Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists最新文献

{"title":"The Effect of Youth Concussion History on Preseason Reaction Time Performance on a Computerized Neuropsychological Test Battery.","authors":"Erika K Osherow, Susan M Mingils, Kim A Gorgens","doi":"10.1093/arclin/acaf072","DOIUrl":"https://doi.org/10.1093/arclin/acaf072","url":null,"abstract":"<p><p>This study examined reaction time (RT) as a measure to detect lasting cognitive changes in youth athletes with a concussion history. Eighty-two high school athletes were included (20 with a history of one concussion [HC1], 10 with two or more [HC2+], and 52 with no history of concussion [NHC]). Athletes completed the Automated Neuropsychological Assessment Metrics core battery. Performance (in milliseconds) on Simple Reaction Time (SRT) and Repeated Simple Reaction Time (RSRT) subtests were compared across groups using repeated measures ANOVA. Differences in change in RT were assessed with a one-way ANOVA and the relationship between SRT and RT was analyzed using hierarchical regression. Results showed significant group differences in RSRT, with the NHC group as the fastest and the HC2+ group the slowest. While 80.5% of athletes quickened their RT from SRT to RSRT, the HC2+ group showed significantly less change than the NHC group. The NHC and HC1 groups both showed a negative relationship between initial SRT and subsequent change in RT on the RSRT, but the HC2+ group exhibited a positive relationship, suggesting a potential deficit in dynamic performance. These findings demonstrate that RSRT may be more sensitive than SRT alone in detecting lasting cognitive differences among youth athletes with a concussion history. Specifically, athletes with multiple concussions demonstrated slower overall RTs and failed to benefit from practice on repeated assessment. Repeated testing of RT may be necessary to detect more subtle deficits and to potentially decrease the risk of long-term impairments and future injuries.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839755","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 Normative Study of the Trail Making Test-Black and White in the Korean Population.","authors":"Jeewon Suh, Min Jae Baek, Yeonwook Kang, SangYun Kim","doi":"10.1093/arclin/acaf071","DOIUrl":"https://doi.org/10.1093/arclin/acaf071","url":null,"abstract":"<p><strong>Objective: </strong>Although the Trail Making Test (TMT) is widely used to identify cognitive dysfunction, it has limited utility in cross-cultural contexts due to the use of the English alphabet in a subset of the test. The TMT-Black and White (TMT-B&W) is a newly developed version of the TMT that uses only black and white circles to overcome performance biases among non-English-speaking and illiterate older individuals. The objective of this study was to provide initial normative data for the TMT-B&W from the Korean population and investigate the influence of age, sex, and education level on the time taken to complete the test.</p><p><strong>Methods: </strong>We recruited 1012 participants (430 men and 582 women) aged 19 to 90 in the community settings including a Welfare Center for the Elderly. TMT-B&W tests were conducted, and the time to completion of the test was measured. Scaled scores (M = 10, SD = 3) were calculated and multiple regression analyses were conducted to establish regression based normative T-scores (M = 50, SD = 10) for the TMT-B&W part A and B.</p><p><strong>Results: </strong>Age, education level, and sex significantly predicted TMT-B&W Part A and Part B performance. The regression models explained 52.6% of the variance for Part A and 69.6% for Part B. Demographically adjusted T-scores were developed, providing standardized normative data for clinical interpretation.</p><p><strong>Conclusion: </strong>This study provided normative data for the TMT-B&W in the Korean population. This new version of the TMT has the potential to be employed in cross-cultural contexts without language barriers, although further validation across diverse populations is needed.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839754","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":"Investigation of the Effect of Repetitive Transcranial Magnetic Stimulation Method on Psychological Symptoms.","authors":"Fatih Bal","doi":"10.1093/arclin/acaf069","DOIUrl":"https://doi.org/10.1093/arclin/acaf069","url":null,"abstract":"<p><p>The aim of this study was to investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on psychological symptoms. In order to examine the effects of the rTMS method on psychological symptoms, the study employs a three-group design comprising pretest, posttest, and follow-up measurements. It can be characterized as a 3 × 3 factorial design, encompassing comparisons at three distinct time points. The research was conducted at a private psychiatric facility. The study sample comprises individuals who sought treatment at the psychiatric center during the 2023-2024 period. The total number of participants included in the study was 60. The participants were aged between 18 and 60. The research data were collected using a six-item `Personal Information Form' which requested descriptive information and included the Symptom Checklist-90-Revised for the purpose of general mental status assessment. The repetitive transcranial magnetic stimulation procedure was conducted at a psychiatric clinic. To ensure the efficacy of the treatment, pre-treatment clinical interviews were conducted. The sessions were conducted daily, five times per week, for a period of 4 to 6 weeks. The data obtained from the research were subjected to analysis using Statistical Package for the Social Sciences 25. As a result of the study, repetitive transcranial magnetic stimulation was found to have a significant effect on psychological symptoms. However, it was found to have no significant effect on anxiety, psychoticism and hostility scores in participants who did not use psychotherapy and medication. Further studies are needed to replicate these results in other populations.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736574","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 Pilot Study of the Effect of Repeated Practice in Virtual Reality on Everyday Action Performance in Real Life.","authors":"Ross Divers, Molly B Tassoni, Katherine Hackett, Moira McKniff, Takehiko Yamaguchi, Lillian Ham, Anastasia Matchanova, Matthew Calamia, Tania Giovannetti","doi":"10.1093/arclin/acaf067","DOIUrl":"10.1093/arclin/acaf067","url":null,"abstract":"<p><strong>Introduction: </strong>In a prior case study of moderate dementia due to Alzheimer's disease, repeated performance of everyday tasks in a virtual environment demonstrated transfer of improvement in real world cooking tasks. The present pilot study sought to replicate and extend these findings by employing similar virtual training for improving real everyday task performance in older adults with various levels of cognitive and functional impairment.</p><p><strong>Methods: </strong>Older participants (N = 6; age range = 66-93; six women, two men) with self-reported cognitive/functional decline underwent daily virtual reality (VR) training sessions on one of two different everyday tasks (i.e., Breakfast or Lunch) for 1 week. Baseline and post-training (within 48 hours of the last day of training and at 1 month post training) testing was done with real objects for both trained and comparable untrained tasks. Reliable change indices for each training outcome (i.e., task accomplishment, time to completion, time per step, overt errors, micro-errors) were calculated for each follow up.</p><p><strong>Results: </strong>Significant improvement in the speed at which task steps were accomplished, time to completion, task accomplishment, or errors were noted in five of the six participants. The one participant who did not show improvement on the trained task showed significant declines on only the untrained task.</p><p><strong>Conclusions: </strong>Our results demonstrate the feasibility of training in a virtual environment, with transfer of improvement to real tasks, suggesting the potential of VR training for precluding functional disability in older adults with various levels of cognitive/functional impairment.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736572","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":"Screening for Neurocognitive Deficits in Pediatrics-the Clinical Utility of the Pediatric Perceived Cognitive Functioning item bank.","authors":"Marieke de Vries, Jan Pieter Marchal, Heleen Maurice-Stam, Berdien Mulder, Martha Grootenhuis, Femke K Aarsen, Andre B Rietman, Michiel A J Luijten, Kim J Oostrom","doi":"10.1093/arclin/acaf065","DOIUrl":"https://doi.org/10.1093/arclin/acaf065","url":null,"abstract":"<p><strong>Objective: </strong>Efficient screening for neurocognitive dysfunction is pivotal for timely intervention in at-risk populations in pediatrics. The Pediatric Perceived Cognitive Functioning (PedsPCF) item bank was developed for this purpose. We aimed to explore the relationship between, and the discriminative value of PedsPCF scores with neurocognitive outcomes and the behavior rating inventory of executive function parent report (BRIEF) in a pediatric population.</p><p><strong>Methods: </strong>The PedsPCF parent- and self-report versions were added to neurocognitive testing batteries that were administered in clinical care or research in two Dutch academic pediatric hospitals. Most test batteries were individually tailored, resulting in a wide variety of measures. We determined Pearson correlations between the PedsPCF and neurocognitive test outcomes categorized into five neurocognitive domains as proposed in the Diagnostic and Statistical Manual of Mental Disorders-5, and the BRIEF-parent. Moreover, we assessed the discriminative values of PedsPCF deficit scores (M - 1 SD) for neurocognitive domain deficits (M - 1 SD) and the BRIEF-parent.</p><p><strong>Results: </strong>The PedsPCF was completed by 104 children and 106 parents. The parent-PedsPCF correlated with three neurocognitive domains and the BRIEF-parent but did not indicate deficits in any of the neurocognitive domains. The self-report PedsPCF correlated with a deficit in complex attention and the BRIEF-parent, and could indicate a deficit in complex attention only.</p><p><strong>Conclusions: </strong>Although the PedsPCF correlated with neurocognitive test outcomes, the discriminative value of the total score was limited. The short and freely available PedsPCF appears to add a useful subjective dimension to neurocognitive testing rather than a replacement of neurocognitive assessment.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144693044","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":"Get Your Brain in the Game: Using Machine Learning to Predict Recovery Timelines Following Sports-Related Concussion.","authors":"Garrett A Thomas, Peter A Arnett","doi":"10.1093/arclin/acaf066","DOIUrl":"https://doi.org/10.1093/arclin/acaf066","url":null,"abstract":"<p><strong>Objective: </strong>This exploratory proof-of-concept study aimed to develop predictive models for return-to-play (RTP) timelines following sports-related concussion using machine learning techniques.</p><p><strong>Methods: </strong>Using data available through Federal Interagency Traumatic Brain Injury Research Informatics System (FITBIR) and the Concussion Assessment, Research and Education (CARE) Consortium, the sample included 971 college athletes with available RTP data. Data were split into training, testing, and validation sets. Random forest (RF) regression modeling was used to predict number of days to RTP based on individual factors, injury data, and symptom and cognitive performance data collected 24-48 hr post-concussion. Recursive feature elimination (RFE) was used to identify the features that were most strongly associated with RTP. We also conducted RF classification modeling with recovery type (typical [≤ 28 days] vs. prolonged [> 28 days]) as the outcome of interest.</p><p><strong>Results: </strong>RFE revealed optimal performance with 31 features, most of which were related to post-concussion symptomatology and cognitive performance. The RF regression model showed modest performance, accounting for 21% and 17% of the variance in testing and validation sets, respectively. The RF classification models also showed good performance across different levels of dataset balancing. The strongest classification model showed an accuracy of 89.04% with an F1 score of 0.56 on the testing set. On the validation set, the model showed 85.52% accuracy with an F1 score of 0.40. Receiver operator characteristics showed an AUC of 0.85.</p><p><strong>Conclusions: </strong>Overall, these findings support the use of machine learning models in concussion management - particularly with predicting recovery timelines.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677196","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":"Linking Personality Traits to Disability Progression in Multiple Sclerosis: A Longitudinal Analysis.","authors":"Isabele Jacot de Alcântara, Philippe Voruz, Gilles Allali, Patrice H Lalive, Julie A Péron","doi":"10.1093/arclin/acaf063","DOIUrl":"https://doi.org/10.1093/arclin/acaf063","url":null,"abstract":"<p><strong>Objective: </strong>Living with a chronic disease often involves facing many personal changes. In multiple sclerosis (MS), these changes can occur in both physical and psychological domains. Interestingly, psychological factors, including personality traits, have been suggested as potential contributors to disability progression in MS. However, longitudinal studies exploring these associations are scarce. The objective of this study is to highlight and understand long-term associations between personality and disability progression in MS using advanced statistical methods that provide a robust approach to analyzing repeated measures.</p><p><strong>Methods: </strong>Twenty-eight people with a confirmed diagnosis of MS (Mage = 47.5 years; 19 women) were included in this longitudinal study. Personality was assessed using the NEO-Personality Inventory-3 and disability with the Expanded Disability Status Scale at two time points (mean interval of 4.2 years). Finally, Generalized Estimating Equations were performed.</p><p><strong>Results: </strong>Persons who displayed an increase in Neuroticism, notably in its Anxiety facet, as well as a decrease in Extraversion, particularly in its Warmth and Gregariousness facets, showed more disability increase.</p><p><strong>Conclusion: </strong>These findings underscore the importance of considering personality dynamics in the management of MS and advocate for a more individualized, person-centered approach to care and research.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144645158","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":"Profiles of Individuals With Long COVID Reporting Persistent Cognitive Complaints.","authors":"Carmen Cabello Fernandez, Vincent Didone, Hichem Slama, Gilles Dupuis, Patrick Fery, Gaël Delrue, Alexia Lesoinne, Fabienne Collette, Sylvie Willems","doi":"10.1093/arclin/acaf064","DOIUrl":"https://doi.org/10.1093/arclin/acaf064","url":null,"abstract":"<p><strong>Objective: </strong>A subset of COVID-19 patients continues to experience cognitive difficulties 24 months post-infection. The factors driving these symptoms are complex, and the underlying pathophysiology is unclear. This study aimed to characterize individuals with Long COVID reporting cognitive issues.</p><p><strong>Method: </strong>One hundred twenty-three patients underwent a comprehensive neuropsychological evaluation resulting from the baseline of an RCT study (COVCOG), along with questionnaires assessing cognitive complaints, fatigue, sleep difficulties, quality of life, psychological distress, and impact on daily activities. Latent Profile Analyses on cognitive scores were conducted to investigate the presence of different patient profiles. Robust analyses of variance and Pearson's chi-square examined the profiles' effects on demographic variables and questionnaire scores.</p><p><strong>Results: </strong>Patients had had predominantly mild to moderate infections (87.8%) and were assessed an average of 20.9 (±8.6) months post-infection. Neuropsychological assessment showed cognitive impairment in at least one domain in 72% of the patients, mainly in attention and executive functions. Over 80% reported sleep problems and fatigue, 97% concentration problems, and some 80% memory and word-finding problems. The self-report questionnaires also revealed significant complaints. Three profiles emerged (all ps < .001). Profiles 1 and 2 both experienced widespread cognitive issues; Profile 1 patients expressed more complaints about cognitive functioning and daily fatigue (all ps < .045). Patients in Profile 3 were more frequently men (all ps < .049) with a specific impairment of verbal long-term memory and fewer complaints.</p><p><strong>Conclusions: </strong>The study identifies three different profiles of individuals with Long COVID, highlighting the need for comprehensive evaluations including neuropsychological, psychological, somatic, and functional aspects to implement effective, tailored interventions. Clinicaltrials.gov: NCT05167266.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621643","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":"Bridging Gaps in Sundown Syndrome Research: a Scoping Review and Roadmap for Future Multimodal Approaches.","authors":"Qianru Xu, Feng Vankee Lin, Yang Liu, Guoying Zhao","doi":"10.1093/arclin/acaf062","DOIUrl":"https://doi.org/10.1093/arclin/acaf062","url":null,"abstract":"<p><strong>Objective: </strong>Sundown syndrome (SS), or sundowning, is a neuropsychiatric phenomenon marked by the worsening of symptoms in the late afternoon or evening, primarily in individuals with dementia. By systematically examining previous studies, this scoping review aims to (1) bridge traditional questionnaire-based assessment methods with advanced sensor-based tools and (2) propose a multimodal framework to guide future research in enhancing risk identification, diagnosis, monitoring, and treatment across key symptom categories.</p><p><strong>Method: </strong>We conducted a comprehensive review of Web of Science, PubMed, Medline, APA PsycInfo, and IEEE Xplore to identify studies on SS. Following established scoping review guidelines, 13 review papers and 41 empirical studies were selected and analyzed based on traditional questionnaire-based observation and/or sensor-based measurement methods.</p><p><strong>Results: </strong>We identified key limitations in traditional assessment methods and classified SS symptoms into five domains: psychomotor symptoms, cognitive and perceptual disturbances, mood and affective symptoms, psychosis, and disruptions in activities of daily living and instrumental activities of daily living. Building on these insights, we proposed a multimodal platform integrating sensor technologies to enhance risk identification, diagnosis, continuous monitoring, and treatment.</p><p><strong>Conclusions: </strong>This study advances the understanding of SS by synthesizing prior research, refining symptom domains, and proposing a roadmap for future investigation and intervention. The integration of multimodal sensor technologies holds the potential to reduce caregiver burden, enhance patient care, and enable more effective management of SS and other behavioral disturbances in older adults.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562602","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":"Translation and Validation of the Persian Version of the Communication and Language Assessment Questionnaire for Persons with Multiple Sclerosis (P-CLAMS).","authors":"Aghaei Fatemeh, Rahmani Shima, Azarinfar Maryam, HaresAbadi Fatemeh, Ghaemi Hamide, El-Wahsh Sarah","doi":"10.1093/arclin/acaf060","DOIUrl":"https://doi.org/10.1093/arclin/acaf060","url":null,"abstract":"<p><strong>Objective: </strong>Persons with multiple sclerosis (MS) can experience communication changes, which can significantly impact their quality of life. To explore and help address these challenges, patient-reported outcome measures (P-CLAMS) can be valuable tools in both research and clinical practice. They can help track symptom progression, support patient-centered care, assess the effectiveness of service delivery, and complement clinical assessments. This study aimed to translate and validate the Persian version of the Communication and Language Assessment Questionnaire for Persons with Multiple Sclerosis (P-CLAMS).</p><p><strong>Method: </strong>The adaptation and translation of the questionnaire occurred in two phases: (1) translation and cultural adaptation and (2) validity and reliability. The final version of the P-CLAMS consists of 11 items with one component factor (communication/language).</p><p><strong>Results: </strong>Significant differences were observed in construct and criterion validity measures. Confirmatory factor analysis indicated that the P-CLAMS is a unidimensional measure for assessing communication difficulties in MS. The internal consistency was high (α = 0.92), and test/retest reliability was acceptable (ICC = 0.89). Additionally, the P-CLAMS effectively discriminated between people with MS (PwMS) and healthy controls.</p><p><strong>Conclusion: </strong>The psychometric evaluation demonstrated that the Persian version of the CLAMS (P-CLAMS) has good validity and reliability. The P-CLAMS can be a valuable tool for clinicians and researchers to assess communication changes in PwMS and evaluate intervention effectiveness.</p>","PeriodicalId":520564,"journal":{"name":"Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532652","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}