Jared Cherry, Brian M Cerny, Steven A Miller, Matthew S Phillips, Eddie P Caumiant, Enchi Dai, Karishma Patel, Nathan T Palladino, Kellye Winbush Fairley, Thomas A Sedgwick, Malorie E Watson, Jason R Soble
{"title":"Latent profile analysis of the MMPI-2-RF in ADHD evaluations.","authors":"Jared Cherry, Brian M Cerny, Steven A Miller, Matthew S Phillips, Eddie P Caumiant, Enchi Dai, Karishma Patel, Nathan T Palladino, Kellye Winbush Fairley, Thomas A Sedgwick, Malorie E Watson, Jason R Soble","doi":"10.1080/23279095.2026.2714319","DOIUrl":"https://doi.org/10.1080/23279095.2026.2714319","url":null,"abstract":"<p><p>Assessment of Attention-Deficit/Hyperactivity Disorder (ADHD) among adults is complicated by high psychiatric comorbidity and symptom overlap, increasing the risk of potential diagnostic misclassification. This study used a Three-Step Latent Profile Analysis (LPA) to identify distinct Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), Restructured Clinical (RC) scale profiles in a mixed clinical sample seeking ADHD evaluation (<i>n</i> = 546). Three latent profiles emerged: a low-symptom profile, a somatic-depressed-threat sensitive profile, and a primarily demoralized profile. Profiles were not associated with ADHD diagnosis alone or most ADHD comorbidities. However, the profiles differed significantly in the probability of depression diagnoses, anxiety diagnoses, and combined ADHD/depression/anxiety diagnoses. Findings suggest MMPI-2-RF RC scale profiles are informative for identifying internalizing psychopathology and diagnostic complexity but lack specificity for ADHD. Results underscore the utility of MMPI-2-RF, RC scale-based latent profiles in disentangling diagnostic heterogeneity and the importance of multimethod assessment in adult ADHD evaluations.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686566","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}
Damla Aygün Gürbüz, Leyla Kaya Öztürk, Ebru Umay, Esra Akı
{"title":"Executive functions: Relationships with activities of daily living, social problem-solving, and participation.","authors":"Damla Aygün Gürbüz, Leyla Kaya Öztürk, Ebru Umay, Esra Akı","doi":"10.1080/23279095.2026.2713192","DOIUrl":"https://doi.org/10.1080/23279095.2026.2713192","url":null,"abstract":"<p><p>Stroke affects not only motor abilities but also cognitive and social functioning, resulting in complex life changes. This study investigated the relationship between executive functions and activities of daily living (ADL), social problem-solving, and participation among stroke survivors. A total of 110 individuals with stroke and 28 healthy controls participated. The control group completed the Executive Function Performance Test (EFPT), and stroke participants were grouped based on EFPT scores. Pearson's correlation and linear regression analyses examined the relationships and predictive effects, while group differences were assessed using the Mann-Whitney U test. Stroke survivors with executive dysfunction showed significantly poorer ADL performance and social problem-solving skills than those without impairment, although no significant difference was observed in participation. Executive functions were significantly correlated with both basic and instrumental ADL and problem-solving styles. Executive functions accounted for 27% of the variance in ADL, 16% in instrumental ADL, and 37% in social problem-solving. The findings highlight the adverse impact of executive dysfunction on daily functioning and cognitive skills post-stroke. However, no significant association was found with participation. These results underscore the importance of targeted rehabilitation strategies to address executive function impairments in stroke recovery.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686603","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":"Beyond global scores: Addenbrooke Cognitive Examination III domain-level profiles reveal heterogeneity within clinically confirmed subjective cognitive decline.","authors":"Anna Barczak","doi":"10.1080/23279095.2026.2713768","DOIUrl":"https://doi.org/10.1080/23279095.2026.2713768","url":null,"abstract":"<p><strong>Background: </strong>Subjective cognitive decline (SCD) is a heterogeneous clinical condition; however, routine cognitive screening primarily relies on global scores, which may obscure meaningful cognitive variability. This study examined whether domain-level analysis of the Addenbrooke's Cognitive Examination III (ACE-III) could identify distinct cognitive profiles within clinically confirmed SCD, even when global cognitive performance is preserved.</p><p><strong>Methods: </strong>This retrospective study included 370 help-seeking adults aged ≥60 years with clinically confirmed SCD, established through comprehensive neuropsychological assessment. Gaussian mixture modeling was applied to standardized ACE-III Memory, Fluency, and Visuospatial domain scores to identify latent cognitive profiles.</p><p><strong>Results: </strong>Three cognitive profiles were identified: Reassurance (64%), Lower-efficiency (23%), and Visuospatial-low (13%). Visuospatial was the principal domain differentiating the profiles and the only one to distinguish all groups. The greatest between-profile differences were observed for Clock Drawing and other visuoconstructional tasks. Profile membership was not explained by age or educational attainment.</p><p><strong>Conclusions: </strong>Clinically confirmed SCD is characterized by meaningful cognitive heterogeneity, even when global cognitive performance is preserved. Qualitative interpretation of ACE-III domain scores may complement conventional total-score assessment and enhance the characterization of cognitive variability in individuals with SCD. Longitudinal studies incorporating biomarkers and neuroimaging are required to determine the prognostic significance of these profiles.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680789","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}
Edward D Rossini, Jeffrey M Kunka, Jeri Morris, Justin D Numerick, James P Choca
{"title":"Teaching the Halstead Category Test: A survey of post-doctoral fellowships in adult clinical neuropsychology.","authors":"Edward D Rossini, Jeffrey M Kunka, Jeri Morris, Justin D Numerick, James P Choca","doi":"10.1080/23279095.2026.2712519","DOIUrl":"https://doi.org/10.1080/23279095.2026.2712519","url":null,"abstract":"<p><p>The Halstead Category Test (HCT) is considered among the most sensitive measures for detecting global neurological impairment. Although its ability to localize neurological dysfunction or to assess executive function has been questioned, its demonstrated diagnostic sensitivity to overall cognitive dysfunction remains widely accepted. Nevertheless, its use has declined significantly over the years, owing to complaints regarding the original cumbersome equipment, labor-intensive administration, and overall length. These criticisms were addressed over 30 years ago with the introduction of convenient computer software and validated HCT short forms. This survey examined whether any version of the HCT was being taught in post-doctoral fellowships in adult clinical neuropsychology. Training directors reported that the majority of trainees (63%) were not taught any version of the HCT. A minority were provided only informal training. Several supervisors reported not having been trained on the HCT themselves. Some expressed interest in computer administration and using available HCT short forms, yet these were rarely employed. The findings suggest that concerted promotion of convenient versions of the HCT is required in order for the test not to fall into obsolescence.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674586","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}
Andrea St-Amant, Marie-Anne St-Georges, Anna Marier, Maxime Montembeault
{"title":"Associations between clinician-observed test anxiety and neuropsychological performance in older adults.","authors":"Andrea St-Amant, Marie-Anne St-Georges, Anna Marier, Maxime Montembeault","doi":"10.1080/23279095.2026.2704635","DOIUrl":"10.1080/23279095.2026.2704635","url":null,"abstract":"<p><strong>Objective: </strong>As dementia diagnoses rise with population aging, understanding factors that influence neuropsychological performance become increasingly important. While research has established links between test anxiety and poorer test results in younger populations, its effects in older adults remain unclear.</p><p><strong>Method: </strong>A total of 342 cognitively unimpaired older adults from the National Alzheimer's Coordinating Center were included. Participants were categorized according to clinician-observed test anxiety using the Social Behavioral Observer Checklist into Anxious versus Non-anxious groups and Self-conscious versus Non-self-conscious groups. Measures of episodic memory, executive functions, language, and visuospatial abilities were administered. Analyses of covariance tested performance differences, adjusting for sex, education, and age.</p><p><strong>Results: </strong>Anxious and self-conscious participants performed significantly worse than their counterparts on episodic memory (delayed recall), although effect sizes were small (η<sup>2</sup> ≈ .02-.04). No significant group differences were observed on other cognitive measures. The association between being Self-conscious during testing and lower episodic memory remained significant when controlled for everyday anxiety and depression symptoms, whereas the association for being Anxious did not.</p><p><strong>Conclusions: </strong>Findings suggest that clinician-observed test anxiety may have minimal impact on cognitive results in aging. Nonetheless, the specific association between test anxiety and episodic memory performance underscores the need to minimize anxiety during assessments to support accurate diagnosis.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671355","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":"From machine learning to deep learning in attention deficit hyperactivity disorder diagnosis: A bibliometric analysis of global trends (2011-2024).","authors":"Mahi Khemchandani, Manjusha Pradeep Deshmukh","doi":"10.1080/23279095.2026.2707490","DOIUrl":"https://doi.org/10.1080/23279095.2026.2707490","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of attention deficit hyperactivity disorder (ADHD) has traditionally relied on subjective clinical interviews. Recent years have witnessed a paradigm shift toward objective, data-driven diagnostics powered by artificial intelligence (AI).</p><p><strong>Objective: </strong>This study provides a comprehensive bibliometric review of AI and machine learning (ML) applications in ADHD prediction to map the field's evolution, current trends, and future directions.</p><p><strong>Methods: </strong>A structured search of the Scopus database retrieved 722 publications from 2011 to 2024. Bibliometric indicators were analyzed using Python and VOSviewer to evaluate annual production, geographical distribution, and technological trends.</p><p><strong>Results: </strong>The field has entered an exponential growth phase, with publication output peaking in 2023. A geopolitical analysis reveals a \"research duopoly\" between the United States (130 papers) and China (129 papers). Technologically, there is a distinct transition from traditional ML-support vector machines (SVM) to deep learning (DL) architectures. Crucially, electroencephalography (EEG) has emerged as the preferred neuroimaging modality over functional magnetic resonance imaging (fMRI) in recent AI studies, driven by its cost-effectiveness and high temporal resolution.</p><p><strong>Conclusion: </strong>AI-based ADHD diagnosis has matured from an exploratory niche to an evolving domain of computational psychiatry. Future research must prioritize explainable AI (XAI) and multimodal data fusion to translate high algorithmic accuracy into clinical utility.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654878","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}
Prajwal Kumar Eranna, Jayashree S Bhat, Darshan Hosaholalu Sarvajna
{"title":"A Delphi-guided development and validation of a comprehensive auditory attention assessment tool (C-AAAT).","authors":"Prajwal Kumar Eranna, Jayashree S Bhat, Darshan Hosaholalu Sarvajna","doi":"10.1080/23279095.2026.2710179","DOIUrl":"https://doi.org/10.1080/23279095.2026.2710179","url":null,"abstract":"<p><p>Efficient everyday communication depends on the ability to sustain, selectively allocate, and inhibit auditory attention, particularly in multi-talker environments. Despite its clinical importance, standardized tools that assess attention across multiple stimulus levels are limited, especially within the auditory domain and the Indian context. The study aimed to develop and validate a comprehensive auditory attention assessment tool (C-AAAT) in Malayalam using a Delphi-guided framework. In Phase I, expert consensus established the need for the tool and guided its conceptualization, resulting in five subsections: syllable, word, nonword, discourse, and nonverbal stimuli. Content validation demonstrated strong relevance and clarity, with all items exceeding accepted content validity index thresholds, and pilot testing confirmed feasibility and ease of administration. In Phase II, the C-AAAT was administered to 67 younger adults (18-25 years) and 57 older adults (55-70 years) with normal hearing and no cognitive impairment. Outcome measures included accuracy, impulsivity, inattention, and response time. Exploratory factor analysis confirmed the coherent internal structure. Mann-Whitney U, Friedman's test, logistic regression, and receiver operating characteristic analyses and intraclass-correlation demonstrated sensitivity to age-related and subsection-wise differences, along with good to excellent test-retest reliability. These findings provide preliminary evidence of tool's validity and potential utility in assessing auditory attention among Indian-context.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654860","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}
Susanna Zehetmayer, Janina Teßmann, Anselm B M Fuermaier, Johann Lehrner
{"title":"Diagnostic accuracy of the Groningen Effort test for detecting underperformance in early retirement Claimants-New analyses in an expanded Austrian sample.","authors":"Susanna Zehetmayer, Janina Teßmann, Anselm B M Fuermaier, Johann Lehrner","doi":"10.1080/23279095.2026.2711406","DOIUrl":"https://doi.org/10.1080/23279095.2026.2711406","url":null,"abstract":"<p><p>Performance validity tests (PVTs), such as the Groningen Effort Test (GET), were designed to assess neuropsychological underperformance. This retrospective study examined the utility of the GET in the detection of underperformance among early retirement claimants and explored the impact of demographic variables. Data from 249 applicants who completed a neuropsychological test battery was analyzed. Based on predefined cutoff scores, participants were categorized as underperformers and non-underperformers. The underperformance group demonstrated significantly poorer outcomes across all GET variables than non-underperformance group. ROC analyses and logistic regression analyses were carried out. The total error count emerged as the most reliable indicator of underperformance. ROC analyses confirmed the diagnostic validity of all GET variables, with total error count yielding the highest discriminative accuracy (AUC = .82). Using the Cutoff score ≥ 24 total error count resulted in a specificity of 0.90 and a sensitivity of 0.56. Stricter definitions of underperformance improved specificity and overall accuracy. Likelihood ratios LR+ = 3.56 and LR- = 0.33 indicated usefulness of the GET total error count for screening purposes. These findings indicate that the GET, specifically the total error count, may be a valid tool for performance validity testing in early retirement assessments.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632752","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 reflection and fluid intelligence in egyptian young adults: The mediating role of Adele Diamond's Core Executive functions skills.","authors":"Mourad Ali Eissa Saad","doi":"10.1080/23279095.2026.2712516","DOIUrl":"https://doi.org/10.1080/23279095.2026.2712516","url":null,"abstract":"<p><p>The main purpose of this research is to determine the relationship between fluid intelligence and cognitive reflection and the possible mediating mechanisms in this relationship. This study employs a quantitative, non-experimental design using a relational screening model to examine naturally occurring associations between variables. The sample of the study consisted of a total of 230 healthy university adults, 110 women and 120 men, with an average age of 21.16 (SD = 1.60, age range 20-23). First, it was observed that there is a positive relationship between fluid intelligence and cognitive reflection, meaning that as fluid intelligence increases, cognitive reflection performance increases. it was determined that there are statistically significant direct relationships between fluid intelligence and the mediating variables, namely shifting, planning and problem-solving, and working memory. Therefore, the independent variable significantly predicts all mediating variables.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632778","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":"Cohort effects in cognitive screening: evidence for analog familiarity influencing Clock Drawing Test performance.","authors":"Audrey Deterding, Alan F Smith","doi":"10.1080/23279095.2026.2710854","DOIUrl":"https://doi.org/10.1080/23279095.2026.2710854","url":null,"abstract":"<p><p>The Clock Drawing Test (CDT) is widely used as a brief cognitive screening measure in aging and neuropsychological populations, yet its validity depends on the assumption that analog time representation is universally understood. This assumption may not hold for younger cohorts raised in predominantly digital environments. The present study examined whether CDT performance reflects cognitive ability or familiarity with analog time representation in Generation Z adults. A within-subjects design was employed in which 84 participants completed the CDT, a visuospatial comparison task, Pizza Test, and an Analog Clock Literacy Questionnaire (ACLQ). Participants obtained higher scores on the Pizza Test than on the CDT, <i>t</i>(83) = 15.06, <i>p</i> < .001, <i>d</i> = 1.64. More importantly, analog-clock literacy significantly predicted CDT performance but did not predict Pizza Test performance. These findings indicate that CDT performance is partially influenced by cohort-specific experience rather than cognitive ability alone, suggesting a potential threat to construct validity. As digitally native cohorts age into populations routinely screened for cognitive impairment, reliance on analog-based tasks may warrant reconsideration to ensure valid and equitable assessment practices.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610000","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}