Clinical Neuropsychologist最新文献

{"title":"Examining the utility of the BAARS-IV scales as embedded symptom validity indicators for adult attention-deficit/hyperactivity disorder evaluations.","authors":"John-Christopher A Finley, Anthony D Robinson, Brian M Cerny, Gabriel P Ovsiew, Neil H Pliskin, Matthew Calamia, Devin M Ulrich, Matthew S Phillips, Jason R Soble","doi":"10.1080/13854046.2024.2420376","DOIUrl":"10.1080/13854046.2024.2420376","url":null,"abstract":"<p><p><b>Objective:</b> This study investigated whether extreme cut-scores on the Barkley Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale-Fourth Edition (BAARS-IV) self-report scales could serve as symptom overreporting indicators in adult ADHD evaluations. <b>Method:</b> The sample consisted of 162 adults who underwent a neuropsychological evaluation for ADHD. Patients were classified into valid (<i>n</i> = 115) and invalid (<i>n</i> = 47) groups based on multiple criterion symptom validity tests. <b>Results:</b> Overreporting cut-scores identified for each of the BAARS-IV scales demonstrated acceptable classification accuracy or better. The Current Total scale yielded the highest classification accuracy (area under the curve of .83). An optimal raw cut-score of ≥56 for this scale yielded 47% sensitivity when upholding ≥90% specificity. A cut-score of ≥31 for the Current Inattention scale (90% specificity; 47% sensitivity) and ≥29 for the Current Sluggish Cognitive Tempo scale (88% specificity; 46% sensitivity) were also relatively strong indicators of overreporting. The Current Total and Current Sluggish Cognitive Tempo scales captured nonredundant aspects of symptom validity, and using them together increased sensitivity to 57% while maintaining ≥90% specificity. <b>Conclusions:</b> Findings provide preliminary support for the criterion and construct validity of extreme cut-scores on the BAARS-IV Current Sluggish Cognitive Tempo, Current Inattention, and Current Total scales as indicators of ADHD symptom overreporting. However, employing the cut-scores from the Current Sluggish Cognitive Tempo (≥29) and Current Total (≥56) together may be the most promising way to detect overreporting. Scores above both of these cut-points should, at a minimum, prompt further investigation into the validity of a patient's reported symptoms.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1581-1597"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513288","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":"Right temporal variant frontotemporal dementia initially presenting with gradually progressing heading disorientation: A case report.","authors":"Yuta Komori, Masanori Kurihara, Ryoji Goto, Maki Obata, Kenji Ishibashi, Kenji Ishii, Aya Midori Tokumaru, Kazutomi Kanemaru, Katsuhiko Takeda, Atsushi Iwata","doi":"10.1080/13854046.2024.2428917","DOIUrl":"10.1080/13854046.2024.2428917","url":null,"abstract":"<p><p><b>Objective</b>: Previous studies of topographical disorientation have focused on cerebrovascular diseases. However, a detailed assessment of patients with neurodegenerative diseases may aid our understanding of spatial navigation. We report the case of a patient with right temporal variant frontotemporal dementia (rtvFTD) initially presenting with heading disorientation, a distinct category of topographical disorientation. <b>Method</b>: The patient was a 71-year-old woman with gradually increasing episodes of getting lost in a familiar environment. Detailed neuropsychological assessment, magnetic resonance imaging (MRI), and positron emission tomography (PET) studies were performed. <b>Results</b>: Topographical disorientation was conspicuous in the patients' cognitive dysfunction despite preserved general cognition. She could not dictate a route or draw a map from her nearest train station to her home, although she recognized environmental landmarks relatively well. Neuropsychological assessments, including the card-placing test, suggested heading disorientation. The MRI and PET abnormalities were large but confined to the right hemisphere and involved the retrosplenial region, an area associated with heading disorientation in cerebrovascular diseases, and the cortical areas that comprise a network together with the retrosplenial region. Amyloid PET was negative, ruling out Alzheimer's disease. Her topographical symptoms gradually worsened. Behavioral symptoms and loss of empathy gradually became apparent fulfilling the criteria for rtvFTD. <b>Conclusions</b>: Neuropsychological assessment revealed heading disorientation in the initial stage of rtvFTD. Based on previous studies, heading disorientation was likely attributed to neurodegeneration in the right hemispheric network centered in the retrosplenial region. The gradual progression of topographical symptoms contrasted with previous reports of heading disorientation due to cerebrovascular diseases.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1742-1759"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774946","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":"Atypical language organization in a Spanish-speaking adolescent with drug-resistant epilepsy: A multicultural case report.","authors":"Jenna A Chiang, Laura K Winstone-Weide, Dave F Clarke, Rosario C DeLeon","doi":"10.1080/13854046.2024.2405086","DOIUrl":"10.1080/13854046.2024.2405086","url":null,"abstract":"<p><p><b>Objective</b>: Epilepsy disproportionally affects children from Hispanic/Latino backgrounds, particularly among those born outside the U.S. Longstanding health-related disparities associated with ethnicity (e.g. language use) further contribute to gaps in care. Neuropsychologists are beginning to outline best practices when working with non-English speakers; however, the lack of appropriately normed/validated measures for pre-surgical language evaluation is a limiting factor. This report informs practices among neuropsychologists by discussing atypical language organization in a non-English speaker using a multicultural framework and collaborative therapeutic assessment process. <b>Method</b>: The current study presents a 16-year-old, right-handed, monolingual Spanish-speaking, Latina designated female with drug-resistant focal seizures with impaired awareness. Comprehensive presurgical epilepsy workup included: CBC, video EEG, brain MRI, functional MRI, PET, MEG, baseline neuropsychological evaluation by bilingual Spanish-English providers, and Wada testing. <b>Results</b>: Neuropsychological testing revealed the most pronounced deficits in language, working memory, and processing speed domains. Functional MRI showed bilateral language activation, which Wada testing confirmed along with bilateral memory representation. <b>Conclusion</b>: Diagnosis, treatment, surgical intervention, and post-operative status are discussed. The clinical course is examined through a multicultural lens, highlighting limitations in international health services, barriers accessing health care in the U.S., and patient-specific factors that were considered as a part of the clinical decision-making process. Targeted recommendations related to culturally-informed care are offered.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1722-1741"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332773","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":"Effects of an individual cognitive stimulation intervention on global cognition, memory, and executive function in older adults with mild to moderate Alzheimer's disease.","authors":"Susana I Justo-Henriques, Enrique Pérez-Sáez, Janessa O Carvalho, Raquel Lemos, Óscar Ribeiro","doi":"10.1080/13854046.2024.2416568","DOIUrl":"10.1080/13854046.2024.2416568","url":null,"abstract":"<p><strong>Objective: </strong>To determine the efficacy of a 12-week individual cognitive stimulation (iCS) intervention on global cognition, memory, and executive function of older adults with mild to moderate Alzheimer's disease (AD).</p><p><strong>Method: </strong>Protocolized analysis using data from a multicenter, single-blind, randomized, parallel two-arm RCT of iCS for older adults with probable AD. A sample of 142 people with probable Alzheimer's disease attending 13 Portuguese institutions providing care and support services for older adults were selected. Intervention group (<i>n</i> = 72) received 24 iCS sessions, twice a week for 12 weeks. Control group (<i>n</i> = 70) maintained their activities as usual. Outcomes included global cognitive function (Mini-Mental State Examination, and Alzheimer's Disease Assessment Scale-Cognitive Subscale), memory (Memory Alteration Test, and Free and Cued Selective Reminding Test), and executive functioning (Frontal Assessment Battery). All participants were assessed at baseline (T0), after the intervention (T1), and 12 weeks follow-up (T2).</p><p><strong>Results: </strong>The results showed significant improvements in memory performance at follow-up for the intervention group and greater stability in global cognition in the intervention relative to the control group.</p><p><strong>Conclusion: </strong>The current iCS protocol shows effectiveness in cognitive functioning in older adults with probable AD, particularly for memory upon completion of the intervention and at follow-up, adding further support to previous iCS studies showing similar results and to the effectiveness of the current intervention.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1506-1524"},"PeriodicalIF":3.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481392","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":"Competency-based evaluation policies and procedures in clinical neuropsychology training.","authors":"Julie K Janecek, Michelle M Loman, Amy Heffelfinger","doi":"10.1080/13854046.2025.2530683","DOIUrl":"https://doi.org/10.1080/13854046.2025.2530683","url":null,"abstract":"<p><p><b>Objective:</b> During the past several decades, work has been ongoing to establish specialty-specific competencies for clinical neuropsychology. However, there is a lack of corresponding evaluation tools that link broad competency areas to directly observable behaviors that are required for advancement or completion at different points in training. The objectives of this manuscript are to: (1) briefly review the development of clinical neuropsychology competencies, (2) describe essential components of competency-based evaluation in clinical neuropsychology, focusing on the postdoctoral fellowship level because that is the typically the last formal opportunity to evaluate trainee knowledge and skills prior to independent practice, (3) describe how to implement evaluation policies and procedures to support fellow competency development and program quality improvement, and (4) provide revised example evaluation forms that can be widely used or adapted for postdoctoral fellow assessment and program evaluation. <b>Method:</b> The APPCN workgroup that was initially tasked with developing competency-based assessment tools that could be adapted for widespread use among programs sought feedback from program directors on an initial evaluation tool and conducted a survey regarding current evaluation policies and procedures in clinical neuropsychology fellowship programs. Subsequently, the tool was revised, and the updated recommended evaluation policies and procedures are outlined in this manuscript. <b>Conclusions:</b> The proposed evaluation tools and sequence of assessment during the fellowship period can be widely used and/or adapted among clinical neuropsychology postdoctoral fellowship training programs. Such assessment tools are essential to demonstrate readiness for independent clinical neuropsychology practice.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-29"},"PeriodicalIF":3.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692525","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 two new embedded measures of performance validity for the Wisconsin Card Sorting Test-64.","authors":"Jacobus Donders, Kathleen Piccoli","doi":"10.1080/13854046.2025.2536156","DOIUrl":"https://doi.org/10.1080/13854046.2025.2536156","url":null,"abstract":"<p><p><b>Objective</b>: We sought to determine the utility of two new embedded validity indices for the Wisconsin Card Sorting Test-64 (Henry, 2024; Kosky et al., 2022). The goal was to determine if these proposed indices would be associated with specificity ≥ .90, sensitivity ≥ .40, and positive likelihood ratio of ≥ 2, in a clinical traumatic brain injury (TBI) sample with a broad range of injury severity. <b>Method</b>: We used logistic regression to investigate how well each new index could distinguish performance validity classification of 173 persons with TBI who were evaluated within 1-36 months after injury. Participants were classified based on at least two independent performance validity tests as having provided valid performance (<i>n</i> = 146) or invalid performance (<i>n</i> = 27). <b>Results</b>: Both indices had acceptable Likelihood Ratios. The Kosky et al. index had suboptimal sensitivity and specificity, while the Henry index had acceptable sensitivity (.41) and better specificity (.88). However, when either index, considered in isolation or combined, indicated invalid performance, it was most often a false positive. <b>Conclusion</b>: Kosky et al.'s index did not meet the <i>a priori</i> criteria. While the Henry index was more robust, more than half (18/29) of the cases it identified as invalid were false positives. Differences in base rates between the original sample of Henry and the current one likely affected positive predictive power of the new index. Results suggest that this index is more useful to rule out invalid performance than to rule it in.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676616","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":"Validation of the Spanish version of COGNITO as an assessment tool for cognitive impairment associated with multiple sclerosis.","authors":"Nieves Revert-Alcántara, María Jesús Funes, Carmen Sáez-Zea","doi":"10.1080/13854046.2025.2535424","DOIUrl":"https://doi.org/10.1080/13854046.2025.2535424","url":null,"abstract":"<p><p><b>Objective:</b> Multiple sclerosis (MS) frequently leads to cognitive impairment (CI), which significantly diminishes patients' quality of life. However, CI is often underdiagnosed, largely due to the limited availability of assessment tools validated for the Spanish MS population. This study analyzes the reliability and validity of the Computerized Information Processing Assessment Battery (COGNITO)-a brief, touchscreen-based tool-for use in the Spanish population with MS. COGNITO assesses cognitive domains commonly affected in MS, and has demonstrated utility in early CI diagnosis in other populations, such as healthy aging, mild CI, dementia, or traumatic brain injury. <b>Methods:</b> This multicenter study included 64 MS patients (without CI, <i>n</i> = 25; with CI, <i>n</i> = 39) from six Spanish health centers, and 183 healthy controls. Participants completed COGNITO and the Brief Neuropsychological Battery (BNB), a rapid paper-and-pencil battery for CI in MS (gold standard). Between-group comparisons were conducted for sociodemographic, clinical variables and COGNITO scores (cognitive domains and total). Concordance between the total scores of both instruments and COGNITO's sensitivity and specificity were evaluated using the area under the curve (AUC). <b>Results:</b> Statistically significant positive correlations were observed between COGNITO scores and CI assessed by the BNB. COGNITO demonstrated robust diagnostic accuracy (AUC = 0.97; Sensitivity = 0.97; Specificity = 0.78) and strong external validity, effectively distinguishing between healthy controls and MS patients with CI. <b>Conclusions:</b> COGNITO is a reliable and valid tool with high diagnostic utility for the early detection of CI in Spanish patients with MS. Its versatility and strong applicability make it a valuable instrument for clinical practice.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-26"},"PeriodicalIF":3.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683629","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":"The effects of processing speed and cognitive load demands on working memory performance in young adults born very preterm.","authors":"Taylor Mills, Leona Pascoe, Megan Spencer-Smith, Rheanna M Mainzer, Thi-Nhu-Ngoc Nguyen, Peter J Anderson","doi":"10.1080/13854046.2025.2533300","DOIUrl":"https://doi.org/10.1080/13854046.2025.2533300","url":null,"abstract":"<p><strong>Objective: </strong>To examine working memory performance in young adults born very preterm (VP) and full-term (FT) in the context of information processing.</p><p><strong>Methods: </strong>A cohort of 118 young adults born VP (mean age 20.1 years) and 48 young adults born at term (mean age 19.9 years) completed a n-back task (both 1- and 2-back) and a Keeping Track Task which systematically manipulated working memory (cognitive) load and information processing speed.</p><p><strong>Results: </strong>Across all tasks the VP group performed worse than the FT group, with the magnitude of differences increasing as cognitive load increased. Contrary to expectations, the magnitude of group differences remained similar as information processing speed demands increased.</p><p><strong>Conclusions: </strong>Our findings provide further evidence that working memory difficulties in those born VP persist into adulthood. However, the between group difference in working memory performance in this population did not decrease or ameliorate when individuals were provided more time for the task. This study gives evidence that information processing speed demands do not drive the working memory difficulties seen in those born VP. These results provide important information regarding the cognitive phenotype of those born VP and their development.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651292","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":"AD/HD symptoms in assessment seeking post-secondary students: Has the COVID-19 pandemic made a difference?","authors":"Emma Jamieson, Beth Pollock, Nathaniel Davin, Allyson G Harrison","doi":"10.1080/13854046.2025.2533298","DOIUrl":"https://doi.org/10.1080/13854046.2025.2533298","url":null,"abstract":"<p><strong>Objective: </strong>Anecdotally, individuals reporting symptoms of Attention Deficit/Hyperactivity Disorder (AD/HD) seem to have increased over the past few years, particularly since the onset of the Coronavirus disease 2019 (COVID-19) pandemic. As such, this study aimed to objectively investigate the validity of this observation.</p><p><strong>Method: </strong>Using archival data from 667 students assessed in a University-based clinic between 2018 and 2024, self-reported AD/HD symptoms on the Conners' Adult AD/HD Rating Scales-Self-Report: Long Version (CAARS-S:L) were compared across three time periods: pre-COVID (<i>n</i> = 407), during COVID (<i>n</i> = 110), and post-COVID (<i>n</i> = 150).</p><p><strong>Results: </strong>Results indicate a significant increase in reported symptoms of inattention/memory, impulsivity/emotional lability, DSM-IV inattentive and hyperactive-impulsive symptoms, total AD/HD symptoms, and AD/HD index after the pandemic. Notably, there was a significant increase in problems with self-concept during and after the pandemic, and there were no significant changes in symptoms of hyperactivity/restlessness across all time points. However, the actual rate of diagnosed AD/HD in the sample did not significantly change across these periods.</p><p><strong>Conclusions: </strong>The findings support anecdotal observations and suggest that the pandemic may have exacerbated AD/HD-like symptoms in an assessment-seeking post-secondary population, even among individuals without formal AD/HD diagnoses. Increases in reported AD/HD symptoms may be related to COVID-19 pandemic factors such as heightened stress, disrupted routines, and increased screen time. The results underscore the need for careful diagnostic practices and further research on the impact of environmental factors on AD/HD symptomatology in young adults.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644196","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":"Understanding the current state of neuropsychological training and clinical practices with Asian American patient populations.","authors":"Sana F Arastu, Ashlynn Steinbaugh, Rayna B Hirst, Talamahe'a A Tupou, Julius H Flowers, Lillian S Vang, Alexandra Rousseau, Michael Ellis-Stockley","doi":"10.1080/13854046.2025.2523534","DOIUrl":"https://doi.org/10.1080/13854046.2025.2523534","url":null,"abstract":"<p><p><b>Objective:</b> Asian American populations in the United States account for the fastest growing ethnic group. This diversity illuminates the challenges of addressing culturally sensitive clinical care and need for comprehensive training. The present study aimed to examine the extent of neuropsychologists' training, considerations, and current practices with Asian American patient populations and identify important advocacy areas. <b>Method:</b> Neuropsychologists (<i>n</i> = 143, 83.2% female, mean age = 44.05) completed a survey containing questions about demographic information, professional work and training, and current practices with Asian American populations. The authors calculated frequencies for demographics, training, and practices. Nonparametric Friedman's analysis of variance and post hoc tests identified patterns of ranked responses for current practices. The authors conducted a thematic analysis for open-ended questions about barriers to providing culturally sensitive neuropsychological training and services. <b>Results:</b> Nearly half (46%) of respondents received cultural sensitivity training in four or more settings, mainly in clinical contexts (90.2%). Over 88% received \"little\" to no training on Asian Americans specifically, yet nearly half had worked with this population in the \"past few weeks.\" Steps to selecting norms and evaluating for English proficiency often differed from established recommendations. Respondents identified resource inaccessibility, inconsistent use and lack of normative data, and interpreter use as barriers to providing culturally sensitive services. Most (68%) desired increased and improved training quality with Asian Americans. <b>Conclusion:</b> Findings indicate an urgent need for increased accessibility and consensus in guidelines and recommendations for improving neuropsychological training and practices with Asian minorities.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-29"},"PeriodicalIF":3.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638688","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}