Journal of clinical and experimental neuropsychology最新文献

{"title":"Practicum training is an integral part of doctoral education in clinical neuropsychology: future opportunities for collaboration in clinical and research training.","authors":"Matthew Calamia, Steven Paul Woods, Adam T Schmidt, Rachael L Ellison, Paul T Cirino, Rebecca E Ready","doi":"10.1080/13803395.2026.2725550","DOIUrl":"10.1080/13803395.2026.2725550","url":null,"abstract":"","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"997-1001"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facial emotion recognition and disgust proneness in misophonia: findings from a clinical case-control study.","authors":"Efruz Pirdogan Aydin, Celalettin Kılıc, Suzan Buyuklu, Emine Gizem Olcar, Davut Aslan, Yaren Nur Beloglu Tonyali, Senem Kurt Dizdar","doi":"10.1080/13803395.2026.2748040","DOIUrl":"https://doi.org/10.1080/13803395.2026.2748040","url":null,"abstract":"<p><strong>Introduction: </strong>Misophonia is characterized by decreased tolerance to specific sounds, often occurring in interpersonal contexts and accompanied by intense emotional, physiological, and behavioral responses. Disgust and anger are among the most prominent emotional reactions in misophonia, yet it remains unclear whether these responses are accompanied by broader differences in socio-emotional processing, such as facial emotion recognition (FER). The present study aimed to examine FER performance and disgust-related dimensions in individuals with misophonia and to evaluate their associations with misophonia severity and emotional distress.</p><p><strong>Method: </strong>In this cross-sectional case-control study, fifty individuals diagnosed with misophonia and 48 matched healthy controls completed measures of misophonia symptoms, emotional distress, disgust propensity and sensitivity, and a FER task assessing recognition accuracy and reaction time across seven facial emotion categories.</p><p><strong>Results: </strong>Compared with controls, individuals with misophonia showed higher disgust propensity, disgust sensitivity, total disgust scores, and emotional distress. After controlling for emotional distress, group differences remained significant for disgust propensity and total disgust scores, but not for disgust sensitivity. No significant overall group differences were observed in facial emotion recognition accuracy or reaction time. Exploratory analyses suggested higher accuracy for angry facial expressions in the misophonia group; however, this finding was not supported by a significant group by emotion interaction and appeared to be partly influenced by emotional distress.</p><p><strong>Conclusions: </strong>No significant overall group differences were observed in FER accuracy or reaction time between individuals with misophonia and healthy controls. FER performance was not significantly associated with clinical variables. Disgust propensity remained elevated in misophonia after controlling for emotional distress, highlighting the relevance of disgust-related emotional processes in this condition. These findings suggest that individuals with misophonia do not exhibit a generalized impairment in FER and that heightened disgust propensity may represent a relatively distinct emotional feature of misophonia beyond general emotional distress.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sublexical compensatory reorganization of Chinese character recognition in Alzheimer's disease.","authors":"Boquan Liu","doi":"10.1080/13803395.2026.2751126","DOIUrl":"https://doi.org/10.1080/13803395.2026.2751126","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the cognitive-functional shift in visual character recognition across the cognitive decline trajectory, ranging from healthy aging through Mild Cognitive Impairment (MCI) to Mild Alzheimer's Disease (AD). Specifically, it was hypothesized that as global semantic networks degrade, the reliance on rapid holistic processing decreases, prompting a compensatory shift toward sublexical features.</p><p><strong>Method: </strong>Using a controlled unmasked priming lexical decision paradigm, this study evaluated behavioral performance across three distinct participant groups (<i>N</i> = 30 per group): healthy controls (HC), individuals with MCI, and patients with Mild AD. The experimental stimuli consisted of 80 Chinese phonograms matched across key psycholinguistic properties. This study utilized mixed-design Analyses of Variance (ANOVAs) alongside item-level hierarchical multiple regression (HMR) models to isolate the specific drivers of reaction times, assessing the predictive power of visual complexity, whole-character frequency, semantic transparency, and phonetic regularity.</p><p><strong>Results: </strong>The analytical models revealed distinctly divergent psycholinguistic trajectories. The HC group demonstrated highly efficient holistic processing, with performance primarily driven by whole-character frequency. Conversely, the MCI group exhibited a unique transitional cognitive profile, characterized by a simultaneous reliance on both holistic whole-word access and analytic sublexical features. Crucially, in the Mild AD tgroup, the holistic processing advantage was entirely abolished. This functional disintegration triggered a compensatory reorganization toward bottom-up sublexical properties, with patients relying heavily on semantic transparency and phonetic regularity to achieve semantic access.</p><p><strong>Conclusions: </strong>These findings demonstrate a linguistic Compensation-Related Utilization of Neural Circuits Hypothesis (CRUNCH) effect within the degenerating brain. As top-down lexical-semantic hubs deteriorate, reflected behaviorally in this paradigm by the loss of holistic processing advantages, the cognitive system actively compensates by upregulating bottom-up, sublexical pathways. Furthermore, the transitional sublexical dependency observed during the MCI stage highlights the translational potential of psycholinguistic variables as sensitive, noninvasive behavioral biomarkers for the early screening and monitoring of dementia.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported memory strategy use following acquired brain injury.","authors":"Edo Grevers, Nikita L Frankenmolen, Michelle G Jansen, Joukje M Oosterman, Roy P C Kessels, Dirk Bertens","doi":"10.1080/13803395.2026.2743147","DOIUrl":"10.1080/13803395.2026.2743147","url":null,"abstract":"<p><strong>Introduction: </strong>Neuropsychological rehabilitation following acquired brain injury (ABI) often involves interventions teaching individuals with ABI strategies to compensate for memory impairment. However, little is known about spontaneous memory strategy use (i.e. without treatment) and its determinants. The primary aim was to compare spontaneous memory strategy use in daily life and during a memory task between participants with ABI and cognitively unimpaired controls. Other aims were to investigate the relationships between strategy use, demographic and clinical characteristics, and memory performance.</p><p><strong>Methods: </strong>Sixty adults (aged 27-71) with ABI (≥3 months post-injury) were included at the start of their rehabilitation program. The control group consisted of 187 cognitively unimpaired volunteers (aged 18-79). Spontaneous memory strategy use in daily life was measured using the strategy scale of the Metamemory in Adulthood Questionnaire (MIA). Memory complaints were assessed with the Everyday Memory Questionnaire-Revised (EMQ-R) and memory performance with the subtest Verbal Paired Associates of the Wechsler Memory Scale-Fourth Edition (WMS-IV VPA). Additionally, memory strategy use during the VPA was assessed.</p><p><strong>Results: </strong>ABI participants reported less spontaneous strategy use in daily life than controls (t (242) = 2.93, <i>p</i> = .004, Hedges' g = .44), but not during a memory task (t (241) = 0.90, <i>p</i> = .367). Within both groups, more memory complaints and female sex were related to using more strategies in daily life. Task-related strategies were unrelated to memory performance in the ABI group but positively related in controls.</p><p><strong>Conclusions: </strong>ABI participants report using fewer memory strategies in daily life than controls, despite performing worse on a memory task and experiencing more memory complaints. Since efficiently employed compensation strategies are the most effective way to compensate for memory impairment, our results emphasize the importance of training memory strategies after ABI and provide valuable insights for creating individual treatment plans.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noun vs. Verb processing in aphasia: new data from matched comprehension and production tasks.","authors":"Olga Soloukhina, Olga Buivolova, Olga Dragoy, Maria Ivanova","doi":"10.1080/13803395.2026.2740484","DOIUrl":"https://doi.org/10.1080/13803395.2026.2740484","url":null,"abstract":"<p><strong>Introduction: </strong>Existing studies in aphasia show conflicting results regarding the presence and the nature of differences between nouns and verbs across comprehension and production modalities. While studies generally report greater difficulty with verb production, the results are more mixed for comprehension tasks. In this study, for the first time, we directly compare noun and verb processing using fully balanced, parallel tasks for both comprehension and production in a large sample of Russian-speaking individuals with aphasia.</p><p><strong>Method: </strong>We analyzed data from 156 individuals with post-stroke aphasia. Participants completed four tasks from the detailed language assessment tool in Russian (Russian Aphasia Test): noun comprehension, verb comprehension, object naming, and action naming. Tasks were carefully matched for key psycholinguistic variables, allowing for direct comparison of performance.</p><p><strong>Results: </strong>Participants performed significantly better on comprehension tasks than on production tasks. Crucially, across both modalities, nouns had higher accuracy than verbs. Error analysis revealed differing patterns: semantic paraphasias were more common in action naming, while phonological paraphasias predominated in object naming.</p><p><strong>Conclusions: </strong>The results indicate that word production is more impaired than comprehension in individuals with aphasia, reflecting the greater demands of lexical retrieval relative to semantic recognition. Verbs were consistently more difficult than nouns across modalities, supporting a modality-general noun-verb dissociation. The greater difficulty associated with verbs likely stems from their increased grammatical and semantic complexity, as also evidenced by the higher rate of semantic errors in verb production. In all, these findings have significant implications for models of lexical processing and clinical assessments.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of subjective cognitive decline and prediction of longitudinal clinical outcomes in older adults: a systematic review.","authors":"Cristina N Pinheiro, Xiaotong Song, Kaitlyn E Brock, Jordan P Harp, Justin E Karr","doi":"10.1080/13803395.2026.2743151","DOIUrl":"https://doi.org/10.1080/13803395.2026.2743151","url":null,"abstract":"<p><p>Subjective cognitive decline (SCD) is a preclinical risk factor for Alzheimer's disease and may represent one of the earliest clinical indicators of underlying neurodegeneration. Prevalence estimates vary but suggest that between 20 and 30% of cognitively unimpaired older adults report some form of subjective decline (Rohr et al. 2020). Longitudinal studies indicate that individuals with SCD are at approximately twice the risk of progressing to mild cognitive impairment (MCI) or dementia compared to those without complaints. While not every older adult reporting decline will progress, early detection allows for timely intervention and risk stratification for clinical trials of dementia prevention. The current review examined longitudinal studies of adults aged ≥ 60 to assess and highlight the heterogeneity in operational definitions of SCD and risk of incident MCI or dementia. Among the 26 studies reviewed, 24 distinct definitions of SCD were used, highlighting the need for standardized measurement to improve comparability and generalizability. Of the studies reporting hazard ratios, all nine found that SCD was associated with a significantly higher risk of incident MCI or dementia compared to cognitively healthy older adults not reporting SCD; with the exception that no significant association between SCD and risk of vascular dementia was observed. The consistent association between SCD and risk of progression to MCI and dementia in these studies strengthens the evidence that suggests SCD may not be a benign complaint of aging or psychiatric conditions, but a potentially early clinical indicator of possible underlying neurodegenerative changes. These findings highlight the need for standardization in measurement tools and definitions to refine this pre-MCI construct.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-30"},"PeriodicalIF":2.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary evidence for script generation as an efficient, objective measure of everyday function in older adults.","authors":"Melissa Rosahl, Marina Kaplan, Moira McKniff, Anna Callahan, Riya Chaturvedi, Tania Giovannetti","doi":"10.1080/13803395.2026.2743150","DOIUrl":"https://doi.org/10.1080/13803395.2026.2743150","url":null,"abstract":"<p><strong>Introduction: </strong>Mild difficulties performing everyday activities may emerge early in Alzheimer's disease and Alzheimer's disease-related dementias, creating a need for objective, efficient measures sensitive to subtle functional changes. This study investigated a script generation task (SGT), which required individuals to verbally describe the steps needed to complete familiar everyday activities, as a potential method for detecting mild functional difficulties in older adults with or without mild cognitive impairment (MCI). We examined both human-coded features of script generation and automated linguistic features using natural language processing (NLP).</p><p><strong>Methods: </strong>83 community-dwelling older adults (mean age = 73.59 years; 67% female; 55% White; n = 57 cognitively unimpaired on testing [CU]; n = 26 MCI) completed the SGT, requiring them to describe the steps for four everyday tasks: making toast, preparing instant coffee, making a peanut butter and jelly sandwich, and preparing a lunchbox. SGT performance was scored by human coders for total steps, words, and errors and analyzed using NLP measures of pronoun-to-noun ratio, lexical density, and lexical sophistication. Participants also completed a performance-based test of everyday function (Naturalistic Action Test, NAT), self-report questionnaires regarding everyday function, and cognitive tests.  .</p><p><strong>Results: </strong>After controlling for age, education, and estimated IQ, participants with MCI generated significantly fewer SGT steps than CU participants and used more pronouns relative to nouns, reflecting less specificity in their speech. The ability to generate SGT steps was associated with cognitive tests of episodic memory, and both SGT steps and total words were associated with executive function. Participants who generated more SGT words also completed more steps on the NAT. These associations survived correction for multiple comparisons. By contrast, SGT measures were not significantly associated with self-reported everyday functioning after correction for multiple comparisons.</p><p><strong>Conclusions: </strong>Findings provide support for the potential use of the SGT as an objective and efficient measure of mild functional difficulties in older adults. Future work is needed to evaluate the predictive validity of the SGT and to develop automated scoring programs to increase scalability.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Test engagement in first-year university students seeking course credits.","authors":"Anselm B M Fuermaier, Lina Bahajji, Janina Teßmann","doi":"10.1080/13803395.2026.2741882","DOIUrl":"https://doi.org/10.1080/13803395.2026.2741882","url":null,"abstract":"<p><strong>Objectives: </strong>This preregistered study examined test engagement among Dutch university students participating in psychological research in exchange for course credit. We hypothesized that at least 10% of students would demonstrate invalid performance, that engagement would decline over the course of the assessment, and that the commonly used self-rated test engagement question administered at the end of the assessment would show only limited utility.</p><p><strong>Methods: </strong>A total of 222 first-year psychology students completed a 45-minute assessment battery and were instructed to maximize their performance on five performance validity tests (PVTs). Test order was counterbalanced across participants to examine the effects of test position within the assessment. In addition, self-rated test engagement was associated with objective task performance.</p><p><strong>Results: </strong>The results confirmed our first hypothesis, demonstrating that 11.3% of students showed strong indications of underperformance. Evidence of invalid performance was observed primarily on timed attention tasks, whereas memory-based measures yielded unremarkable findings. Effects of test order within the 45-minute battery were observed only for attention-based validity test performance. Self-rated test engagement scores were clustered near the ceiling and showed only weak associations with objective validity test performance.</p><p><strong>Conclusion: </strong>Researchers should exercise caution when interpreting data from university students participating in research for course credit. Including PVTs may improve the quality of assessment data. However, self-ratings of test engagement do not appear to be a valid method for identifying or excluding invalid student data. Future research should further investigate the potential effects of boredom and declining test engagement during longer cognitive assessment protocols.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, not stroke, is associated with greater expressive suppression while emotion identification is preserved.","authors":"Álvaro Ruiz-García, Antonio Martínez-Salio, Heiner Ellgring, Beatriz García-Rodríguez","doi":"10.1080/13803395.2026.2743149","DOIUrl":"https://doi.org/10.1080/13803395.2026.2743149","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is followed both by frequent depression and by reported alterations in emotional processing, yet these are rarely examined jointly, leaving it unclear whether emotional disturbances reflect the lesion or the concurrent depression. We aimed to separate the contributions of depression and of mild right-hemisphere stroke to two distinct components of socioemotional functioning: habitual emotion regulation and facial emotion identification.</p><p><strong>Method: </strong>Sixty adults were studied in a 2 × 2 design crossing Stroke (survivors of mild right-hemisphere ischemic stroke with complete functional recovery, modified Rankin Scale = 0, vs. stroke-free) and Depression (clinically diagnosed vs. absent). Habitual regulation was assessed with the Emotion Regulation Questionnaire (cognitive reappraisal, expressive suppression) and identification with a six-emotion forced-choice task. Data were analyzed with factorial analyses of variance, with covariate-adjusted and non-parametric confirmation, and with a dimensional analysis relating depressive symptom severity to each outcome.</p><p><strong>Results: </strong>Depression, not stroke, was the principal correlate of habitual regulation. Participants with depression reported greater expressive suppression than those without (F = 7.50, <i>p</i> = .008, partial η² = .12; Cohen's d = 0.74), independently of stroke and robust to adjustment for age and cognition. The parallel effect on reappraisal was directionally consistent but non-significant. Dimensionally, symptom severity correlated with suppression only. Facial emotion identification was preserved and did not differ across groups, with no Stroke × Depression interaction on any outcome. Stroke effects that were large in our earlier, less fully recovered sample were absent here.</p><p><strong>Conclusions: </strong>In well-recovered right-hemisphere stroke, depressive status rather than the lesion was associated with greater habitual reliance on expressive suppression, whereas emotion identification was intact. When emotional difficulties arise in such patients, concurrent depression rather than the lesion may warrant primary clinical attention. Given the modest sample and absence of lesion imaging, findings are provisional and require severity-stratified, imaging-informed replication.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Executive functions are independently associated with health-related numeracy and self-perceived health literacy in applied contexts in healthy adults.","authors":"Tess Guzman, Troy A Webber, Michelle Allison Babicz-Boston, Anastasia Matchanova, Steven Paul Woods","doi":"10.1080/13803395.2026.2743148","DOIUrl":"https://doi.org/10.1080/13803395.2026.2743148","url":null,"abstract":"<p><strong>Introduction: </strong>Over a third of U.S. adults struggle with health literacy, which broadly describes the ability to access, understand, and use health-related information. Conceptual models highlight the importance of cognitive functions in health literacy, but limited empirical work has carefully examined the extent to which various aspects of cognition uniquely contribute to different dimensions of health literacy.</p><p><strong>Method: </strong>Participants in this retrospective, harmonized study included 312 healthy adults who completed a battery of well-validated cognitive tests that measured their general fund of knowledge, attention, declarative memory, and executive functions (;). Participants also completed a performance-based measure of health-related numeracy (i.e., Expanded Numeracy Scale) and questionnaires assessing self-perceived health literacy in applied contexts (i.e., Brief Health Literacy Screening and eHealth Literacy Scale).</p><p><strong>Results: </strong>After accounting for the influence of sociodemographics and general fund of knowledge parallel hierarchical regressions showed that measures of executive functions and memory explained a significant amount of variance in health-related numeracy and measures of executive functions explained a significant, but modest, amount of variance in self-perceived health literacy in applied contexts after accounting for the influence of sociodemographics and general fund of knowledge.</p><p><strong>Conclusions: </strong>Findings suggest that executive functions (i.e. generativity and cognitive flexibility) play a unique role in some aspects of personal health literacy among healthy adults. Future experimental studies might further dissect the role of executive functions in the expression and management of health literacy in at-risk clinical populations.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}