124 403 107 21 531 96 156 223 192 540 104 23 607 177 142 217 101 4G9 131 37 637 159 124 137 88 406 96 6 508 113 148 1.39 88 421 41 26 488 87 61 34 49 223 8 10.50 T 6 25 10.75 T 10 S 6.29 10 P 10 u 6.00 6.38 6.54 7.08 7.03 7.10 6.92 6 82 10 T 14 2 28 10 6 14 2 20 11 1 32 8 2 9 3 18 3 1 22 4 10 8 8 28 5 1 34 7 7 5 3 18 4 '22' 11 10 8 5 26 7 8 4 2 8 1 15 3 11.00 T 11.25 T 1 1 1 2 1 11.50 T 11.75 T 1 1 lis 11 P 11 U 6.50 6.89 7.07 6. .56 6.79 7 29 11 T 15 2 4 8 4 14 3 1 IS 8 6 8 9 19 4 2 25 5 6 8 6 20 3 2 25 7 6 4 1 16 2 3 1 .... 1 ""3' 12.00 T 12.25 T 12.50 T 12.75 T 2 3 12 S 6.83 7 13 12 P 12 U 7 00 12 T 3 2 3 3 1 6 1 3 6.90 6.86 7.43 7 19 13.00 T 13.25 T 3 6 2 1 6 5 13 3 13.50 T 2 1 3 13.75 T 7 11 13 S 7.20 6.93 7.67 7 17 13 P 13 U 13 T 8 1 16 10 3 12 3 19 7 2 28 4 1 2 2 6 2 1 9 3 4 3 2 7 2 3 12 2 1 7 1 3 3 1 5 2 1 8 1 3 11.00 T 6.81 7 47 14.25 T 14.50 T 1 1 2 1 1 7 00 14.75 T 7 21 14S .. .. 1 1 7 11 14 P 6 89 14 U 7 40 14 T 3 2 7 08 15.00 T 7 23 15.25 T 7 29 15.50 T 2 2 2 2 3 1 4 1 7 21 15.75 T 1 1 6.77 7 25 15 S 15P 6 86 15 U 6 00 15T 1 33 7 9 8 4 25 3 "28' 3 2 1 1 7 18 4 7 7 6 22 1 1 24 1 4 1 2 7 1 5 1 1 7 15 16.00 T 7 06 16.25 T 7 05 16.50 T 1 7.32 16.75 T 7 33 16 S 2 7.26 16 P 6 83 16 U 6.50 2 4 1 1 1 7 7 18 17.00 T 1 7.91 17.25 T 7.62 17.50 T 1 8 50 17.75T 2 5 7.00 17S 2 7.69 17 P 8.00 17 U 1 17 T 5 7 8 7 2 30 231 7 70 Cont'parison hy total-year periods and sex groups. — If the total-year periods be compared (see chart 1), it is seen that there is in general a gradual increase in the memory span from the younger to the older groups. This increase is not, however, regular from year to year, for in the boys the 10-year-old period excelled the 11-year-old period, 8 MEMORY TESTS OF SCHOOL CHILDEEN. and the 12-year-old period excelled the 13-year-old period; among, the girls the 9-year-old period excelled the 10-year-old period, and the 13-year-old period excelled the 14- and 15-year-old periods. If the two sex groups (chart 1) for each year be compared, it is seen that neither sex uniformly excelled the other; in 5 total-year periods (6, 9, 11, 13, and 17 years) the girls excelled the boys; and in 6 total-year periods (7, 8, 10, 14, 15, and 16 years) the boys excelled the girls, but the difference in one instance is negligible; the boys and girls were equal, or practically equal, in 2 periods (7 and 12 years). The conclusion would therefore seem to be justified that no essential difference was shown between the memory spans of the two sexes, and that while there was in general a gradual increase in the aver- age memory span from younger to older children, this increas3 did not express itself in exact ratio to age. Considering the matter from a standpoint of the average of accomplishment per year in chrono- logical age rather than the average per year in mental age, it would Memory Span in Nl/mberj Chart -I. FOR 748 kVHiTEBoYS/iND 833 White Girls 6.00 to 17.75 tears old, inclusive,- Co tINTY OF X. 8.OT 7.OT 1 b Years 7 Yt«R5 8 Yeabs 9YtAB5 IOYears II Years, I2YEAB1 I3YEAR5 I4YEAR5 IS Years |5Yej>r«, I7YEAR5 p— s — 1 1 ^=J =3^3-< ^^ —ii f: — i — 1 — * —^ \—t — d — ^ — '4 — s-^^ — iT- k°=r — r\ —^ EE^E V5. Pueuc Health Service appear reasonable to expect that the average white child, boy or girl, in the locality in question, and in the ''stage setting" used, will show the following memory spans: Numbers. Children 6 and 7 years old 5 Children 8 to 13 years (inclusive) old 6 Children 14 to 17 years (inclusive) old 7 Thus the average child of 6, 7, 8, and 9 years (chronological age) exceeded the memory span as given by Strong, and the average child of 12 and 13 years did not attain the memory span as given by Strong. Whether this indicates that Strong's conclusion as to the memory span at different ages should be revised or whether it indicates a precocity of the younger children and a retardation of the older children studied, or a difference of results due to different "stage settings" may be left suh judice. Comjmrison of sanitary groups. — In a former article^ it was shown that children from sewered homes advance, on an average, more rapidly in school grades than do the children from homes provided with privies. 1 Public Health Reports, v. 30 (28), July 9. 1915, pp. 2060-2067. MEMORY TESTS OF SCHOOL CHILDREN. 9 If the sanitary groups in the memory-span tabulations are com- pared for the total years (in order to obtain larger groups than are furnished by the quarter-year divisions), it is seen that there are 48 sanitary groups (24 ''S" groups, 24 ''P" groups) that can be com- pared. In these 24 comparisons (12 of boys, 12 of girls), 14 S groups (7 of boys, 7 of girls) excel as compared with 10 P groups (5 of boys, 5 of girls) that excel; but the S groups are larger than the P groups. So far as it is possible to judge, on basis of the 1,585 white children (751 boys, 834 girls) studied, the children from sewered homes aver- age a higher memory span than do the corresponding children from privy homes. It is further worthy of notice that in at least 5 of the P groups that stand higher than the correspondmg S groups the num- ber of children in the P groups is so small (one-ninth or less) as com- pared with the corresponding S groups that the value of the com- parison in these 5 groups is materially reduced." For instance — Boys 14 P contains only 3 pupils as compared with 14 S (38 pupils). Boys 15 P contains only 4 pupils as compared with 15 S (41 pupils). Boys 16 P contains only 3 pupils as compared with 16 S (31 pupils). Girls 6 P contains only 3 pupils as compared with 6 S (27 pupils). Girls 17 P contains only 1 pupil as compared with 17 S (29 pupils). The same statements made in a former article, in connection Vvdth the grade advancements, hold in connection with the memory spans, namely, that numerous sociological factors come into consideration in this connection and that the sanitation, with its attendant results, is only one of these factors. It is, however, clear that the children from the homes with b tter sanitation actually averaged a higher memory span than did the hildren from homes with poorer sanitation. Cases of Intestinal Infections. Hookworms. — Of the 83 white p j^jiIs (55 boys, 28 girls) who showed hookworm infection, memory-span results are available for 52 (36 boys, 16 girls). Computing these results on basis of the average for the separate sex, total-year, and saiiitary groups, these 52 children were entitled to a total memory span of 343.24 (boys 237.20, girls 106.4); they actually made a total of 339 (boys 232, girls 107); thus they showed an average loss of 0.08 (boys 0.14 loss, girls 0.06 gain). Ascaris. — Of the 58 pupils (46 boys, 12 girls) who showed Ascans infection, memory-span results are available for 38 (29 boys, 9 girls). Comjjuting these results on basis of the average for the separate sex, total-year, and sanitary groups, these 38 pupils were entitled to a total memory span of 245.23 (boys 187.60, girls 57.63); they actually made a total of 250 (boys 197, girls 53) ; thus they showed an average of 0.13 gain (boys 0.32 gain, ghls 0.51 loss). Lamllia. — Of the 99 pupils (71 boys, 28 girls) who showed Lamblia infection, memory-span results are available for 67 (50 boys, 17 girls). 10 MEMORY TESTS OF SCHOOL CHILDEEN. Computing these results on basis of the average for the separate sex, total-year, and sanitary groups, these 67 pupils were entitled to a total memory span of 441.36 (boys 325.93, girls 115.43) ; they actually made a total of 444 (boys 331, girls 113) ; thus they showed an average of 0.04 gain (boys 0.10 gain, girls 0.14 loss). Endamceha coli. — Of the 68 pupils (46 boys, 22 girls) who showed infection with Endamaha coli, memory-span results are available for 55 (39 boys, 16 girls). Computing these results on basis of the average for the separate sex, total-year, and sanitary groups, these 55 pupils were entitled to a total memory span of 367.29 (boys 259.31, ghls 107.98); they actually made a total of 376 (boys 266, gnls 110); thus they showed an average gain of 0.15 (boys 0.17, girls 0.13). Other 'parasites. — The infections with Trichuris, Trichomonas, and Hymenolepis are too small in number to justify conclusions. Conclusions. — The results obtained in pupils with parasitic infec- tions (in general, hght cases) do not show that the known infections with hookworms, eelworms, Lamblia, or Endamoeha coli had any mate- rial influence in inhibiting the average memory span of their respec- tive groups. It should, however, be recalled that only 31.7 per cent of the white pupils submitted specimens for microscopic examination, and we have no way of knowing whether or not intestinal infections were present in the two- thirds who were not examined for intestinal parasites. Summary. White urban school children in the sand district of the South may be reasonably expected to average the following memory spans: 6 and 7 years, chronological age, 5 numbers; 8 to 13 years, inclusive, 6 numbers; 14 to 17 years, inclusive, 7 numbers. The children from homes with better sanitation can reasonably be expected to excel in memory span those from homes with poorer sanitation approximately in the ratio of 14 to 10, calculated on basis of total year periods. The evidence at hand does not show that hght infections with hookworms (Necator), eelworms (Ascaris), Lamhlia, or Endamoeha coli had any material effect in inhibiting the memory span of the children who were found to harbor these parasites, when their memory .span was compared with the average of the children of their respec- tive groups. This conclusion can not be extended at present to cases of severer infection with these parasites. o -XDKHKT ui- CONGRESS 019 820 175 3 L 31 LIBRARY OF CONGRESS 019 820 175 3 HoUinger Corp. pH8.5