The Clinical neuropsychologist最新文献

{"title":"Neuropsychological functioning of pediatric patients with long COVID.","authors":"J. Luedke, Gray Vargas, D. Jashar, Laura A Malone, Amanda K Morrow, Rowena Ng","doi":"10.1080/13854046.2024.2344455","DOIUrl":"https://doi.org/10.1080/13854046.2024.2344455","url":null,"abstract":"Objective: To determine the neurocognitive profile for youth with long COVID presenting with cognitive concerns. Method: This study is a case series of 54 pediatric patients (65% female, Mage = 13.48, SDage = 3.10, 5-19) with long COVID who were referred for neuropsychological testing from a post-COVID-19 multidisciplinary clinic. The outcomes of interest were neuropsychological test scores and parent ratings of mood, attention, and executive functioning. The percentage of patients with neuropsychological test scores below the 9th percentile (below average range) and those with at-risk or clinically significant scores (T-scores > 59) on parent-informant inventories were computed. Results: A portion of children with long COVID showed weaknesses in sustained attention (29%) and divided attention (35%). This portion of patients did not significantly differ when comparing patients with and without pre-existing attention and mood concerns. A high percentage of parents reported at-risk to clinically significant concerns for cognitive regulation (53%), depression (95%), anxiety (85%), and inattention (66%) on standardized questionnaires. Conclusions: The present case series showed that approximately a third of children with long COVID demonstrate objective weaknesses on sustained and divided attention tasks but were largely intact in other domains of neuropsychological functioning. Importantly, children with long COVID had similar difficulties in attention, regardless of pre-existing attention or mood concerns. Parents reported high rates of mood, anxiety, and executive functioning difficulties which likely impact daily functioning. Attention and emotional regulation should be closely monitored and treated as necessary in pediatric patients with long COVID to aid functional recovery.","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"46 33","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and Autism Program: A novel clinical service model for gender-diverse/transgender autistic youth and young adults.","authors":"John F Strang, Abigail L Fischbach, Sharanya Rao, Ann Clawson, Megan Knauss, Sarah N Bernstein, A. V. D. van der Miesen, Anne P Inge, Kenia Alonzo, Julia Zeroth, Lauren Kenworthy, Colleen I Morgan, Abigail Brandt, Christina C Moore, Kaitlyn Ahlers, Mary K Jankowski, Lucy S McClellan, Shane B. Henise, Caitlyn J Cap, Shannon L Exley, Amy Youmatz, Minneh Song, Jennifer L McLaren, B. Parchem","doi":"10.1080/13854046.2024.2318155","DOIUrl":"https://doi.org/10.1080/13854046.2024.2318155","url":null,"abstract":"Objective: Situated in Children's National Hospital (CNH)'s Neuropsychology Division, the Gender and Autism Program (GAP) is the first clinical service dedicated to the needs of autistic gender-diverse/transgender youth. This study describes GAP clinical assessment profiles and presents a multi-perspective programmatic review of GAP evaluation services. Method: Seventy-five consecutive gender- and neuropsychologically-informed GAP evaluations were analyzed, including demographics, gender and autism characterization, and primary domains evaluated. Three program-based Delphi studies were conducted and identify: clinician priorities and challenges in providing care, program administrator lessons learned and ongoing barriers, and considerations adapting this model for a rural academic medical center. Results: Nearly two-thirds of referrals were transfeminine. Most youth had existing autism diagnoses; of those undiagnosed, three-quarters were found to be autistic. Five goals of evaluations were identified: Mental health was always assessed, and most evaluations also assessed gender-related needs in the context of autism neurodiversity. Neuropsychological characterization of strengths and challenges informed personalized accommodations to support youth gender-related self-advocacy. Clinicians emphasized frequent youth safety concerns. Administrators emphasized the need for specialized training for working with families. Components for adaptation of the GAP in a rural academic medical center were identified. Conclusions: Since its founding, the GAP has proven a sustainable neuropsychology-based service with consistent referral flow and insurance authorizations. Capturing staff perspectives through rigorous Delphi methods, and addressing the GAP's feasibility and replicability, this study provides a road map for replicating this service. We also highlight GAP training of specialist clinicians, fundamental to addressing the desperate shortage of providers in this field.","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"86 18","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A roadmap for psychometrist training: Moving from condemnation and confusion to cooperation and collaborationA Neuropsychologist’s Guide to Training Psychometrists: Promoting Competence in Psychological Testing. edited by Ghilain, C. S. New York: Routledge. (2021), ­160 pages. ISBN: 036756498X. $140.00 (hbk)","authors":"Nicholas A. Vissicchio, Joseph F. Kulas","doi":"10.1080/13854046.2023.2271610","DOIUrl":"https://doi.org/10.1080/13854046.2023.2271610","url":null,"abstract":"Click to increase image sizeClick to decrease image size Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introductory editorial to the special issue: Assessment and diagnosis of autism spectrum disorder (ASD) and related clinical decision making in neuropsychological practice","authors":"Kira Armstrong, Susanne W. Duvall","doi":"10.1080/13854046.2022.2085629","DOIUrl":"https://doi.org/10.1080/13854046.2022.2085629","url":null,"abstract":"Autism spectrum disorder (ASD) is a complex developmental disability characterized by challenges with social communication, restricted interests, and repetitive behaviors. Recent CDC estimates of US prevalence for ASD suggests that 23 out of 1,000 8-yearold children (i.e. one in 44) meet criterion for ASD, an increase from prior estimates (Maenner, et al., 2021). While some have raised concerns regarding the methodology of this research (e.g. due to varying metrics for identifying ASD cases, high cross-site variation, regional differences, and systemic disparities in educational supports and health care) (Mandell & Lecavalier, 2014; Yuan et al., 2021), it is stil clear that ASD is a fairly common disorder with clinically significant challenges persisting into adulthood. Given the high prevalence, ASD characteristics should be considered in neuropsychological differential diagnostic conceptualization across settings and patient populations. This special issue brings together original research, literature reviews, and clinical guidance to enhance neuropsychological practice in the assessment of ASD while emphasizing holistic diagnostic considerations and person-centered care. We begin with a survey of neuropsychologists’ first-person reflections on ASD assessment practices, the training they received, and where they believe the field should progress. This article sets the stage for the subsequent three sections, which focus on: (1) assessment tools and evaluative approaches; (2) case conceptualization in the context of complex comorbidities; and (3) higher level clinical recommendations and person-centered approaches to recognizing and diagnosing ASD. Section 1, comprised of 5 articles, focuses on assessment measures and approaches. Pulsipher and Lieb (2022) paper opens the discussion through their evaluation of an ASD symptom intake screening measure. Despite aligning this measure with DSM-5 criteria (which most screening measures have yet to do), this approach did not improve diagnostic predictions. As such, their findings continue to support the need for behavioral assessment by trained clinicians. On the other hand, McKernan and Kim’s (2022) paper demonstrates that screeners relating to semantic, syntactic, and pragmatic communication skills at kindergarten entry do predict academic, social, and adaptive skills at kindergarten exit, emphaszing the importance of early social pragmatic/ semantic skills intervention, even in children who historically may not receive them due to their many intact skills. Hudock and Esler (2022) provide a concise summary","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125981432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Affirmative neuropsychological practice with transgender and gender diverse individuals and communities.","authors":"Erica Anderson, J. Eleazer, Zoë E. Kristensen, C. S. St Amand, A. M. Baker, A. Correro, M. Cottingham, K. Hinrichs, B. Parmenter, Julija Stelmokas, Emily H. Trittschuh","doi":"10.1080/13854046.2022.2073915","DOIUrl":"https://doi.org/10.1080/13854046.2022.2073915","url":null,"abstract":"Objective: To provide guidance and resources on how to practice culturally safe and humble neuropsychology with transgender and gender diverse (TGD) individuals and communities. Methods: We gathered a multidisciplinary team of clinicians with relevant professional and/or lived experience to review pertinent literature, discuss important concepts, and identify key resources. From this process, we outline practical steps to advance gender affirmative neuropsychological practice. Results: Professional awareness and knowledge regarding how to gather context-relevant, gender identity information is critical. TGD individuals form a heterogenous group; a one-size-fits-all approach is not adequate. It is incumbent upon neuropsychologists to engage in clinical and research practices in a manner that does not perpetuate gender minority stress and trauma. Creating an open, safe environment of care requires intentionality and careful thinking to determine what information is relevant for a particular referral question. We provide recommendations and resources for neuropsychologists. Conclusion: When neuropsychologists are proactive, responsible, and intentional, they can better provide individualized, person-centered, and trauma-informed care to TGD individuals.","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129425104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Winners of the seventh annual TCN/AACN student project competition","authors":"Y. Suchy, D. Beebe, Leslie Guidotti-Breting, A. Hahn-Ketter","doi":"10.1080/13854046.2022.2059399","DOIUrl":"https://doi.org/10.1080/13854046.2022.2059399","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115028150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial from the TCN department of culture and gender in neuropsychology: Moving the field toward broader representation in neuropsychological studies","authors":"R. Hilsabeck, M. Marquine","doi":"10.1080/13854046.2022.2056924","DOIUrl":"https://doi.org/10.1080/13854046.2022.2056924","url":null,"abstract":"The Culture and Gender in Neuropsychology (CGN) Department at The Clinical Neuropsychologist (TCN) continued its efforts to advance the science and practice of diversity and inclusion in 2021 through provision of a special issue (detailed below) and virtual workshop at the annual meeting of the American Academy of Clinical Neuropsychology (Rivera Mindt et al., 2021). In this end-of-year editorial, we summarize 2021 publications in TCN that addressed various forms of diversity (cultural, linguistic, and gender).","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116286622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"20th Annual AACN Conference and Workshops of the American Academy of Clinical Neuropsychology (AACN), June 22-25, 2022","authors":"T. Vannorsdall","doi":"10.1080/13854046.2022.2054361","DOIUrl":"https://doi.org/10.1080/13854046.2022.2054361","url":null,"abstract":"and H. Stricker, Ph.D., ABPP Biomarkers have changed the landscape of alzheimer’s disease (aD) research and now have direct relevance for who may be eligible for current and forthcoming aD therapeutics. This workshop will review alzheimer’s disease (aD) biomarkers, with a focus on traditional imaging and CsF biomarkers and the projected impact of plasma biomarkers on clinical trials and practice. Mri classification of amyloid-related imaging abnormalities (aria) will also be reviewed. The status of disease-modifying therapies for aD will be discussed, including drugs that were approved and those that may be on the verge of being approved. aD biomarkers and emerging aD therapeutics will also impact neuropsychology. We will highlight considerations for normative data, the use of composite scores in the clinic, how we think about the diagnostic accuracy of neuropsychological measures, and how digital cognitive measures are needed to help with increased demand for and equitable access to cognitive screening and monitoring. ABSTRACT This workshop will focus on typical and atypical neurodevelopment in infants and young children, first examined through the results and challenges faced by developmental neuroimaging researchers, and then by an exploration of the myriad socio-contextual factors that impact developmental and pediatric assessment in the united states and globally. our understanding of what is known about early cortical organization and hemispheric specialization will be discussed. The speakers will then focus on current practice and challenges in assessing typical and atypical development in the united states and in low and lower middle-income countries (lMiCs). The workshop will address the impact of socio-demographic and socio-cultural factors in pediatric assessment. We will discuss the need for population-based assessment methods in global health, and common neurodevelopmental insults and their impact on young children living in poverty. preliminary findings from: (1) a longitudinal, multisite study of a new early childhood development measure, pediaTrac; (2) a large cohort of infants and young children who have sustained inflicted traumatic brain injuries; and (3) assessment of neurodevelopment in a large cohort of infants and young children in rural guatemala will be discussed. evaluate examinees with claims of posttraumatic disorder (pTsD) and traumatic brain injury (TBi) arising from a single precipitating (e.g. motor vehicle accident, participation in combat). in the current workshop, clinical neuropsychologist and clinical integrated overview of the various complexities that accompany these “combined” claims. The presenters will provide a review of contemporary diagnostic criteria for pTsD and TBi and highlight certain parallels and differences that exist with regard to the abnormalities in serum studies can be associated with changes in mental status and cognition. some relationships have been clearly demonstrated, such as some el","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126514712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mild cognitive impairment from a nearly international perspective","authors":"Anthony Rinaldi","doi":"10.1080/13854046.2021.2022213","DOIUrl":"https://doi.org/10.1080/13854046.2021.2022213","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131832404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cultural Humility Exercise: Raising Awareness About the Implications of Neuropsychological Practice with Asians and Asian Americans","authors":"Torrii Yamada","doi":"10.1080/13854046.2020.1813334","DOIUrl":"https://doi.org/10.1080/13854046.2020.1813334","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117086954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}