Factor Structure of the Wide Range Assessment of Memory and Learning (WRAML) in Children With Insulin Dependent Diabetes Mellitus (IDDM)

Abstract

Maximum likelihood confirmatory factor analysis was performed with the Wide Range Assessment of Memory and Learning (WRAML) for a clinical sample of 246 children with insulin-dependent diabetes mellitus (IDDM). Consistent with previous literature examining the factor structure of the WRAML, findings supported the validity of a three-factor model including Verbal Memory, Visual Memory, and Attention/Concentration (AC) factors for this clinical sample. However, in contrast to previous factor analytic research, results also supported the validity of an alternative two-factor model consisting of a combined modality Memory/Learning (ML) factor and an AC factor. While the results suggest that the three-factor solution may provide an adequate characterization of memory and learning in the majority of this sample of children with IDDM, it appears that certain groups of children with IDDM, particularly those children with early disease onset and those who experience hypoglycemic seizures, may exhibit a specific profile of differences that may result in a lack of differentiation between the verbal and visual modalities.