Journal of clinical and experimental neuropsychology最新文献

{"title":"Relationships between intraindividual cognitive variability, self-reported cognitive dysfunction, and functional difficulties in persons with multiple sclerosis: a preliminary investigation.","authors":"Kaitlin E Riegler, Lindsay O Neto, Aaron P Turner, Sarah A Raskin, Elizabeth S Gromisch","doi":"10.1080/13803395.2026.2639497","DOIUrl":"10.1080/13803395.2026.2639497","url":null,"abstract":"<p><strong>Introduction: </strong>Intraindividual cognitive variability (IIV) may be associated with subtle cognitive difficulties and potentially be an early indicator of decline. This study aimed to examine the relationships between IIV, self-reported cognitive difficulties, and functional difficulties in persons with multiple sclerosis (pwMS).</p><p><strong>Method: </strong>Three measures of IIV, intraindividual standard deviation (ISD), maximum discrepancy score (MDS), and coefficient of variance (CoV), and 1 mean composite were created from 11 neuropsychological indices. Participants (<i>n</i> = 35) completed the Perceived Deficits Questionnaire (PDQ), Test of Everyday Cognitive Abilities (TECA), and a questionnaire about whether they experienced memory-related problems in eight functional areas. Partial Spearman correlations examined the associations between cognitive performance, PDQ, TECA, and number of self-reported functional memory problems, controlling for premorbid functioning (Test of Premorbid Functioning; TOPF) or a composite of fatigue, depression, and anxiety symptom ratings (SymptoMScreen) in separate matrices.</p><p><strong>Results: </strong>In both matrices, the number of self-reported functional memory problems was correlated with the PDQ (ρ = .39-.47) and ISD (ρ = -.38), as well as CoV in the SymptoMScreen matrix (ρ = -.31). PDQ was correlated with both MDS (ρ = -.33) and ISD (ρ = -.33) only when controlling for SymptoMScreen. In both matrices, TECA was correlated with CoV (ρ = .46-.50) and mean performance (ρ = -.66 to -.68), as well as ISD when controlling for TOPF (ρ = .31).</p><p><strong>Conclusion(s): </strong>The number of self-reported functional memory problems was associated with worse ratings of perceived cognition (i.e. PDQ). Increased dispersion on different metrics, but not mean performance, was associated with fewer reported functional memory problems and self-reported cognitive dysfunction, when controlling for premorbid functioning or symptoms. Both IIV metrics and mean performance were related to greater difficulty completing timed everyday activities. Results suggest a disconnect between pwMS's perceptions of their functional difficulties with an objective measurement of their abilities. Further evaluation into IIV is needed to help guide earlier identification and intervention of cognitive problems in pwMS.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"252-265"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355147","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":"Cognitive assessment in the context of hyperbaric oxygen: a scoping review.","authors":"Michala Torp, Camilla Strøm, Bjørn Arenkiel, Kamilla Miskowiak, Anne Norup, Shai Efrati, Ole Hyldegaard","doi":"10.1080/13803395.2025.2579873","DOIUrl":"10.1080/13803395.2025.2579873","url":null,"abstract":"<p><strong>Background: </strong>Hyperbaric oxygen (HBO₂) treatment is used to treat a variety of conditions, but its effects on cognitive functioning are inconsistently assessed. This scoping review identifies the current literature on cognitive testing in relation to HBO₂ treatment.</p><p><strong>Objective: </strong>We aimed to 1) identify which cognitive domains have been investigated in relation to HBO₂; 2) identify the neurocognitive tests used; and 3) propose a standardized cognitive assessment program applicable to future HBO₂ clinical trials.</p><p><strong>Methods: </strong>A systematic search of four databases was conducted up to March 2025 for clinical studies involving adult patients treated with HBO₂, with neurocognitive testing as one of the outcomes. Cognitive domains were categorized using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria, and test sensitivity was evaluated in randomized controlled trials.</p><p><strong>Results: </strong>Of 3,238 records, 98 studies published between 1963 and 2025 met the inclusion criteria. The findings reveal considerable variation in the cognitive domains investigated and in the assessment methods employed, reflecting the diversity of disorders treated and a lack of consensus in the field of HBO₂ treatment. To improve consistency and comparability across future HBO₂ research, we propose a standardized, computerized cognitive test battery assessing psychomotor speed, attention, memory, and executive function.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"304-314"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540940","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":"Agreement between cognitive screening tools: a comparison of MoCA, ACE-III, M-ACE, and MoCA-MIS.","authors":"Monika McAtarsney-Kovacs, Raju Sapkota, Shahina Pardhan, Ian van der Linde","doi":"10.1080/13803395.2025.2596181","DOIUrl":"10.1080/13803395.2025.2596181","url":null,"abstract":"<p><strong>Introduction: </strong>Early detection of cognitive decline is critical, yet commonly used screening tools may yield divergent results. This study examined the alignment of four widely used instruments in a community-dwelling cohort.</p><p><strong>Method: </strong>Seventy-nine participants (M_age = 71.20, SD = 6.29; 39 male, 40 female) were recruited from the general community and assessed under standardized laboratory conditions. Participants completed the Montreal Cognitive Assessment (MoCA) and the Addenbrooke's Cognitive Examination-III (ACE-III), from which scores for the MoCA Memory Index Score (MoCA-MIS) and the Mini-Addenbrooke's Cognitive Examination (M-ACE) were also calculated. Test agreement was examined using observed agreement and Cohen's kappa, and score relationships were evaluated using Pearson correlations.</p><p><strong>Results: </strong>All but one test pair (M-ACE vs MoCA-MIS) showed strong score correlations. However, agreement between MoCA and ACE-III for classifying participants as below threshold was only <i>fair</i>. MoCA identified twice as many participants as impaired compared with ACE-III, raising the possibility of either greater sensitivity or higher false-positive classification. Overall, 41% of participants (<i>n</i> = 32) scored below threshold on at least one measure, but only 6% (<i>n</i> = 5) were below threshold across all four. Of four participants with a prior mild cognitive impairment (MCI) diagnosis, only one, who had more pronounced deficits, scored below threshold in all tests.</p><p><strong>Conclusions: </strong>Despite strong inter-test correlations, substantial divergence in classification outcome was observed, particularly between MoCA and ACE-III. Reliance on a single screening instrument risks misclassification, with implications for both over- and under-diagnosis. Greater harmonization between screening tools is needed to improve diagnostic consistency. Clinical practice should therefore combine multiple-instrument approaches, potentially including premorbid function, and interpret screening test scores cautiously. Comprehensive neuropsychological assessment may provide a more complete picture, particularly in cases where diagnostic confidence is low, although this is not routine practice in all services.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"237-251"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888976","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":"The iTrail making test (iTMT): an evaluation of novel testing paradigms, hidden indices of measurement, and diagnostic accuracy in Parkinson's disease.","authors":"Donnchadh Murphy, Jonathan Scott, Craig Newman, Rupert Noad","doi":"10.1080/13803395.2026.2617339","DOIUrl":"10.1080/13803395.2026.2617339","url":null,"abstract":"<p><strong>Introduction: </strong>The Trail Making Test (TMT) is an important test when assessing for cognitive difficulties in people with Parkinson's Disease (PD). However, the pencil-and-paper format can be susceptible to administration and scoring errors and may disproportionately reflect motor impairments rather than cognitive performance. The current study sought to evaluate the reliability and diagnostic accuracy of two novel computerized versions of the TMT: iTMT-Tap and iTMT-Drag.</p><p><strong>Method: </strong>This study used a quasi-experimental diagnostic accuracy design, and included 34 healthy controls, 28 people with Parkinson's disease with normal cognition (PD-NC), and 31 people with Parkinson's disease mild cognitive impairment (PD-MCI). Participants were administered a short battery of cognitive tests, including three counterbalanced versions of the TMT (traditional TMT, iTMT-Tap & iTMT-Drag). Additionally, the iTMT-Tap and iTMT-Drag were readministered following a brief break.</p><p><strong>Results: </strong>Both the iTMT-Tap and iTMT-Drag demonstrated adequate convergent validity and retest reliability and achieved acceptable classification accuracy for identifying PD-MCI. The current study identified hidden indices of measurement which may minimize administration time or the confounding impact of motor functioning, and these indices achieved fair diagnostic accuracy also.</p><p><strong>Conclusion: </strong>The results of this research suggest that the iTMT-Tap and iTMT-Drag may be a valid substitute for the traditional TMT, and subject to further validation, could be a useful addition to clinical practice. Recommendations for future research and subsequent clinical deployment are discussed.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"225-236"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989346","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":"Trade-off between speed and accuracy: associations between obsessive-compulsive symptoms and meticulousness in PANS.","authors":"Helena Holmäng, Rosanna Fagerudd, Parisa Hajjari, Malin Huldt Oldmark, Klara Jakobsson, Alexandra Serrano Toro, Ingrid Vinsa, Elisabeth Fernell, Nouchine Hadjikhani, Christopher Gillberg, Jakob Åsberg Johnels, Mats Johnson, Max Thorsson","doi":"10.1080/13803395.2026.2617355","DOIUrl":"10.1080/13803395.2026.2617355","url":null,"abstract":"<p><strong>Introduction: </strong>Despite increasing recognition of pediatric acute-onset neuropsychiatric syndrome (PANS), its neuropsychological underpinnings remain limited, particularly in relation to obsessive-compulsive disorder (OCD) symptoms. PANS manifests abruptly with severe OCD and/or eating restrictions alongside concurrent neuropsychiatric symptoms, causing distress and functional impairment. This study aimed to examine the relationship between neurocognitive performance and OCD symptom severity in children and adolescents with PANS.</p><p><strong>Method: </strong>Twelve children and adolescents with PANS were assessed on a total of 39 occasions using a novel touchscreen-based button-choice reaction time task. The task was designed to capture subtle aspects of attentional focus, motor precision, and response speed. Analyses examined associations between OCD symptom severity, assessed for each testing session, and performance measures.</p><p><strong>Results: </strong>Greater OCD symptom severity was associated with heightened attentiveness (noticing the lit-up button) and more centered touch positioning, but not with faster reaction times. A significant interaction was observed, whereby increased attentiveness and precision in touch placement were linked to longer reaction times, suggesting a trade-off between speed and perfectionistic response strategies.</p><p><strong>Conclusions: </strong>Overall, while OCD symptom severity was not directly associated with reaction time, it significantly shaped response monitoring and touch positioning. These findings indicate a neurocognitive profile in PANS characterized by heightened self-monitoring and meticulousness, potentially reflecting mechanisms underlying OCD symptomatology. Our findings highlight the complex interplay between neurocognitive performance and OCD symptom severity in PANS, as revealed through digital assessment, contributing to a deeper understanding of the condition.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"292-303"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010647","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":"A comparison of high performance on remote vs. in-person self- administered neuropsychological measures: the Mobile Toolbox and MyCog Mobile.","authors":"Stephanie Ruth Young, Manrui Zhang, Elizabeth Mc Manus Dworak, Aaron James Kaat, Sarah Pila, Miriam Alana Novack, Greg Joseph Byrne, Callie Madison Jones, Vitali Ustsinovich, Jiwon Kim, Richard Gershon, Cindy J Nowinski","doi":"10.1080/13803395.2025.2579871","DOIUrl":"10.1080/13803395.2025.2579871","url":null,"abstract":"<p><strong>Objective: </strong>To examine the role of administration setting (remote vs. in-person) on performance on four self-administered, smartphone-based neuropsychological measures delivered via the Mobile Toolbox (MTB) and MyCog Mobile (MCM) platforms.</p><p><strong>Methods: </strong>Participants self-administered four cognitive tasks (i.e. Executive Function, Face Memory, Picture Memory, and Working Memory) on a smartphone either in the lab or remotely (in-person <i>N</i> = 292, remote <i>N</i> = 701). Robust methods were used to examine performance differences across in-person and remote samples while controlling for covariates.</p><p><strong>Results: </strong>Remote testing was associated with higher Picture Memory Trial 1 scores (β = 1.114, <i>p</i> = 0.002) and lower Face Memory First Letter scores (β = -3.194, <i>p</i> < 0.001); the latter effect was moderated by education and version. Picture Memory Trial 2 showed only an indirect effect of setting through an interaction with age (β = 0.048, <i>p</i> < 0.001). No setting effects were found for Executive Function or Working Memory tasks. All observed setting effect sizes were small (partial η²≤.014). Perfect scores were more common remotely on memory tasks; however, sparse perfect scores for Trial 1 in the in-person group and ceiling effects on Trial 2 limit interpretation.</p><p><strong>Conclusions: </strong>Performance on self-administered smartphone tasks was largely comparable across settings, with only small, subtest-specific differences in performance on memory tasks. These results support remote self-administration for research use while highlighting the need for design strategies that preserve score validity across settings.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"281-291"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145377617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability, validity, and clinical utility of a nonverbal cognitive test.","authors":"Bern G Lee","doi":"10.1080/13803395.2025.2582593","DOIUrl":"10.1080/13803395.2025.2582593","url":null,"abstract":"<p><strong>Objective: </strong>People who struggle to provide verbal responses may be underserved by neuropsychology. A nonverbal cognitive test (NCT) was developed to fill this need. Reliability, concurrent validity, criterion-related validity, and clinical utility are presented.</p><p><strong>Method: </strong>The NCT and neuropsychological tests were administered to 122 adults aged 19-91, including 87 healthy adults (CN) and 35 adults with cognitive impairment (CI) meeting diagnostic criteria for a neurocognitive disorder. The overall sample was used to determine internal consistency and concurrent validity of the NCT (Experiment 1). The criterion-related validity and clinical utility of the NCT were assessed among the above 35 older adults with CI and 49 older adult CN participants with similar age and education (Experiment 2).</p><p><strong>Results: </strong>The NCT (alpha = .84) is internally consistent. Seven NCT subtests assessing learning, recall, attention, and working memory demonstrated concurrent validity (<i>r</i>'s > .6) with neuropsychological tests. CN outperformed people with CI on the NCT and all subtests. Receiver Operating Characteristic shows a large area under the curve (.98). A cut-score of 75.5 differentiated people with CI from CN (true positive rate = .91; false positive rate = .04).</p><p><strong>Conclusions: </strong>The NCT demonstrates acceptable psychometric properties and clinical utility for use as a cognitive test.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"213-224"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444961","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":"Training outcomes in a transdiagnostic, neuropsychologically - informed parenting intervention for children with early brain injury.","authors":"Rivka Green, Marin M Taylor, Bianca C Bondi, Naddley Désiré, Shari Wade, Tricia Williams","doi":"10.1080/13803395.2026.2637499","DOIUrl":"https://doi.org/10.1080/13803395.2026.2637499","url":null,"abstract":"<p><strong>Research aims: </strong>The benefits of parenting interventions for child and family outcomes following pediatric brain injury are well documented. However, training in pediatric neuropsychology largely emphasizes a focus on assessment, as well as syndrome- or disorder-specific interventions. Greater attention to transdiagnostic intervention is warranted, particularly pediatric neurorehabilitation programs that are family-centered and evidence-based. This study evaluated the acceptability of a didactic and skill-based transdiagnostic training model for pediatric neuropsychologists, and its outcomes on their knowledge, behavior, and early fidelity in delivering Interact-North in a pediatric brain injury population.</p><p><strong>Methods: </strong>We evaluated a neuropsychologically informed training and supervision model for Interact-North, a virtual transdiagnostic parenting intervention for children with acquired brain injury. Outcomes of training were evaluated, informed by the Kirkpatrick framework, across the last two cohorts of trainees (2023 <i>n</i> = 7; 2025 <i>n</i> = 11), who consisted of PhD level early career and trainee neuropsychologists. Training included a two-day workshop with didactic learning and role-play components. Following training, Interact-North trainees participated in biweekly group and individual supervision, as well as case-shadowing. Training outcomes included trainees' impressions of training, knowledge, behavior (i.e. skills) for both the 2023 and 2025 cohorts, and results (i.e. treatment fidelity, assessed in clinician checklists after each treatment session) for the 2023 cohort only.</p><p><strong>Results: </strong>Overall, participants endorsed highly favorable impressions of training (i.e. 4.91/5.00) and high relevancy to their career/clinical work. Role play was rated highest in utility (i.e. 4.93/5.00). Self-reported competency improved significantly following the training. The focus and value of individual and group supervision were also highly rated. Trainees demonstrated 95% program fidelity in their first case.</p><p><strong>Implications for the field: </strong>Findings suggest that this transdiagnostic neuropsychological intervention training model is successful in improving skill and clinician confidence with uniform acceptability in its importance to extend neuropsychological competencies in evidence-based family focused pediatric neurorehabilitation.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321750","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":"Investigating concurrent and longitudinal transdiagnostic correlates of executive functioning in adolescents: A multi-informant multi-method approach.","authors":"Tristan T Herring, Paul B Ingram, Christy R Rogers","doi":"10.1080/13803395.2026.2624581","DOIUrl":"10.1080/13803395.2026.2624581","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescence is a developmental period where executive functions differentiate and mature. Prior research suggests that transdiagnostic processes - i.e. mechanisms that serve as risk or maintaining factors of psychopathology - negatively impact adolescent executive functioning both concurrently and over time. Understanding how these processes and executive functioning are assessed and interrelated can help neuropsychologists make more accurate diagnostic and treatment recommendations. This study aimed to identify concurrent and longitudinal correlates between adolescent executive functioning and transdiagnostic processes, including emotion regulation, affect, and Hierarchical Taxonomy of Psychopathology (HiTOP) spectra (i.e. higher-order symptom domains like internalizing, externalizing, and somatic symptoms), using a multi-informant, multi-method design.</p><p><strong>Methods: </strong>We assessed 100 adolescents using behavioral, self- and parent-reported measures of these transdiagnostic processes and executive functioning across two time points. Effect sizes of unadjusted, bivariate correlations were examined.</p><p><strong>Results: </strong>Performance-based executive functioning did not correlate with self- or informant-reported executive functioning. Cross-informant agreement, however, was often evident for executive function tasks at small effects. While patterns of correlations generally differed across the assessment approaches and informants, negative affect and externalizing symptoms consistently showed small associations with concurrent executive functioning.</p><p><strong>Conclusions: </strong>Affective demands (e.g. emotion regulation difficulties, internalizing symptoms, negative affect) were negatively associated with concurrent executive functioning, suggesting that such burdens may compromise adolescents' performance on executive tasks. Clinicians are encouraged to evaluate internalizing symptoms contemporaneously with executive function testing, and to attend carefully to adolescent - informant relationships and disclosure dynamics. Implications for multi-method, multi-informant approaches to adolescent assessment are discussed.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125234","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":"A sensor-based gait measure for identifying invalid performance in simulated mTBI: an experimental proof of concept.","authors":"Jordan Price, Len Lecci","doi":"10.1080/13803395.2025.2579175","DOIUrl":"10.1080/13803395.2025.2579175","url":null,"abstract":"<p><strong>Introduction: </strong>Psychologists are increasingly called upon to make complex decisions affected by an individuals' effort, relying at least in part on performance validity testing. Because most measures of performance validity are cognitively-based, there is utility in exploring alternative assessment modalities. Recently, an accelerometer-based gait assessment has been validated for use with sports concussion outcomes. The current, preregistered study serves as an experimental proof of concept utilizing the same measure of gait to differentiate individuals instructed to simulate a mild Traumatic Brain Injury (mTBI) from those with a sports-related mTBI (concussion).</p><p><strong>Methods: </strong>106 uninjured simulators were compared to 75 individuals with sports-related clinical mTBI and 75 normal controls. All participants completed an accelerometer-based measure of gait known as the BioKinetoGraph (BKG) as a part of a larger battery designed to assess for concussion in athletes.</p><p><strong>Results: </strong>Unique abnormalities in the gait domains of Stride (timing), Power, Balance, and Symmetry were observed among simulating participants compared to mTBI participants. Classification analysis yielded several variables with fair to acceptable discriminability, and a multiple variable model with discriminability at the high end of the acceptable range (AUC = 0.78).</p><p><strong>Conclusions: </strong>Findings offer preliminary support for the ability of an automated gait-based measure to capture invalid performance and inform investigations regarding effort. These experimental findings represent a first step in exploring the potential clinical utility of the BKG as a measure of performance validity.</p>","PeriodicalId":15382,"journal":{"name":"Journal of clinical and experimental neuropsychology","volume":" ","pages":"49-63"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145377583","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}