Clinical Neuropsychologist最新文献

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The feasibility of remote administration of oral processing speed measures in children with chronic medical conditions. 慢性疾病儿童口服处理速度措施远程给药的可行性。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-25 DOI: 10.1080/13854046.2025.2469337
Rachel K Peterson, Rowena Ng
{"title":"The feasibility of remote administration of oral processing speed measures in children with chronic medical conditions.","authors":"Rachel K Peterson, Rowena Ng","doi":"10.1080/13854046.2025.2469337","DOIUrl":"https://doi.org/10.1080/13854046.2025.2469337","url":null,"abstract":"<p><p><b>Objective:</b> Processing speed is an important neuropsychological construct, with weaknesses evident across many pediatric medical conditions. During the COVID-19 pandemic, tele-neuropsychological evaluations were widely utilized in children with various health conditions to examine cognitive functioning as part of standard care or disease surveillance. Although remote testing afforded better access to neuropsychological care for many families, psychometric properties of tele-neuropsychological assessments, and particularly the equivalence of processing speed measures across in-person versus telehealth test modality, remain underexamined. <b>Method:</b> Pediatric patients with a medical condition completed a measure of intellectual functioning and oral processing speed (verbal fluency, speeded object naming, speeded word reading) either in-person prior to the pandemic or <i>via</i> telehealth during the pandemic. <i>T</i>-tests or chi-squared tests examined differences in processing speed outcomes in patients by testing modality. Additionally, the impact of test modality on processing speed performance was examined across individual medical conditions to determine if remote testing may be more appropriate in the monitoring of cognition for select diagnoses. <b>Results:</b> As a whole, patients performed similarly on oral processing speed measures regardless of testing modality. By medical diagnosis, pediatric oncology patients' performance was higher on a measure of speeded color naming but lower on a measure of speeded object naming when administered <i>via</i> tele-testing. <b>Conclusions:</b> Findings suggest that oral processing speed can be assessed remotely in pediatric patients with medical conditions, though assessment in pediatric oncology patients should be further examined. Limitations and implications for practice are discussed.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494935","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}
引用次数: 0
The evolution of clinical neuropsychology in Puerto Rico: A survey of education, training, barriers, and opportunities for a bilingual population. 波多黎各临床神经心理学的发展:双语人群的教育、培训、障碍和机会调查。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-21 DOI: 10.1080/13854046.2025.2469353
Hjalmar Zambrana-Bonaparte, Walter Rodríguez-Irizarry, Bianca Cintrón-Ortiz, Carolina Fernanda Serrano-Román, Margaret Lanca
{"title":"The evolution of clinical neuropsychology in Puerto Rico: A survey of education, training, barriers, and opportunities for a bilingual population.","authors":"Hjalmar Zambrana-Bonaparte, Walter Rodríguez-Irizarry, Bianca Cintrón-Ortiz, Carolina Fernanda Serrano-Román, Margaret Lanca","doi":"10.1080/13854046.2025.2469353","DOIUrl":"https://doi.org/10.1080/13854046.2025.2469353","url":null,"abstract":"<p><p><b>Objective:</b> To examine neuropsychology education and training in Puerto Rico (PR) and identify areas of growth within neuropsychology curricula in graduate programs. <b>Method:</b> A survey was conducted among 44 psychology graduate students, 21 psychologists, and 17 neuropsychologists in PR to assess interest in neuropsychology, education and training experiences, training barriers, professional affiliations, awareness of the Houston Conference Guidelines (HCG), knowledge of competitive neuropsychology internships in the United States (US), and attitudes toward neuropsychology training in PR. Comparisons were made to evaluate PR's alignment with the US HCG standards. <b>Results:</b> Participants were primarily Spanish-English bilinguals completing or with doctoral degrees in clinical psychology. While APA-approved programs in PR offer foundational neuropsychology courses, clinical training opportunities are limited, resulting in few individuals acquiring HCG competencies. Most neuropsychology training occurs in private practice settings. Barriers to HCG training standards include the scarcity of neuropsychology practicums, with students often seeking education and training outside their institutions. The top professional affiliation was with the National Academy of Neuropsychology. Strengths included the number of psychotherapy hours, while research skills and consultation need improvement. Most participants reported inadequate guidance on postdoctoral training and agreed with the recognition of clinical neuropsychology as a sub-specialty in PR, alongside the development of local training guidelines. <b>Conclusions:</b> PR is advancing neuropsychology for a bilingual and bicultural population, but addressing barriers in education and training is essential. Coordinated efforts among educational institutions, the government, and professionals are crucial to enhance neuropsychological practice on the island and contribute to the global neuropsychology community.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-30"},"PeriodicalIF":3.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472988","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}
引用次数: 0
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. 比较传统的面对面和远程管理的听觉注意和执行功能措施在一组临床转诊的儿科患者。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-21 DOI: 10.1080/13854046.2025.2469338
Rowena Ng, Rachel K Peterson
{"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":"https://doi.org/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":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-02-21","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}
引用次数: 0
A tool for false positive rate estimation in cognitive impairment research: Handling correlated tests, small samples, and composite criteria. 认知障碍研究中假阳性率估计的工具:处理相关测试、小样本和复合标准。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-12 DOI: 10.1080/13854046.2025.2453079
Joost A Agelink van Rentergem, Sanne B Schagen
{"title":"A tool for false positive rate estimation in cognitive impairment research: Handling correlated tests, small samples, and composite criteria.","authors":"Joost A Agelink van Rentergem, Sanne B Schagen","doi":"10.1080/13854046.2025.2453079","DOIUrl":"https://doi.org/10.1080/13854046.2025.2453079","url":null,"abstract":"<p><p><b>Background:</b> In the field of clinical neuropsychology, researchers and clinicians often use predefined criteria to determine whether there are indications of cognitive impairment. However, corrections and expected false-positive rates are typically available only for uncorrelated tests and simple consensus criteria. <b>Objective:</b> To present an easy-to-use and freely available online tool as a solution for scenarios involving correlated tests and composite consensus criteria, as frequently encountered in clinical neuropsychological research and practice. <b>Method:</b> Our tool employs Monte Carlo simulations to account for the number of participants, thus addressing the uncertainty in estimating false positive rates with small samples. We demonstrate the tool's utility through an example involving cognitive impairment assessment in cancer patients after chemotherapy. <b>Results:</b> The tool reveals considerable uncertainty in false positive rates, especially with small sample sizes, where rates may be higher than traditionally assumed. We found that correlations between tests affect impairment rates differently depending on whether single or multiple test criteria are used. For single-test criteria, lower correlations are associated with more false positives, while for multiple-test criteria, lower correlations lead to fewer false positives. <b>Conclusions:</b> This innovative tool enables more accurate estimation of false positive rates in various neuropsychological conditions. By providing a user-friendly interface and accounting for real-world complexities such as test correlations and composite criteria, our tool empowers clinicians and researchers to: Make informed decisions when interpreting neuropsychological test results.Design more robust research protocols for cognitive impairment studies.Better understand the implications of sample size on false positive rates.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400783","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}
引用次数: 0
Normative data for teleneuropsychological testing: findings from a Canadian adult cohort. 远神经心理测试的规范数据:来自加拿大成人队列的发现。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-04 DOI: 10.1080/13854046.2025.2461773
Zoë M Gilson, Alison F Chung, Cian L Dabrowski, Madeline A Gregory, Morgan J Schaeffer, Kristina M Gicas, Theone S E Paterson
{"title":"Normative data for teleneuropsychological testing: findings from a Canadian adult cohort.","authors":"Zoë M Gilson, Alison F Chung, Cian L Dabrowski, Madeline A Gregory, Morgan J Schaeffer, Kristina M Gicas, Theone S E Paterson","doi":"10.1080/13854046.2025.2461773","DOIUrl":"https://doi.org/10.1080/13854046.2025.2461773","url":null,"abstract":"<p><strong>Objective: </strong>Use of teleneuropsychological services has greatly increased since the beginning of the COVID-19 pandemic. The present study aimed to create normative data for a neuropsychological test battery of diverse cognitive domains in a Canadian population.</p><p><strong>Method: </strong>A sample (<i>n</i> = 291) of adults aged 19 or older completed a comprehensive neuropsychological assessment (i.e. memory, executive function, etc.) <i>via</i> Zoom. Participants included those with a COVID-19 diagnosis (<i>n</i> = 146) and participants who had not contracted COVID-19 (<i>n</i> = 145). Data were stratified by age group as follows: 19-34, 35-49, 50-64, 65-79. Linear bivariate regression in the entire sample and groups stratified by age was used to test the relationship between age and test scores. Test scores were converted to z-scores using the mean and standard deviation for that group, with z-scores then transformed into normative scores for each test.</p><p><strong>Results: </strong>Age was a significant predictor of scores for all tests except for FAS, HVLT-R (Retention, Recognition), and Digit Span (Forwards, Backwards). After raw test scores were regressed onto age for each group, age was no longer a significant predictor for most test scores, with exceptions for each age group.</p><p><strong>Conclusions: </strong>This study created normative data for a diverse teleneuropsychological test battery in a Canadian population. Standard-ized scores generally fell within the average range, with the exception of TOPF and JLO scores, which may be explained by high educational attainment and virtual testing environment, respectively. The results suggest that the teleneuropsychological testing environment results in similar performance to in-person assessment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191242","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}
引用次数: 0
Neuropsychological review of records in forensic cases: An AACN best practices paper with international perspectives. 法医案件中的神经心理学记录审查:具有国际视野的 AACN 最佳实践文件。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-04 DOI: 10.1080/13854046.2025.2461750
Michael D Chafetz, Jerry J Sweet, Kyle B Boone, Darcy Cox, Vicki Hall, Michael W Kirkwood, Jose M Lafosse, Thomas Merten, Christian Oldenburg
{"title":"Neuropsychological review of records in forensic cases: An AACN best practices paper with international perspectives.","authors":"Michael D Chafetz, Jerry J Sweet, Kyle B Boone, Darcy Cox, Vicki Hall, Michael W Kirkwood, Jose M Lafosse, Thomas Merten, Christian Oldenburg","doi":"10.1080/13854046.2025.2461750","DOIUrl":"https://doi.org/10.1080/13854046.2025.2461750","url":null,"abstract":"<p><p><b>Objective</b>: The purpose of this American Academy of Clinical Neuropsychology (AACN) <i>best practices</i> paper is to provide the neuropsychological community with the fundamentals of a competent forensic review of records. <b>Method</b>: Narrative review addressing fundamental factors related to review of records. Examples highlighted information necessary for a forensic determination of traumatic brain injury (TBI), and the data from records that can be used to address questions regarding validity of presentation. International and intra-jurisdictional perspectives within the US were used to illustrate the necessity of adhering the review to the rules. <b>Results</b>: Factors identified involve ethical responsibilities, completeness in obtaining and reviewing relevant records, evaluation of credibility of the records, considerations regarding examinee self-reporting, grounding of opinions within peer-reviewed science, determination of causation in the context of litigation, and avoiding bias in reporting, as well as consideration of cultural and language factors. Different jurisdictional rules require close attention. <b>Conclusions</b>: Neuropsychologists need to be aware of the need for a competent review of records to obtain basic facts, maintain objectivity, and provide a context for conclusions in a neuropsychological examination report. In litigation cases, opinions based solely on review of records may be challenged for reasons that might include not having personally evaluated the plaintiff, and whether opinions meet <i>Daubert</i> criteria pertaining to sufficient scientific bases and facts. A thorough review in the context of examination helps deal with litigant/claimant subjectivity and malleability of self-report, and it can provide critical reasoning about other factors relevant to causation.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-31"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191199","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}
引用次数: 0
Prevalence of neurocognitive impairment in patients with rheumatoid arthritis - a systematic review and meta-analysis. 类风湿关节炎患者神经认知功能障碍的患病率--系统回顾和荟萃分析。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-01 Epub Date: 2024-07-31 DOI: 10.1080/13854046.2024.2378521
Daniel Pankowski, Kinga Wytrychiewicz-Pankowska, Ewa Pisula, Andrzej M Fal
{"title":"Prevalence of neurocognitive impairment in patients with rheumatoid arthritis - a systematic review and meta-analysis.","authors":"Daniel Pankowski, Kinga Wytrychiewicz-Pankowska, Ewa Pisula, Andrzej M Fal","doi":"10.1080/13854046.2024.2378521","DOIUrl":"10.1080/13854046.2024.2378521","url":null,"abstract":"<p><p><b>Objective</b>This study aimed to evaluate prevalence rates (PRs) of neurocognitive impairment and its potential moderators among patients with rheumatoid arthritis (RA). <b>Method</b>A systematic review of the available literature and data extraction was undertaken on 6 August 2021, with the update by 14 September 2023, by two reviewers independently. Literature was screened for reported rates of prevalence of neurocognitive impairment in RA patients. The meta-analysis was performed using RStudio with the \"meta\" library. <b>Results</b>Twenty-two studies that fulfilled all selection criteria were carefully analyzed. The PR of neurocognitive impairment was 0.49 [0.38-0.61] across all studies included in the review; 0.75 [0.54-0.88] for the MoCA; 0.56 [0.40-0.72] for the MMSE; and 0.26 [0.16-0.38] for comprehensive batteries. The meta-regression results indicated that, depending on the measurement method, the percentage of subjects with positive rheumatoid factor, women ratio, mean age of participants, mean duration of RA, and percentage of domains that had to be impaired to diagnose neurocognitive impairment turned out to be statistically significant moderators. <b>Conclusions</b>Neurocognitive impairment is a clinically relevant condition in many RA patients, and its prevalence is alarming high.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"252-272"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861738","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}
引用次数: 0
Cultural and multicultural topics in Neuropsychology Journal titles from 2010-2020. 2010-2020 年神经心理学期刊中的文化和多元文化主题。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-01 Epub Date: 2024-08-03 DOI: 10.1080/13854046.2024.2385506
Rebecca E Ready, Eleni Kapoulea, Irina Orlovsky, Maya Whaley, Hanan S Rafiuddin
{"title":"Cultural and multicultural topics in Neuropsychology Journal titles from 2010-2020.","authors":"Rebecca E Ready, Eleni Kapoulea, Irina Orlovsky, Maya Whaley, Hanan S Rafiuddin","doi":"10.1080/13854046.2024.2385506","DOIUrl":"10.1080/13854046.2024.2385506","url":null,"abstract":"<p><strong>Objective: </strong>The values of a field are reflected in the science it publishes. The goal of this study was to present a historical analysis of the extent to which the field of clinical neuropsychology publishes journals with titles that address culture in the context of brain function and behavior between 2010 and 2020.</p><p><strong>Methods: </strong>Titles from articles published in 13 neuropsychology journals from 2010-2020 were collected and coded with regard to culture and multicultural content. The aims of the study were to (1) determine how often cultural or multicultural topics were represented in journal titles, (2) determine if cultural or multicultural content in neuropsychology journal publication titles increased over time, and (3) to explore other neuropsychological content that was most and least likely to appear in publications pertaining to culture or multicultural issues.</p><p><strong>Results: </strong>Results indicated that titles for publications in clinical neuropsychology journals with content relevant to cultural or multicultural neuropsychology represented 1.1% to 13.4% of titles across the 13 journals. The number of cultural/multicultural titles increased over time. The number of cultural/multicultural titles per journal was not significantly correlated with the journal impact factor. Normative data were addressed significantly more often in cultural/multicultural titles versus non-cultural/multicultural titles, whereas psychiatric issues were addressed significantly less often.</p><p><strong>Conclusions: </strong>There are many actions that clinical neuropsychologists can take to increase the field's attention to the effects of culture on brain function and behavior. It is vital to update our data from 2021 to the present, given the substantial increase in awareness of social justice issues that occurred since 2020.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"237-251"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879864","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}
引用次数: 0
Providing a brief corrective statement does not improve test performance in patients invalidating testing: A multisite, single-blind randomized controlled trial. 提供简短的纠正说明并不能提高测试无效患者的测试成绩:多地点、单盲随机对照试验。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-01 Epub Date: 2024-07-26 DOI: 10.1080/13854046.2024.2382340
Jeroen J Roor, Brechje Dandachi-FitzGerald, Maarten J V Peters, Rudolf W H M Ponds
{"title":"Providing a brief corrective statement does not improve test performance in patients invalidating testing: A multisite, single-blind randomized controlled trial.","authors":"Jeroen J Roor, Brechje Dandachi-FitzGerald, Maarten J V Peters, Rudolf W H M Ponds","doi":"10.1080/13854046.2024.2382340","DOIUrl":"10.1080/13854046.2024.2382340","url":null,"abstract":"<p><p><b>Objective:</b> Performance below the actual abilities of the examinee can be measured using performance validity tests (PVTs). PVT failure negatively impacts the quality of the neuropsychological assessment. In our study, we addressed this issue by providing a brief corrective statement regarding invalidity to improve test-taking behavior. <b>Methods:</b> This study is a multisite single-blind randomized controlled trial in a consecutive sample of clinically referred adult patients (<i>N</i> = 196) in a general hospital setting. Patients who failed a PVT (<i>n</i> = 71) were randomly allocated to a corrective statement approach (CS; <i>n</i> = 39), in which a brief verbal corrective statement was given by the technician, or received no corrective statement upon indications of invalid performance (NO-CS; <i>n</i> = 32). Both groups (CS and NO-CS) were provided with the same subsequently repeated and newly administered tests. <b>Results:</b> There were no group (CS vs. NO-CS) differences on both the repeated and single-administered PVTs and standard cognitive tests. Furthermore, invalid performing participants benefited significantly less from the repeated test administration compared to the valid performing group. <b>Conclusions:</b> Our study found that a brief corrective within-session statement, to address PVT failure and improve test-taking behavior, did not improve consequent test performance. These results suggest limited value of a brief verbal corrective statement to influence performance below best of capabilities. It highlights the need for more research to identify more effective approaches that can enhance patients test-taking behavior. Ultimately, such efforts are critical in ensuring accurate diagnosis and effective treatment recommendations for patients.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"324-346"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762782","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}
引用次数: 0
Methods for assessment of Rey Auditory Verbal Learning Test performance in memory clinic patients and healthy adults - at the cross-roads of learning theory and clinical utility. 记忆门诊病人和健康成年人的雷伊听觉言语学习测试成绩评估方法--学习理论与临床实用性的交叉点。
IF 3 3区 心理学
Clinical Neuropsychologist Pub Date : 2025-02-01 Epub Date: 2024-08-12 DOI: 10.1080/13854046.2024.2384616
Ove Almkvist, Anna Rennie, Eric Westman, John Wallert, Urban Ekman
{"title":"Methods for assessment of Rey Auditory Verbal Learning Test performance in memory clinic patients and healthy adults - at the cross-roads of learning theory and clinical utility.","authors":"Ove Almkvist, Anna Rennie, Eric Westman, John Wallert, Urban Ekman","doi":"10.1080/13854046.2024.2384616","DOIUrl":"10.1080/13854046.2024.2384616","url":null,"abstract":"<p><p><b>Background:</b> Knowledge is still lacking regarding the preferred method for evaluation of learning in the Rey Auditory Verbal Learning Test (RAVLT). Validity of different methods was examined by the effect size in differentiating diagnostic stages in memory clinic patients versus healthy adults and the strength of association between RAVLT performance and brain atrophy. <b>Method:</b> The study included individuals with dementia (<i>n</i> = 247), Mild Cognitive Impairment (MCI, <i>n</i> = 709), Subjective Cognitive Impairment (SCI, <i>n</i> = 175) and cognitively unimpaired adults serving as healthy controls (HC, <i>n</i> = 102). All patients went through a comprehensive clinical examination and neuropsychological assessment of cognition including episodic memory gauged with RAVLT and brain imaging of medial temporal atrophy, cortical atrophy, and white matter hyperintensity. <b>Results:</b> The standard method for evaluation of learning in RAVLT (summed score over five trials) together with the late learning method (mean of trials 4 and 5) were the two most powerful methods according to group differentiation (discriminant validity). Both methods also showed considerable association with medial temporal atrophy (construct validity). The initial RAVLT performance represented by results on trial 1 and the constant in regression analysis with the power function provided information regarding attention that was important for the separation of SCI and HC. <b>Conclusions:</b> The most favorable clinical utility was indicated by discriminant and construct validity by total learning (standard method) including both attention- and learning-related parts and late learning of RAVLT performance, while theoretical understanding of mental processes involved in RAVLT performance was provided by the distinction between initial versus the subsequent learning performance.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"424-438"},"PeriodicalIF":3.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972360","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}
引用次数: 0
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