Clinical Neuropsychologist最新文献

{"title":"Comparing in-home telehealth and in-person administration of neuropsychological measures in an outpatient pediatric sample during the COVID-19 pandemic.","authors":"Madeline C Manning, Pieter J Vuijk, Eline Laurent, Emmaline Cook, Ellen B Braaten, Alysa E Doyle, Mary K Colvin","doi":"10.1080/13854046.2024.2403734","DOIUrl":"10.1080/13854046.2024.2403734","url":null,"abstract":"<p><p><b>Objective:</b> Research establishing the validity of neuropsychological assessment using telehealth (teleNP) is much needed in pediatric populations. <b>Method:</b> Current analyses compared performances on twelve common neuropsychological measures completed at home <i>via</i> teleNP or in-person during the COVID-19 pandemic in 476 youth (ages 6 to 17, M_age 11.4 ± 3.0). <b>Results:</b> No differences were found on nine measures. In-person performances on three verbal tests were ∼1 scaled score point lower (all p_adjusted <.05). Post-hoc analyses showed that the in-person pandemic performances were comparable to an in-person pre-pandemic cohort (unmasked). <b>Conclusions:</b> Overall, teleNP was comparable to in-person assessment. Results indicate that teleNP administration does not result in substantially different performance in pediatric patients undergoing clinical evaluations.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1301-1315"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Making Change Test: Initial validation of a novel digitized performance validity test for tele-neuropsychology.","authors":"Mira I Leese, John-Christopher A Finley, Jarett E Roseberry, S Kristian Hill","doi":"10.1080/13854046.2024.2352898","DOIUrl":"10.1080/13854046.2024.2352898","url":null,"abstract":"<p><strong>Objective: </strong>The Making Change Test (MCT) is a brief, digitized freestanding performance validity test (PVT) designed for tele-neuropsychology (TeleNP). The objective of this study was to report the initial validation of the MCT in a mixed neuropsychiatric sample referred for neuropsychological evaluation using a known-groups design.</p><p><strong>Method: </strong>The sample consisted of 136 adult outpatients who underwent a neuropsychological evaluation. Patients were classified as valid (<i>n</i> = 115) or invalid (<i>n</i> = 21) based on several established PVTs. Two validity indicators were calculated and assessed, including an Accuracy Response-Score and an Abbreviated Index. The Accuracy Response-Score incorporated both response time and errors. The Abbreviated Index aggregated response time and errors across the most sensitive test items in terms of predicting performance validity status.</p><p><strong>Results: </strong>Correlational analyses indicated that the MCT Accuracy Response-Score and Abbreviated Index were more similar to non-memory-based PVTs than memory-based PVTs. Both the MCT Accuracy Response-Score and Abbreviated Index indicated acceptable classification accuracy (area under the curve of .77). The optimal cut score for the MCT Accuracy Response-Score (≥24) yielded a sensitivity of .38 and specificity of .90. The optimal cut score associated with the Abbreviated Index yielded slightly better operating characteristics, with a sensitivity of .50 and specificity of .90.</p><p><strong>Conclusions: </strong>Initial findings provide support for the criterion and construct validity of the MCT and suggest a promising TeleNP future for this performance validity tool. However, additional support is necessary before the MCT can be used clinically.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1252-1265"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076955","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":"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":"1155-1177"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303580/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of traditional face-to-face and remote administration of auditory attention and executive functioning measures in a cohort of clinically-referred pediatric patients.","authors":"Rowena Ng, Rachel K Peterson","doi":"10.1080/13854046.2025.2469338","DOIUrl":"10.1080/13854046.2025.2469338","url":null,"abstract":"<p><p><b>Objective:</b> During the COVID-19 pandemic, teleneuropsychology (teleNP) practice was quickly adopted to afford continuity of clinical care, however, the teleNP literature in children remains limited and focused on specific clinical populations and/or select test measures. Notably, attention and executive functioning are commonly assessed in neuropsychological assessments of patients with medical conditions, psychological, or educational concerns, yet few studies have offered support for teleNP administration of measures targeting these cognitive domains in children. <b>Method:</b> This cross-sectional study involved a retrospective chart review of pediatric patients who underwent an in-person neuropsychological evaluation at an academic medical center before the pandemic (<i>N</i> = 287) or videoconference teleNP assessment during the pandemic (<i>N</i> = 277). The assessment battery included a test of intellectual functioning and measures indexing sustained attention or executive functioning (inhibition, set-shifting, concept formation). <b>Results:</b> No effect of test modality was seen across measures of sustained attention, shifting, and abstract reasoning. TeleNP testing yielded lower inhibition, switching, and divided attention scores than in-person testing, a pattern that was observed among those with anxiety. In contrast, no effect of test modality was seen in those without anxiety. <b>Conclusions:</b> Although findings provide evidence of equivalence between remote and in-person testing for select auditory and executive functioning measures, results highlight the importance of considering anxiety. TeleNP can be an important assessment modality to expand accessibility for youth with medical and psychological concerns, however, more research is necessary to determine specific tools that are diagnostically sensitive across test modalities.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1316-1331"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472980","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":"Utility of teleneuropsychology services among pediatric patients with long COVID.","authors":"Jessica C Luedke, Gray Vargas, Laura A Malone, Kathleen H Parker, Rowena Ng","doi":"10.1080/13854046.2024.2445269","DOIUrl":"10.1080/13854046.2024.2445269","url":null,"abstract":"<p><p><b>Objective:</b> To determine the clinical utility of teleneuropsychology (teleNP) services in screening for cognitive concerns in a population of children and adolescents presenting with long COVID. <b>Method:</b> This cross-sectional study evaluated 76 pediatric patients (64% female, <i>M</i>_age = 13.48, <i>SD</i> = 2.97, range = 5 to 18 years) with long COVID referred for a neuropsychological evaluation due to persistent cognitive symptoms following their COVID infection. Of these 76 patients, 33 were tested in person, while 43 were tested via teleNP at home. Patients were administered a brief testing battery designed for use in-person or through teleNP services. Tests administered included the WASI-II (Intellectual Functioning), D-KEFS Verbal Fluency (Executive Functioning/Shifting), Oral Version of the Symbol Digit Modalities Test (Processing Speed), ChAMP List (Learning and Memory), WAIS-IV/WISC-V Digit Span (Working Memory), and TEA-Ch Score and Score DT (Sustained Auditory Attention and Divided Attention). Differences in scores between those evaluated in-person or teleNP were computed using analyses of variance and Bayesian statistics across measures. Differences in the proportion of those scoring in the below average range (< 9^th percentile) were also computed. <b>Results:</b> Findings revealed similar performance for patients tested in-person and patients tested by teleNP modality across measures. <b>Conclusions:</b> The present study provides preliminary evidence for the clinical utility of teleNP services in pediatric long COVID patients on a cognitive screening battery. These results lend support for expanding teleNP services to pediatric patients with long COVID to assess neurocognitive functioning, which is particularly important given scarcity of specialty long COVID clinics.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1286-1300"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Holistic recruitment: A model for improving equity in clinical neuropsychology postdoctoral trainee selection.","authors":"Pamela M Dean, Stephanie J Towns","doi":"10.1080/13854046.2025.2522938","DOIUrl":"https://doi.org/10.1080/13854046.2025.2522938","url":null,"abstract":"<p><p><b>Objective:</b> The American Academy of Medical Colleges (AAMC) has recommended holistic review (HR), also referred to as holistic recruitment, to improve recruitment processes across all aspects of training from medical school admission to resident/fellowship selection by addressing obstacles that may disadvantage qualified applicants. HR is an evidenced based and strategic approach that aligns a program's mission and goals while individually evaluating an applicant's capabilities in the broader context of sociocultural, economic, educational, and personal factors. To date, the field of Clinical Neuropsychology (CN) has utilized recruitment methods that lack empirical support and may inadvertently limit access for individuals from a wide range of backgrounds and experiences, potentially narrowing the pathway for future colleagues. <b>Method</b>: This paper will (1) provide context of historical barriers and challenges in the training recruitment processes, (2) define HR, (3) review relevant literature regarding its efficacy in medical education, and (4) provide an overview and examples of how to apply HR to CN postdoctoral training recruitment. <b>Conclusion:</b> HR is an evidenced-based recruitment method that has consistently demonstrated strong utility in broadening the criteria for evaluating candidates without reducing the quality of the trainees in medical residencies. It is our assertion that these methods can be successfully applied to CN postdoctoral fellowship recruitment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-22"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509542","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":"Banking on variability: A conceptual replication of the association between cognitive dispersion and financial management.","authors":"Romeo Penheiro, Andrew M Kiselica, Troy A Webber, Jennifer L Thompson Kamar, Steven Paul Woods","doi":"10.1080/13854046.2025.2522249","DOIUrl":"10.1080/13854046.2025.2522249","url":null,"abstract":"<p><p><b>Objective:</b> Cognitive intraindividual variability (IIV) reflects fluctuations in cognitive test performance, which may be associated with poorer everyday functioning. This study adopted a retrospective conceptual replication approach to determine whether higher IIV dispersion is associated with poorer financial management skills. <b>Method:</b> Study 1 participants were 112 adults with (<i>n</i> = 76) and without (<i>n</i> = 36) HIV who completed an in-person assessment that included the Cogstate battery, the Web-based Evaluation of Banking Skills (WEBS), and the UCSD Performance-Based Skills Assessment Brief Version (UPSA-B). Study 2 participants were 120 younger (<i>n</i> = 60) and older (<i>n</i> = 60) adults who completed a brief clinical neuropsychological battery, the Telephone-based Daily Instrumental Activities of Living (T-DIAL), and the money management subscale of the Independent Living Scale (ILS) <i>via</i> telephone. IIV dispersion was derived from the normed <i>T</i>-scores of the cognitive tests using the coefficient of variance (i.e., intra-individual standard deviation divided by the intra-individual mean). <b>Results:</b> At the univariate level, higher IIV dispersion was significantly associated with lower scores on all financial management measures at broadly medium effect sizes (<i>p</i>s < .05), which did not differ meaningfully across studies or measures (<i>p</i>s > .05). Multiple regression analyses showed that higher IIV dispersion was independently associated with lower total scores on WEBS, UPSA-B Financial Skills, and ILS Money Management (<i>ps</i> < .05), but not T-DIAL (<i>p</i> = .184). <b>Conclusions:</b> Findings across two samples with varying methodologies support the hypothesis that greater IIV in cognitive performance may interfere with the ability to manage finances in daily life, but questions remain regarding the incremental value of IIV dispersion relative to global cognition.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12268989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Cognitive functioning and intra-individual variability in essential tremor and Parkinson's disease: A comparative study\".","authors":"Hannah L Combs, Samantha K Henry, Troy A Webber, Michele K York, Jonathan D Sober","doi":"10.1080/13854046.2025.2518240","DOIUrl":"https://doi.org/10.1080/13854046.2025.2518240","url":null,"abstract":"<p><p><b>Objective</b>: Cognitive decline may be more prevalent in essential tremor (ET) than previously recognized. Dispersion-based intraindividual variability (IIV-D) is proposed as a marker of neurological integrity. While elevated IIV-D has been noted in Parkinson's disease (PD), it has not been explored in ET. This study investigated cognitive functioning and IIV-D in ET compared to PD and cognitively intact controls (IC). <b>Method</b>: Neuropsychological data from 188 PD, 53 ET, and 135 IC patients were reviewed. Group comparisons on neuropsychological tests were examined. IIV-D was calculated <i>via</i> the intraindividual standard deviation (iSD) and the coefficient of variance (CoV) across 13 neurocognitive scores. Secondary analyses examined IIV-D among PD, ET, and IC with \"No Cognitive Disorder\" (NCD). <b>Results</b>: PD and ET performed worse than IC on oral processing speed, mental tracking, set-shifting, and semantic fluency tasks. Greater IIV-D was observed in PD and ET using CoV (PD vs. IC: <i>p</i> < .001, <i>d</i> = 0.680; ET vs. IC: <i>p</i> < .001, <i>d</i> = 0.894), but only ET using iSD (<i>p</i> = .001, <i>d</i> = 0.614), after controlling for mean performance and covariates. In the NCD subset, ET showed greater IIV-D than IC (<i>p</i> = .001, <i>d</i> = 0.867) when using CoV. <b>Conclusions</b>: This study is the first to examine IIV-D in ET, revealing individuals with ET exhibit greater IIV-D than IC, even in the absence of a neurocognitive diagnosis. Lack of assessment for clinical confounds (e.g. medications, motor severity) may limit findings. Nevertheless, the research enhances our understanding of cognitive characteristics in ET.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-21"},"PeriodicalIF":3.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303675","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":"Feelin' the burn: Post-pandemic burnout among United States neuropsychologists.","authors":"Ashlynn Steinbaugh, Rachel M Murley, Alexandra Rousseau, Daniel Baldini, Talamahe'a A Tupou, Michael Ellis-Stockley, Bradley R Forbes, Sara M Markuson, Julius H Flowers, Haig Pilavjian, Rayna B Hirst","doi":"10.1080/13854046.2025.2517166","DOIUrl":"https://doi.org/10.1080/13854046.2025.2517166","url":null,"abstract":"<p><p><b>Objective:</b> Burnout is a multidimensional concept in many professions. Research documented increased burnout within the field of neuropsychology during the COVID-19 pandemic. The present study assessed burnout levels in neuropsychology post-pandemic, identified factors contributing to burnout, and assessed the impact of the pandemic on burnout levels. <b>Method:</b> United States neuropsychologists (<i>N</i> = 304, 81.9% women, <i>M_age</i> = 41.77) completed a survey about demographics, professional background, current experiences of burnout using the Copenhagen Burnout Inventory, and the impact of the pandemic on burnout. The authors calculated the frequencies for demographics, professional background, impact of the pandemic, and burnout levels. One-way multivariate analysis of variance and chi-square tests compared subspecialties on demographics and occupation. One-way multivariate analysis of covariance compared subspecialty differences in burnout. An independent sample <i>t</i>-test identified significant differences in burnout levels and demographics. Pearson correlations assessed the relationships between demographics, occupation, and burnout. <b>Results:</b> Respondents indicated moderate personal (<i>M</i> = 53.10, <i>SD</i> = 18.67) and work burnout (<i>M</i> = 52.17, <i>SD</i> = 20.84) and mild patient burnout (<i>M</i> = 36.88, <i>SD</i> = 20.28). While professional burnout increased due to the impact of COVID-19, most respondents reported that their burnout started prior to the onset of the pandemic. Personal and work burnout levels were higher in women. Younger, early-career clinicians were more likely to experience greater levels of personal, work, and patient burnout. Burnout levels did not differ by subspecialty. <b>Conclusions:</b> A need exists to continue monitoring burnout levels and implementing strategies to reduce burnout and optimize patient care post-pandemic.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295408","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":"Virtual reality-based eye tracking throughout typical concussion recovery.","authors":"Gregory C Edwards, Nick Fogt, James A Onate, Rebecca A Bliss, Catherine C Quatman-Yates, Jaclyn B Caccese","doi":"10.1080/13854046.2025.2503328","DOIUrl":"https://doi.org/10.1080/13854046.2025.2503328","url":null,"abstract":"<p><p><b>Objective:</b> The purpose of this study was to determine the effects of concussion on visual and oculomotor function using a virtual reality-based eye tracking system throughout recovery. <b>Design:</b> A prospective, longitudinal cohort design assessed at the subacute, return-to-activity, and 6-month timepoints was used. <b>Methods:</b> Recently concussed (<i>n</i> = 21; age = 30 ± 14) and healthy control participants (<i>n</i> = 20; age = 29 ± 11) completed visual and oculomotor testing at three timepoints (subacute, return-to-activity, and 6-months) using a virtual reality-based head mounted display eye tracking system sampled at 100 Hz. Symptoms and clinical assessments were collected using the Sport Concussion Assessment Tool-5^th Edition (SCAT-5). <b>Results:</b> No statistically significant visual and oculomotor group differences were observed (<i>p</i> > 0.01), although individuals within the concussion group demonstrated highly variable outcomes at the subacute timepoint. <b>Conclusions:</b> While our findings did not reveal significant group-wide differences in visual and oculomotor function, the high inter-individual variability within the concussion group underscores the need for individualized assessment approaches. The ability of eye-tracking technology to detect subtle, yet potentially clinically relevant impairments at the individual level suggests its potential as a valuable adjunct to symptom-based concussion assessments. Future studies should explore the integration of symptom-based tools, clinical oculomotor assessments, and objective eye-tracking metrics to improve our understanding of concussion-related impairments.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259426","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}