Applied Neuropsychology-Adult最新文献

{"title":"Do we measure up? A systematic review of cognitive assessment during a digital era in acquired brain injury.","authors":"Eileen Bousché, Elissa Embrechts, Inês I F Pires, Isabel K Gosselt, Hanne Huygelier, Tanja C W Nijboer","doi":"10.1080/23279095.2026.2720586","DOIUrl":"https://doi.org/10.1080/23279095.2026.2720586","url":null,"abstract":"<p><p>There is increasing interest in using Virtual and Augmented Reality (VR and AR) to assess cognitive performance in survivors of acquired brain injury (ABI). This study identified the most commonly used outcome measures from Experimental (EXP), Real-Life (RL), VR, and AR tasks targeting memory, attention, and executive functioning in ABI. Studies published between 2010 and 2026 were retrieved from PubMed and Scopus. Additionally, outcome measures were evaluated using a theory-informed classification to assess construct-task alignment. A total of 98 studies were included, of which most (39%) employed experimental (EXP) tasks, only 6% used AR. Attention was studied most frequently (67%). Accuracy was the predominant outcome measure (EXP 63%; RL 90%; VR 81%) followed by temporal measures (EXP 53%; RL 67%; VR 59%). AR showed the opposite pattern (33% and 83%). Almost all measures met construct-task alignment; however, VR had the highest level of misalignment (31%). Cautiously stated, VR/AR may not yet be fully exploited since computerized data can extend beyond accuracy and temporal measures, which showed limited construct-alignment in complex VR tasks. Interdisciplinary collaboration is essential to develop outcome measures better suited to VR/AR technology reflecting daily-life situations.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-28"},"PeriodicalIF":1.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002999","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":"Minor depressive symptoms are associated with reduced memory performance across the adult lifespan.","authors":"Selene Cansino, Frine Torres-Trejo, Cinthya Estrada-Manilla, Silvia Ruiz-Velasco","doi":"10.1080/23279095.2026.2729525","DOIUrl":"https://doi.org/10.1080/23279095.2026.2729525","url":null,"abstract":"<p><p>Individuals with a diagnosis of major depressive disorder exhibit cognitive difficulties. However, the effects of subclinical or subthreshold depressive symptoms on cognition are less known. The aim of the present cross-sectional study was to determine the possible influence of minor depressive symptoms on working memory and episodic memory. Depressive symptoms were assessed with the Beck Depression Inventory. Working memory was examined in a sample of 1662 participants, and episodic memory was examined in a subsample of 1557 individuals. All the subjects were healthy adults between the ages of 21 and 80 years. All the memory tasks were computerized. Working memory was assessed in the spatial and verbal domains at two levels of difficulty. With respect to episodic memory, we evaluated recognition and recollection. Hierarchical regression models demonstrated that depressive symptoms predicted lower memory performance in all tasks and processes after controlling for age, sex, years of education, vocabulary scores, and Mini-Mental State Examination scores. Minor depressive symptoms are powerful enough to be negatively associated with working and episodic memory performance, and stronger associations were observed as depressive symptoms worsen, indicating that their association is proportional to their number and intensity. Both types of memory are essential for performing everyday activities and preserving autonomy.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992156","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":"Examination of the relationship between perceived fatigue and occupational balance among individuals with stroke.","authors":"M Rohat Yazici, Çigdem Çekmece","doi":"10.1080/23279095.2026.2734318","DOIUrl":"https://doi.org/10.1080/23279095.2026.2734318","url":null,"abstract":"<p><p>Fatigue is a common and debilitating consequence of stroke that may negatively affect occupational balance, a key component of meaningful engagement in daily life and well-being. A cross-sectional study was conducted with 192 individuals with stroke recruited from Kocaeli University Hospital. Participants completed the Fatigue Severity Scale (FSS) and the Turkish version of the Occupational Balance Questionnaire (OBQ11-T). Spearman and Pearson correlation analyses were performed, followed by multiple linear regression. The primary Spearman analysis showed a weak and non-significant association between fatigue severity and occupational balance (ρ = -.064, p = .376), whereas the complementary Pearson analysis indicated a weak but statistically significant negative association (r = -.24, p < .001). The regression model was not statistically significant and accounted for only a small proportion of the variance in occupational balance (R² = .018, p = .766). Overall, the evidence for an association between fatigue and occupational balance was limited and inconsistent across analytical approaches. These findings highlight the importance of considering occupational balance as a multidimensional outcome and support further investigation of psychosocial and contextual factors in stroke rehabilitation.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991897","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":"Longitudinal changes in social cognition in early relapsing-remitting multiple sclerosis over two years.","authors":"Inês Brás Marques, Gonçalo Diniz de Pinho, Dina Silva, Mafalda Pereira, Afonso Salgado, Catarina Chester","doi":"10.1080/23279095.2026.2729516","DOIUrl":"https://doi.org/10.1080/23279095.2026.2729516","url":null,"abstract":"<p><p>Longitudinal studies examining social cognition in multiple sclerosis remain under-investigated, especially in early disease stages. This study investigated changes in social cognition over a two-year follow-up period in individuals with early relapsing-remitting multiple sclerosis (RRMS). Twenty-four participants with early RRMS and 23 matched healthy controls were included. Participants completed clinical and neuropsychological evaluations, assessments of depression, anxiety, fatigue, and quality of life (QoL), and social cognition tasks evaluating emotion recognition (Emotion Recognition Task), affective theory of mind (Reading the Mind in the Eyes Test), and cognitive theory of mind (Faux Pas Test). Longitudinal analyses revealed modest declines in both affective and cognitive theory of mind performance over follow-up, while emotion recognition remained stable. Cognitive theory of mind and emotion recognition were associated with other cognitive domains, whereas affective theory of mind showed no significant cognitive correlations. Poorer cognitive theory of mind performance was associated with lower global and mental QoL, and mental QoL was independently associated with cognitive theory of mind performance. In conclusion, social cognition, particularly theory of mind, showed modest worsening over time in individuals with early-stage RRMS despite low physical disability. These findings suggest that subtle social cognition deficits may emerge early in the disease and may be associated with poorer mental quality of life. Incorporating social cognition assessment into routine neuropsychological evaluation from the early stages of MS may allow early identification of deficits and inform targeted interventions to improve psychosocial outcomes.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978549","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":"Cohabitation status influences subjective informant reports of daily functioning in aging Asian American adults.","authors":"Jennifer Lozano, Claudine Lim Oliva, Ezekiel Hernandez, Sage Yosick, Jasmine Grovner, Lisa V Graves","doi":"10.1080/23279095.2026.2731482","DOIUrl":"10.1080/23279095.2026.2731482","url":null,"abstract":"<p><strong>Objective: </strong>Informant reports of daily functioning, and their associations with neuropsychological performance, have been shown to vary based on informant characteristics. However, associations among informant characteristics, reported functioning, and neuropsychological performance have not been examined with Asian American (AA) samples.</p><p><strong>Method: </strong>We examined associations of informant characteristics with subjective informant reports of participants' functioning (assessed via the Functional Activities Questionnaire [FAQ]), and potential moderating effects of these characteristics on associations between reported functioning and objective neuropsychological performance among aging AA adults in the National Alzheimer's Coordinating Center cohort (n = 259).</p><p><strong>Results: </strong>Cohabiting informants reported significantly higher FAQ scores (worse participant daily functioning) compared to non-cohabiting informants (<i>p</i>=.007). However, cohabitation status was not shown to be significantly associated with neuropsychological performance, nor was it shown to moderate associations between FAQ scores and neuropsychological performance, in any domain (<i>p</i>s>.05). Cohabitating participants did have higher rates of dementia diagnoses nonetheless (<i>p</i>=.008).</p><p><strong>Conclusions: </strong>Although neuropsychological performance, as well as the degree to which subjective informant reports correspond with neuropsychological performance, does not vary as a function of cohabitation status among aging AA adults, differences in subjective reports of daily functioning based on cohabitation status may nonetheless influence diagnostic outcomes.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978581","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":"Neuroscience, measurement, and the limits of technological certainty in applied neuropsychology.","authors":"Pouya Zandian, Nasrin Tayeri","doi":"10.1080/23279095.2026.2725360","DOIUrl":"https://doi.org/10.1080/23279095.2026.2725360","url":null,"abstract":"","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971941","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 reserve and digital lifestyle: Examining How technology engagement moderates age-related executive function decline in adults.","authors":"Muhammad Awais Bhatti, Mohanad Mohammed Sufyan Ghaleb, Sidra Amin","doi":"10.1080/23279095.2026.2720790","DOIUrl":"https://doi.org/10.1080/23279095.2026.2720790","url":null,"abstract":"<p><p>Cognitive reserve the brain's resilience to age-related decline varies widely, yet mechanisms underlying this heterogeneity are incompletely understood. This 24-month longitudinal study tracked 412 adults aged 40-75 across three waves, combining standardized executive function testing with objective smartphone usage metrics. Latent growth curve modeling within a structural equation framework examined whether digital engagement moderates executive function decline beyond traditional cognitive reserve proxies. Results showed age-related decline in executive functions (β = -0.18), with steeper decline after 60 (β = -0.29). High engagement (≥3.5 hours/day of cognitively stimulating technology) attenuated decline by 58%, specifically in cognitive flexibility (β = 0.24) and planning (β = 0.21), whereas passive consumption showed no effect. Cross-lagged analyses indicated bidirectional effects: executive function predicted subsequent engagement, and sustained engagement slowed decline. Findings highlight that quality and type of digital activity, not screen time alone, influence cognitive aging trajectories.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957311","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":"Reliable Digit Span in the WAIS-5: Preserving an established performance validity measure.","authors":"Paul Skirrow, Christine Canty, Alexia Pavlis","doi":"10.1080/23279095.2026.2732238","DOIUrl":"https://doi.org/10.1080/23279095.2026.2732238","url":null,"abstract":"","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945293","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":"Educational bias in the Montreal Cognitive Assessment among hemodialysis patients: A domain-level analysis.","authors":"Abdullah Hashim Almalki, Majed Alharthi, Ahmad Makeen, Fatemah Binladen, Abrar Alzahrani, Faisal Albalwi, Mohamed Buhary","doi":"10.1080/23279095.2026.2729517","DOIUrl":"https://doi.org/10.1080/23279095.2026.2729517","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cognitive impairment is common in hemodialysis (HD) patients and increasingly informs clinical decisions, including capacity to consent and the planning of dialysis care. Most estimates rely on the Montreal Cognitive Assessment (MoCA), an instrument strongly dependent on educational attainment. In low-literacy HD populations, this dependence may cause systematic over-identification of impairment and distort apparent risk factors such as sex. We examined how educational attainment shapes MoCA-defined impairment in older HD patients and used the sex difference as a natural experiment to expose the bias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study enrolled 161 patients aged 50 years or older receiving maintenance HD at three Western-region National Guard centers in Saudi Arabia. Impairment was defined as MoCA &lt; 26. We compared mean MoCA and impairment across educational strata; tested for education-related differential item functioning (DIF) across MoCA domains after matching on overall ability; quantified the apparent sex effect by sequential adjustment, formal mediation and within-stratum comparison; estimated the share of the educational score gap recoverable by the standard one-point correction; and tabulated impairment across screening thresholds. Independent determinants were identified by multivariable logistic regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Impairment affected 107/161 patients (66.5%). Mean MoCA was 17.6 in illiterate patients, 24.1 in those who read/write and 25.5 in college-educated patients (illiterate-college difference 7.9 points). The standard one-point correction offset 13% of this difference; 81% of illiterate patients remained below threshold even after a three-point correction. Education-related DIF was present in the four literacy-loaded domains (attention, executive, orientation, language; all &lt;i&gt;p&lt;/i&gt; ≤ 0.006) and absent in the three least literacy-dependent domains (delayed recall, abstraction, naming; all p &gt; 0.3), after matching on overall ability. Women had a higher crude impairment prevalence than men (78.8% vs 57.9%; &lt;i&gt;p&lt;/i&gt; = 0.010; crude odds ratio 2.70); this fell to 1.61 (95% CI 0.73-3.53) after adjustment for age and education; education mediated 62% of the sex effect on MoCA score, and the sex difference was non-significant within every education stratum. In sensitivity analyses using lower cutoffs, a residual female association became apparent (adjusted odds ratio 2.66 at &lt; 24 and 2.48 at &lt; 23). In multivariable analysis only older age and lower education were independently associated with impairment (area under the curve 0.76-0.78); no dialysis-related or biochemical variable, including iPTH, was associated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;In this low-literacy HD population, MoCA-defined cognitive impairment was governed by educational attainment, with domain-level evidence of literacy bias, and the apparent female excess was largely explained by educ","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914128","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 effect of combining working memory training with naming treatment on word retrieval and the generalization to discourse in individuals with aphasia: The mediating role of working memory.","authors":"Ghazal Rostami Pour Fard, Toktam Maleki Shahmahmood, Salime Jafari","doi":"10.1080/23279095.2026.2721610","DOIUrl":"https://doi.org/10.1080/23279095.2026.2721610","url":null,"abstract":"<p><p>Given the interdependence of working memory (WM) and language processing, mitigating cognitive \"bottlenecks\" remains a critical objective in aphasia rehabilitation to promote functional recovery. This study investigated the comparative efficacy of a language treatment (Phonological Component Analysis; PCA) versus a combined approach integrating PCA and WM training, specifically examining their effects on lexical retrieval and discourse performance. A 65-year-old male with chronic non-fluent aphasia (participant [HY]) was recruited for this single-subject ABAC experimental design, comprising an initial three-session baseline (A1), a phase of PCA-only treatment (B), a secondary three-session baseline (A2), and a phase of combined PCA+WM intervention (C). Primary outcome measures encompassed naming accuracy, WM capacity, and connected speech indices (including lexical, grammatical, and communicative indices). Data analysis was conducted via visual inspection and the Percentage of Non-overlapping Data (PND) metric. Visual analysis revealed that both intervention protocols yielded clinical gains relative to baseline performance. While naming abilities exhibited consistent enhancement across both treatment phases, a notable augmentation in WM capacity was observed specifically during the second phase. Notably, discourse outcomes-incorporating grammatical, semantic, and communicative parameters-demonstrated significant improvement during the initial PCA-only phase, with more modest gains observed during the subsequent combined treatment phase. Post-intervention follow-up indicated that therapeutic gains were either maintained or exhibited marginal continued progress. These findings suggest that integrating WM training into traditional anomia therapy may augment naming and discourse outcomes, Further large-scale research is warranted to elucidate the precise mechanisms by which WM contributes to the remediation of discourse deficits in aphasia.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914174","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}