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":"Correction.","authors":"","doi":"10.1080/13854046.2020.1863563","DOIUrl":"https://doi.org/10.1080/13854046.2020.1863563","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"2380"},"PeriodicalIF":3.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2020.1863563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38765846","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":"Correction.","authors":"","doi":"10.1080/13854046.2021.1904575","DOIUrl":"https://doi.org/10.1080/13854046.2021.1904575","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"2381-2383"},"PeriodicalIF":3.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2021.1904575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38900024","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":"Correction.","authors":"","doi":"10.1080/13854046.2021.1964165","DOIUrl":"https://doi.org/10.1080/13854046.2021.1964165","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"2384"},"PeriodicalIF":3.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39375238","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":"Correction.","authors":"","doi":"10.1080/13854046.2020.1824344","DOIUrl":"https://doi.org/10.1080/13854046.2020.1824344","url":null,"abstract":"","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"2379"},"PeriodicalIF":3.9,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2020.1824344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38427462","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":"Competency-based assessment in clinical neuropsychology at the post-doctoral level: Stages, milestones, and benchmarks as proposed by an APPCN work group.","authors":"Amy K Heffelfinger,&nbsp;Julie K Janecek,&nbsp;Abigail Johnson,&nbsp;Liv E Miller,&nbsp;Amelia Nelson,&nbsp;Dalin T Pulsipher","doi":"10.1080/13854046.2020.1829070","DOIUrl":"https://doi.org/10.1080/13854046.2020.1829070","url":null,"abstract":"<p><p><b>Objective:</b> In recent years, there has been considerable progress in developing competencies in Clinical Neuropsychology. The field also needs to work towards consistency in competency-based assessment of the <i>development of each competency</i> to ensure competent, independent practice. The purpose of this manuscript is to a) document the relevant literature, b) describe the process applied by an Association of Post-Doctoral Programs in Clinical Neuropsychology (APPCN) workgroup on Competency-Based Assessment, and c) propose a framework and assessment tool for competency-based assessment at the post-doctoral training level. <b>Methods:</b> The work group conducted a literature review of competency-based assessment in Clinical Neuropsychology and related fields, considered various constructs for assessment, delineated a framework that can be flexible for program-specific goals, and created a tool for assessment. The workgroup then asked for review of the framework and assessment tool by APPCN Board of Directors, the APPCN Executive Committee, and Program Directors from APPCN and non-APPCN programs. Revisions were made following this review. <b>Conclusions:</b> This manuscript and proposed assessment tool invite constructive feedback within the community for ongoing evolution of the process and the tool. The proposed assessment tool is intended to be implemented flexibly within post-doctoral programs to respect their specific training goals while simultaneously providing underlying consistency in the method of assessing a recently proposed set of competencies within Clinical Neuropsychology. Creation of competency-based assessment tools across all training levels within Clinical Neuropsychology that facilitate continuity and hierarchical development is a long-term goal.</p>","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"1209-1225"},"PeriodicalIF":3.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2020.1829070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38558868","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":"The impact of depression and anxiety on speed of academic performance and retrieval fluency in postsecondary students.","authors":"Allyson G Harrison,&nbsp;A Lynne Beal,&nbsp;Irene T Armstrong","doi":"10.1080/13854046.2020.1842501","DOIUrl":"https://doi.org/10.1080/13854046.2020.1842501","url":null,"abstract":"<p><p><b>Objective:</b> This study evaluated the functional effects of severe mental health symptoms on speed of academic performance to assist clinicians and educators in determining whether extra time accommodations are evidence-based for students with such diagnoses. <b>Method:</b> Using archival data from 1476 post-secondary students, we examined the performance of students with existing mental health diagnoses who were also reporting extremely high levels of symptoms. Their performance on timed academic achievement and cognitive processing measures was compared with performance of students with learning disabilities, Attention Deficit Hyperactivity Disorder, and clinical controls. Students failing stand-alone performance validity and/or symptom validity measures were excluded from this investigation. <b>Results:</b> Students diagnosed with anxiety and/or depression did not differ from clinical controls on any timed performance measure, typically performing academic tasks within a normal amount of time. By contrast, those with reading disabilities were typically the slowest on all academic tasks. <b>Conclusion:</b> Across the range of timed tests, students with mental health diagnoses did not show functional impairments in tests with a speed component. As such, they would not typically require increased time to perform speeded academic tasks, but they might require alternative accommodations in their post-secondary programmes in order to participate equally.</p>","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"1506-1532"},"PeriodicalIF":3.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2020.1842501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38566878","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 disparities in the author bylines of articles published in clinical neuropsychology journals from 1985 to 2019.","authors":"Anastasia Matchanova,&nbsp;Gunes Avci,&nbsp;Michelle A Babicz,&nbsp;Jennifer L Thompson,&nbsp;Briana Johnson,&nbsp;Irene J Ke,&nbsp;Samina Rahman,&nbsp;Kelli L Sullivan,&nbsp;David P Sheppard,&nbsp;Yenifer Morales,&nbsp;Savanna M Tierney,&nbsp;Victoria M Kordovski,&nbsp;Ilex Beltran-Najera,&nbsp;Nathalie Ulrich,&nbsp;Shoshana Pilloff,&nbsp;Keith Owen Yeates,&nbsp;Steven Paul Woods","doi":"10.1080/13854046.2020.1843713","DOIUrl":"https://doi.org/10.1080/13854046.2020.1843713","url":null,"abstract":"<p><p><b>Objective:</b> Women are becoming more prevalent in clinical neuropsychology, but gender bias and disparities persist across multiple professional domains. This study examined potential gender disparities in historical authorship trends across commonly read journals in clinical neuropsychology. <b>Method:</b> Analyses were conducted on 10,531 articles published in six clinical neuropsychology journals from 1985 to 2019. Each author was coded as either a man or a woman using the OpenGenderTracking Project database. <b>Results:</b> On average, women comprised 43.3% (±30.6) of the authors listed in clinical neuropsychology article bylines and were lead and/or corresponding author on 50.3% of these papers. Findings varied by journal, with <i>Child Neuropsychology</i> having the best representation of women across several study metrics. Women comprised an increasing proportion of authors over time and the gender gap in clinical neuropsychology is smaller than was recently reported for the broader field of psychology; nevertheless, the recent rates of women as authors lag behind the prevalence of women in clinical neuropsychology. Encouragingly, gender was not associated with the number of times an article was cited. Articles that included women in leadership roles had significantly more authors overall and specifically more women authors. <b>Conclusions:</b> Women are under-represented as authors in clinical neuropsychology journals, but they are becoming more common and their papers are cited just as frequently as men. Efforts to increase women as research mentors and sponsors may help to further close the publishing gender gap in clinical neuropsychology.</p>","PeriodicalId":197334,"journal":{"name":"The Clinical neuropsychologist","volume":" ","pages":"1226-1243"},"PeriodicalIF":3.9,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13854046.2020.1843713","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38676063","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}