Clinical Neuropsychologist最新文献

{"title":"Digital and analog approaches for managing daily activities in younger and older adults.","authors":"Rachel E Mis, Jared F Benge, Jennifer L Thompson Kamar, Troy A Webber, Steven Paul Woods","doi":"10.1080/13854046.2025.2487151","DOIUrl":"https://doi.org/10.1080/13854046.2025.2487151","url":null,"abstract":"<p><p><b>Objective</b>: Technology is increasingly critical for performing daily activities, which has multiple implications for the practice of clinical neuropsychology. This study sought to characterize use of digital and traditional analog approaches to instrumental activities of daily living (iADLs) among samples of younger and older adults and identify cognitive factors associated with self-perceived errors in using digital approaches. <b>Method</b>: Sixty community-dwelling adults aged 50 and older and 46 younger healthy adults aged 35 and younger completed a telephone-based research evaluation including demographics, mood, general health, and neurocognitive functioning. Participants also completed a questionnaire on frequency of usage and perceived errors in completing nine iADLs <i>via</i> digital and analog approaches. <b>Results</b>: Participants overall reported using digital more frequently than analog approaches at a very large effect size, with a digital preference most obvious for activities such as navigation and financial account management. The younger group reported using digital approaches more frequently than the older group at a large effect size. Better cognitive performance was associated with less frequent use of analog, but not digital, approaches. Furthermore, better cognition was associated with moderately less frequent self-reported digital errors in the older, but not the younger, groups. <b>Conclusions</b>: Younger and older adults are increasingly adopting digital approaches to performing daily tasks. This highlights both the need and opportunity for the field of clinical neuropsychology to better understand how technology impacts the ability to perform daily tasks and develop assessment tools that adequately capture how patients are functioning in a digitally enriched environment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-validation of the MMPI dissimulation ADHD scale in a sample of adults presenting for ADHD evaluation.","authors":"Taylor D Lambertus, Julie Suhr, Adrienne Jankowski","doi":"10.1080/13854046.2025.2486303","DOIUrl":"https://doi.org/10.1080/13854046.2025.2486303","url":null,"abstract":"<p><p><b>Objective:</b> There are few attention deficit/hyperactivity disorder (ADHD)-specific symptom validity tests (SVTs) available. The revised Dissimulation ADHD scale (Ds-ADHD-r) was developed to identify noncredible reporting on the Minnesota Multiphasic Personality Inventory (MMPI). The current study examines whether the Ds-ADHD-r can identify noncredible performance and reporting in a clinical sample. <b>Method</b>: Participants (<i>N</i> = 113) completed neuropsychological evaluations in an university clinic, including the Conners' Adult ADHD Rating Scale (CAARS), MMPI-2-RF or MMPI-3, at least one standalone performance validity test (PVT), and at least four embedded PVTs. Noncredible groups were created based on falling above or below the cutoff on at least one PVT or falling above or below the cutoff on one SVT. <b>Results:</b> Those who scored above the SVT cutoffs scored higher on both the RBS and the Ds-ADHD-r compared to those who scored below the SVT cutoffs, while PVT performance groups did not differ on either the RBS or Ds-ADHD-r. The Ds-ADHD-r demonstrated greater utility in identifying symptom overreporting when compared to the MMPI RBS. The Ds-ADHD-r did not show utility in detecting noncredible performance. In correlation analyses, the Ds-ADHD-r was more strongly correlated to MMPI F and <i>F</i> scales as compared to FBS and RBS. <b>Conclusions</b>: Results support the utility of the Ds-ADHD-r to detect symptom overreporting in adults seeking evaluation for ADHD, though validation in additional, more diverse samples are needed.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Announcement: Winners of the tenth annual <i>TCN</i>/AACN student project competition.","authors":"Yana Suchy, Dominic Carone, Alissa Butts, Amanda Hahn-Ketter","doi":"10.1080/13854046.2025.2483361","DOIUrl":"https://doi.org/10.1080/13854046.2025.2483361","url":null,"abstract":"","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-2"},"PeriodicalIF":3.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating home-based video teleneuropsychology into neurology clinical practice: Utility in patients with suspected typical or atypical Alzheimer's disease presentations.","authors":"Brianne M Bettcher, Lauren B Gunn-Sandell, Natalie Lopez-Esquibel, Nichole E Carlson, Jennifer R Krupa, Hillary D Lum, Samantha K Holden, Michael R Greher","doi":"10.1080/13854046.2025.2482083","DOIUrl":"https://doi.org/10.1080/13854046.2025.2482083","url":null,"abstract":"<p><strong>Objective: </strong>We assessed the reliability of home-based video teleneuropsychology (TeleNP) compared to face-to-face (FF) neuropsychological assessments in clinic-referred patients for whom a typical or atypical Alzheimer's disease (AD) syndrome was on the neurologist's differential diagnosis.</p><p><strong>Method: </strong>We conducted a randomized, cross-over clinical trial in which participants underwent neuropsychological evaluations with a core battery of tests in two modalities: FF and TeleNP, conducted approximately 4-6 wk apart. Participants included patients ≥ age 60 years and <90 years who were undergoing evaluation in a memory disorders clinic (<i>n</i> = 63). Board-certified neuropsychologists submitted diagnostic impressions (i.e. syndrome and severity classifications) after the core battery in each modality. Neuropsychologists were able to include a flexible assessment (i.e. inclusion of tests not readily adaptable to TeleNP) after the core battery, only in the FF condition.</p><p><strong>Results: </strong>The intraclass correlation coefficients (ICC) were at least moderate to good (≥0.50) for 91% of administered tests. Computing ICC adjusting for alternate forms, sequence order, practice effects, referring diagnostic complexity, and supervising neuropsychologist did not substantively change interpretation of ICCs. Across modality types, Cohen's kappa of neuropsychologist impressions for syndrome classifications was 0.74 (95% CI: 0.60, 0.88), and for severity classifications was 0.89 (95% CI: 0.79, 0.99). Within the FF modality, kappa of neuropsychologist impressions was 0.90 (95% CI: 0.81, 0.99) and 0.97 (95% CI: 0.92, 1.0), respectively, for syndrome and severity across core and flexible batteries.</p><p><strong>Conclusions: </strong>Home-based, video TeleNP is a reliable alternative to FF neuropsychological assessment in older adult patients with suspected cognitive impairment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-23"},"PeriodicalIF":3.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking the norms: A regression-based approach to trail making test performance in the Turkish population.","authors":"Tuğçe Taşkıran, Mehmet Can Tanfer, Derya Durusu Emek-Savaş","doi":"10.1080/13854046.2025.2482081","DOIUrl":"https://doi.org/10.1080/13854046.2025.2482081","url":null,"abstract":"<p><p><b>Objective:</b> The Trail Making Test (TMT) is a widely used neuropsychological tool for assessing executive functions. This study aimed to establish regression-based normative data for TMT performance in a Turkish population aged 18-80, accounting for the effects of age, education, and sex on both basic (TMT A and TMT B) and derived scores (TMT B-A and TMT B/A). <b>Method:</b> A total of 462 participants were recruited, with 409 included in the final analysis after applying exclusion criteria. Participants completed the international version of the TMT. Pearson correlation analyses and multiple linear regression models assessed relationships between TMT scores and demographic variables. Education was treated as a continuous variable, and regression-based norms were developed for all TMT scores. <b>Results:</b> Age and education were significant predictors of TMT performance. Age primarily affected TMT A scores, while education was the strongest predictor for TMT B, TMT B-A, and TMT B/A scores. The regression models explained 36-38% of the variance in basic scores and 6-24% in derived scores. Women performed better than men on the TMT B/A ratio score, but overall, sex had a less pronounced effect than age and education. <b>Conclusions:</b> This study provides the first regression-based normative data for the TMT in a Turkish population. These norms are crucial for improving the accuracy of neuropsychological assessments in Turkey and facilitating cross-cultural comparisons in cognitive research. The findings emphasize the importance of adjusting for demographic factors in clinical and research settings to ensure precise evaluations of cognitive functioning.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-19"},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraindividual variability, subjective cognitive difficulties, and head injury history in former collegiate athletes.","authors":"Iris Yi Miao, Katherine Gifford, Zachary Yukio Kerr, Wesley R Cole, Kevin M Guskiewicz, Michael A McCrea, Benjamin L Brett","doi":"10.1080/13854046.2025.2479213","DOIUrl":"https://doi.org/10.1080/13854046.2025.2479213","url":null,"abstract":"<p><p><b>Objectives:</b> The association between head injury history and subjective cognitive symptoms among contact sport athletes has been frequently reported, but links between head injury history and performance-based measures have been more variable. Dispersion-based intraindividual variability (IIV) may better align with subjective cognitive concerns and be a more sensitive measure of subtle head injury-related changes. This study investigated the associations among IIV, subjective cognitive symptoms, and head injury history. <b>Methods:</b> Former collegiate football players (<i>N</i> = 57 included in analyses; age = 38 ± 1.5 years) completed evaluations consisting of neuropsychological assessment, subjective rating of cognition (Neuro-QoL Cognitive Functioning-Short Form and Behavior Rating Inventory of Executive Function-Adult; BRIEF-A), and structured interviews of head impact history (i.e. HIEE). Three IIV indices were calculated reflecting degree of dispersion across cognitive domains: Memory-IIV, reaction time/processing speed-IIV (RT/PS-IIV), and attention/executive function-IIV. General linear models were fit to test associations among IIV, subjective measures, concussion history, and Head Impact Exposure Estimate (HIEE). <b>Results:</b> Greater history of concussion and RHI exposure were not significantly associated with levels of cognitive dispersion (IIV indices, <i>p</i>'s >.05). Worse general subjective cognition was associated with greater RT/PS-IIV, and worse BRIEF-A metacognition was associated with greater memory-IIV, even when controlling for psychological distress and sleep quality. <b>Conclusions:</b> Results support the assessment of dispersion in cognitive performance as a useful objective measure that complements subjective cognitive symptoms. While IIV is clinically relevant for detecting subtle cognitive difficulties not captured by central tendency methods, it may only indirectly, if at all, relate to changes associated specifically with head injury history.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-21"},"PeriodicalIF":3.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the neuropsychological-actuarial and clinical-consensus approaches to diagnosis of mild cognitive impairment in an ethnically diverse sample.","authors":"Anne R Carlew, William Goette, Jeffrey Schaffert, Heidi Rossetti, Laura H Lacritz","doi":"10.1080/13854046.2025.2479013","DOIUrl":"https://doi.org/10.1080/13854046.2025.2479013","url":null,"abstract":"<p><p><b>Objective:</b> Some studies show using neuropsychological-actuarial mild cognitive impairment (MCI) criteria may produce lower reversion rates (i.e. reverting from a cognitive diagnosis to no diagnosis) and higher associations with Alzheimer's disease biomarkers compared to conventional methods, but this has not been evaluated in a Hispanic sample. This study evaluated neuropsychological-actuarial MCI criteria performance in the Texas Alzheimer's Research and Care Consortium (TARCC) cohort compared to clinical-consensus diagnosis. <b>Method:</b> Data from 2,110 TARCC participants (47% Hispanic) were utilized. McNemar tests evaluated the performance of neuropsychological-actuarial versus clinical-consensus criteria in those who remained stable or converted to dementia over 3 annual visits, stratified by ethnicity (Hispanic vs. non-Hispanic). Chi-square analysis was used to compare frequencies of <i>APOE</i> ε4 allele positivity by diagnostic method. <b>Results:</b> Significantly more Hispanic participants were diagnosed with MCI using neuropsychological-actuarial criteria than were non-Hispanics, χ²(1) = 195.3, <i>p</i> < .001, <i>ϕ</i> = 0.32. Hispanic participants meeting neuropsychological-actuarial MCI criteria at baseline were more likely to revert at follow-up, χ²(1) = 10.04, <i>p</i> < .01, <i>ϕ</i> = 0.10. No differences in reversion rate were found between Hispanic and non-Hispanic individuals with clinical-consensus MCI diagnoses, χ²(1) = 0.38, <i>p</i> = .60. There was no association between <i>APOE</i> ε4 allele positivity and neuropsychological-actuarial diagnosis, while there was an association for clinical-consensus diagnoses <i>χ</i>²(1) = 15.1, <i>p</i> < .001, <i>ϕ</i> = 0.09. <b>Conclusions:</b> In TARCC, the clinical-consensus MCI diagnostic method produced fewer cases of reversion compared to the neuropsychological-actuarial method, particularly in Hispanic participants. This is consistent with recent research investigating the use of the neuropsychological-actuarial method in African American/Black individuals. Caution is warranted when using neuropsychological-actuarial criteria among individuals with diverse backgrounds.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between the logical memory test story recall metrics and plasma biomarkers for Alzheimer's disease in individuals free of dementia.","authors":"Ainara Jauregi-Zinkunegi, Rachael E Wilson, Rebecca E Langhough, Nicholas J Ashton, Kaj Blennow, Sterling C Johnson, Henrik Zetterberg, Davide Bruno, Kimberly D Mueller","doi":"10.1080/13854046.2025.2481119","DOIUrl":"https://doi.org/10.1080/13854046.2025.2481119","url":null,"abstract":"<p><p><b>Objective:</b> Blood-based biomarkers are valued for their lower cost and less invasive nature, though issues with widespread implementation and accessibility remain. Process-based scores from story recall have been shown to detect neuronal network disturbances typical of Alzheimer's disease (AD) pathology more effectively than traditional metrics. This study examined the associations between process-based scores and concurrent plasma AD biomarkers in older adults without dementia, while also comparing them to traditional metrics. Additionally, it also investigated the diagnostic utility of these metrics in detecting plasma p-tau217 positivity. <b>Methods:</b> Data from 416 participants (mean age = 66.6 ± 7) free of dementia were extracted from the Wisconsin Registry for Alzheimer's Prevention (WRAP). Logical Memory Test (LMT) and plasma p-tau217, p-tau181, p-tau231, Aβ42/Aβ40 ratio, GFAP and NfL levels were analyzed. Bayesian regression models assessed associations between plasma biomarkers and both process-based and traditional LMT scores, controlling for the covariates. <b>Results:</b> The best-fitting model for plasma p-tau217 included Total ratio (Tr) and Immediate recall (BF10=573), but Tr showed stronger evidence of association (mean coefficient = 0.208; BFinclusion=14.4) than Immediate recall (mean coefficient=-0.007; BFinclusion=1.7). Tr was also the best predictor of plasma p-tau181 (mean coefficient = 0.144; BF10=10.5) and GFAP (mean coefficient = 0.141; BF10=5.8), outperforming traditional LMT scores. No memory scores were associated with plasma p-tau231 or Aβ42/40 ratio levels. Tr score was the strongest single predictor of p-tau217 positivity (BF₁₀=38). <b>Conclusions:</b> These findings suggest that process-based memory scores might be useful in enhancing the detection of neuronal network disturbances associated with AD pathology, especially in settings where biomarker testing is unavailable.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"23rd Annual AACN Conference and Workshops of the American Academy of Clinical Neuropsychology (AACN), June 11-14, 2025.","authors":"","doi":"10.1080/13854046.2025.2475564","DOIUrl":"https://doi.org/10.1080/13854046.2025.2475564","url":null,"abstract":"","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-98"},"PeriodicalIF":3.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural tele-neuropsychology: the use of cultural consultation and interpretation services to improve access for patients and trainees.","authors":"Ann Jeeyoon Lee, Stacey Lipio Brothers, Heather Mesa, Tedd Judd, Christopher Minh Nguyen","doi":"10.1080/13854046.2025.2474274","DOIUrl":"https://doi.org/10.1080/13854046.2025.2474274","url":null,"abstract":"<p><p><b>Objective</b>: The COVID-19 pandemic necessitated a rapid transition to tele-neuropsychology (teleNP), fundamentally altering the delivery of neuropsychological services traditionally relying on face-to-face interactions. Research indicates that teleNP assessments can yield reliable diagnostic outcomes, yet existing literature has primarily focused on non-Hispanic White populations. This is particularly concerning given the increasing diversity of the U.S. population. There remains a notable gap in the evidence regarding the validity of teleNP assessments among historically underrepresented groups, compounded by linguistic heterogeneity and the scarcity of culturally congruent neuropsychologists. This manuscript addresses this disparity by providing a framework for incorporating cultural consultation and interpretation services in teleNP. <b>Method</b>: We provide a framework for cultural consultation and interpretation services in teleNP based on an examination of literature relevant to teleNP and its impact on service delivery and the authors' clinical experience. A case study highlights practical considerations for incorporating these services. Key measures include rapport-building techniques and assessments of cultural competency in neuropsychological evaluations. <b>Results:</b> The findings indicate that teleNP assessments can yield reliable diagnostic outcomes; however, there remains a significant gap in evidence regarding their validity for historically underrepresented groups. The case study demonstrates effective collaboration with cultural consultants, emphasizing their role in enhancing cultural responsiveness. <b>Conclusions:</b> Enhancing cultural competence within teleNP frameworks is essential for addressing disparities in neuropsychological care. By leveraging teleNP to provide access to culturally appropriate services, neuropsychologists can better meet the needs of diverse patient populations, promoting equitable access to mental health services and improving clinical outcomes and patient satisfaction.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-24"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}