Applied Neuropsychology-Adult最新文献

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Associations between clinician-observed test anxiety and neuropsychological performance in older adults. 临床观察到的老年人考试焦虑与神经心理表现之间的关系。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-08-03 DOI: 10.1080/23279095.2026.2704635
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}
引用次数: 0
From machine learning to deep learning in attention deficit hyperactivity disorder diagnosis: A bibliometric analysis of global trends (2011-2024). 从机器学习到深度学习在注意力缺陷多动障碍诊断中的应用:全球趋势的文献计量学分析(2011-2024)。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-08-01 DOI: 10.1080/23279095.2026.2707490
Mahi Khemchandani, Manjusha Pradeep Deshmukh
{"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}
引用次数: 0
A Delphi-guided development and validation of a comprehensive auditory attention assessment tool (C-AAAT). delphi引导下的综合听觉注意评估工具(C-AAAT)的开发与验证。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-08-01 DOI: 10.1080/23279095.2026.2710179
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}
引用次数: 0
Diagnostic accuracy of the Groningen Effort test for detecting underperformance in early retirement Claimants-New analyses in an expanded Austrian sample. 格罗宁根努力测试的诊断准确性,以检测在早期退休索赔表现不佳-在扩大奥地利样本的新分析。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-31 DOI: 10.1080/23279095.2026.2711406
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}
引用次数: 0
Cognitive reflection and fluid intelligence in egyptian young adults: The mediating role of Adele Diamond's Core Executive functions skills. 埃及年轻人的认知反射和流动智力:阿黛尔·戴蒙德核心执行功能技能的中介作用。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-30 DOI: 10.1080/23279095.2026.2712516
Mourad Ali Eissa Saad
{"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}
引用次数: 0
Cohort effects in cognitive screening: evidence for analog familiarity influencing Clock Drawing Test performance. 认知筛选中的队列效应:模拟熟悉度影响时钟绘制测试表现的证据。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-28 DOI: 10.1080/23279095.2026.2710854
Audrey Deterding, Alan F Smith
{"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}
引用次数: 0
Neuropsychological profiles in long-term schizophrenia: A cluster analysis. 长期精神分裂症的神经心理学特征:聚类分析。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-28 DOI: 10.1080/23279095.2026.2695322
Maria Del Carmen Caballero-Guzmán, Laura Teresa Rodríguez Hernández, Raquel Tierno Patiño, Juan José Fernández Muñoz
{"title":"Neuropsychological profiles in long-term schizophrenia: A cluster analysis.","authors":"Maria Del Carmen Caballero-Guzmán, Laura Teresa Rodríguez Hernández, Raquel Tierno Patiño, Juan José Fernández Muñoz","doi":"10.1080/23279095.2026.2695322","DOIUrl":"https://doi.org/10.1080/23279095.2026.2695322","url":null,"abstract":"<p><p>This study examines neurocognitive heterogeneity in a large, predominantly chronic and institutionalized sample of individuals with schizophrenia (N = 184). Using hierarchical and iterative clustering on composite neuropsychological scores, four distinct cognitive profiles emerged: Severe Cognitive Impairment, Cognitive Impairment, Preserved Cognition, and a small High Functioning subgroup. Impaired profiles were the most prevalent, reflecting the long illness duration and institutional context of the sample. Despite this, a subset of participants demonstrated above average performance, suggesting the presence of resilience related factors such as cognitive reserve. Robust differences across clusters were observed in all cognitive domains, supporting the existence of discrete neurocognitive subtypes rather than a single severity continuum. These findings highlight the relevance of cognitive stratification in chronic schizophrenia and underscore the need for individualized interventions tailored to specific cognitive profiles within institutionalized settings.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609931","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}
引用次数: 0
Efficacy of combined transcranial direct current stimulation and computer-based cognitive rehabilitation on cognition in patients with traumatic brain injury: A systematic review. 经颅直流电刺激联合计算机认知康复对外伤性脑损伤患者认知功能的影响:系统综述。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-23 DOI: 10.1080/23279095.2026.2702490
Anas R Alashram
{"title":"Efficacy of combined transcranial direct current stimulation and computer-based cognitive rehabilitation on cognition in patients with traumatic brain injury: A systematic review.","authors":"Anas R Alashram","doi":"10.1080/23279095.2026.2702490","DOIUrl":"https://doi.org/10.1080/23279095.2026.2702490","url":null,"abstract":"<p><p>Patients with traumatic brain injury (TBI) frequently experience cognitive deficits. Transcranial direct current stimulation (tDCS) and computer-based cognitive rehabilitation (CBCR) have been used in cognitive rehabilitation patients with TBI. This review aims to explore the effects of integrating tDCS and CBCR on cognition post-TBI. \"PsycINFO, PubMed, EMBASE, MEDLINE, SCOPUS, Web of Science, PEDro, and CINAHL\" were explored until March 2026. Randomized studies that integrated tDCS and CBCR and included at least one outcome measure evaluating cognitive function in patients with TBI were included. The Cochrane Risk of Bias 2 (RoB 2) instrument was employed to assess the risk of bias. Four studies involving 115 participants met the inclusion criteria. Two studies reported significant improvements in executive function and working memory after combining tDCS and CBCR compared with no-intervention controls. The other two studies found no significant differences between groups in memory, attention, or executive function outcomes after combining tDCS and CBCR compared with combining tDCS and CBCR. Overall, evidence on the effects of combining tDCS and CBCR is limited. Additional high-quality studies with consistent treatment protocols and long-term follow-up are strongly warranted to understand the effects of the intervention on cognition in individuals with TBI.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563755","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}
引用次数: 0
When neurodegenerative disease masquerades as psychiatric illness: A clinical case study of early-onset frontotemporal dementia. 当神经退行性疾病伪装成精神疾病:早发性额颞叶痴呆的临床病例研究。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-22 DOI: 10.1080/23279095.2026.2705384
Ashley Heywood, Anthony D Robinson, Nikita Maniar, Fang Zhu, Jason R Soble, Matthew S Phillips
{"title":"When neurodegenerative disease masquerades as psychiatric illness: A clinical case study of early-onset frontotemporal dementia.","authors":"Ashley Heywood, Anthony D Robinson, Nikita Maniar, Fang Zhu, Jason R Soble, Matthew S Phillips","doi":"10.1080/23279095.2026.2705384","DOIUrl":"https://doi.org/10.1080/23279095.2026.2705384","url":null,"abstract":"<p><p>Behavioral variant frontotemporal dementia is characterized by significant changes in personality and behavior with typical age of onset between the fifth and sixth decade of life. The following case study describes a 44-year-old female patient with a significant psychiatric history and distant mild traumatic brain injury who began to behaviorally decompensate in her mid-to-late 30s. She was referred for neuropsychological evaluation due to report of memory problems and progressive neuropsychiatric and neurobehavioral decline. Neuropsychological testing revealed diffuse cognitive impairment mediated by pronounced neurobehavioral executive dysfunction. Laboratory and genetic testing were unremarkable. Neuroimaging revealed statistically significant asymmetric hypometabolism in the bilateral frontotemporal region, more pronounced on the left. Taken together, results were suggestive of a primary underlying frontotemporal lobar degenerative process with secondary exacerbation due to chronic psychiatric distress. This case report highlights the importance of thorough differential diagnosis of a neurodegenerative process in a young adult with an overlay of longstanding psychiatric illness, especially when the etiology in question falls outside the typical age of onset.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551350","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}
引用次数: 0
Linguistic and cultural adaptation of the Montreal Cognitive Assessment (MoCA) version 8 for the Tamil-speaking population in India. 蒙特利尔认知评估(MoCA)版本8对印度泰米尔语人口的语言和文化适应。
IF 1.6 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2026-07-21 DOI: 10.1080/23279095.2026.2703255
A P Porrselvi, C R Sneha, M G Nurul Mehnaz, Samyuktha Ravi, Ragaviveka Gopalan
{"title":"Linguistic and cultural adaptation of the Montreal Cognitive Assessment (MoCA) version 8 for the Tamil-speaking population in India.","authors":"A P Porrselvi, C R Sneha, M G Nurul Mehnaz, Samyuktha Ravi, Ragaviveka Gopalan","doi":"10.1080/23279095.2026.2703255","DOIUrl":"https://doi.org/10.1080/23279095.2026.2703255","url":null,"abstract":"<p><strong>Background: </strong>Cognitive screening for Tamil-speaking populations is constrained by a shortage of linguistically appropriate tools. The previously available Montreal Cognitive Assessment (MoCA) version 7 did not account for Tamil diglossia, limiting its use among Indian Tamil speakers. This study aimed to linguistically and culturally adapt the parallel forms MoCA 8.1, 8.2, and 8.3 into Indian Tamil and conduct pilot testing.</p><p><strong>Methods: </strong>Three phases were conducted: forward and back translation with MoCA Institute approval; pilot testing for linguistic clarity; and secondary pilot testing with 139 participants (106 healthy controls and 33 with clinician-diagnosed Mild Cognitive Impairment or Dementia).</p><p><strong>Results: </strong>Cultural and linguistic modifications to the tests and manual were approved by the MoCA Institute, and all three versions were made available. MoCA scores declined with age (<i>p</i> < .001) and were higher among individuals with >12 years of education (<i>p</i> = .002). Unadjusted analyses showed lower clinical group scores; however, after controlling for age, most differences were non-significant, except in the Language domain. Several tasks appeared education-sensitive, indicating misclassification risk.</p><p><strong>Conclusions: </strong>The adapted Tamil MoCA versions demonstrate preliminary feasibility and cultural relevance, but validation with larger, age-matched samples is needed to establish normative data, education-based stratification, and other psychometric properties.</p>","PeriodicalId":51308,"journal":{"name":"Applied Neuropsychology-Adult","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551380","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}
引用次数: 0
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