Clinical Neuropsychologist最新文献

{"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":"Dispersion and inconsistency based intra‑individual variability in neuropsychological test performance accurately identify performance invalidity among adults referred for ADHD evaluation.","authors":"Maya A Marder, G Whitman Kent, Steven A Abalos, J Gabrielle Springer, Tyler J Kukla, Dillon W Sharp, Brian M Cerny, Matthew S Phillips, Troy A Webber, Jason R Soble","doi":"10.1080/13854046.2025.2537903","DOIUrl":"https://doi.org/10.1080/13854046.2025.2537903","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated intra-individual variability (IIV) metrics, dispersion (IIV-D) and inconsistency (IIV-I), for distinguishing the following groups: attention-deficit/hyperactivity disorder (ADHD), non-ADHD psychological diagnoses (PD), no diagnosis (ND), and invalid neuropsychological test performance.</p><p><strong>Method: </strong>A sample of 845 adults (ADHD = 518; PD = 170; ND = 39; invalid = 118) were administered a neuropsychological battery that yielded 12 indicator scores and five performance validity tests (PVTs). intra-individual standard deviation (ISD) and coefficient of variation (CoV) indexed IIV-D across the 12 test indicators, and Continuous Performance Test-3 Hit Reaction Time Standard Deviation (HRT SD), Variability (VAR), and HRT SD and VAR/mean Hit Reaction Time (HRT; e.g. HRT SD/HRT, VAR/HRT) scores indexed IIV-I.</p><p><strong>Results: </strong>ISD (<i>η</i>² = 0.06), CoV (<i>η</i>² = 0.15), HRT SD (<i>η</i>² = 0.09), HRT SD/HRT (<i>η</i>² = 0.04), VAR (<i>η</i>² = 0.06), and VAR/HRT (<i>η</i>² = 0.01), significantly differed across groups, with the Invalid group having higher IIV values than all other groups. Results for ISD, HRT SD, and VAR remained significant even after controlling for each individual's average performance. Higher IIV was often significantly associated with failure on individual PVTs. No IIV metric showed acceptable classification accuracy for ADHD vs. PD vs. ND, whereas all IIV metrics, except VAR/HRT, showed degrees of success in distinguishing groups from invalid performance (ISD: PD vs Invalid AUC = 0.71; CoV: ADHD/PD/ND vs. Invalid AUCs = 0.74/0.80/0.81; HRT SD: PD/ND vs. Invalid AUCs = 0.74/0.83; HRT SD/HRT: ND vs Invalid AUC = 0.76; VAR: PD/ND vs. Invalid AUCs = 0.70/0.81).</p><p><strong>Conclusions: </strong>Results validated IIV metrics as sensitive to cognitive dysfunction and confirmed their utility for clinically distinguishing invalid performance from genuine attentional and psychological impairments among adults undergoing ADHD evaluation.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-31"},"PeriodicalIF":2.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735494","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":"Vestibular dysfunction after mild traumatic brain injury: A systematic review.","authors":"Monica-Rae Owens, Eve Larkin, Samuel A Tenhoeve, Jason R Olcott, Nathan Barber, Matthew C Findlay, Sarah T Menacho, Mohammed Sbai, Ramesh Grandhi","doi":"10.1080/13854046.2025.2536694","DOIUrl":"https://doi.org/10.1080/13854046.2025.2536694","url":null,"abstract":"<p><p><b>Objective:</b> Vestibular system dysfunction (VD), a condition characterized by impairments in balance, spatial orientation, and eye movement control, is frequently encountered after mild traumatic brain injury (mTBI). We reviewed the existing literature on the various forms of post-traumatic VD and discuss the epidemiology and natural history, diagnostic methods, assessment tools, and therapeutic interventions crucial to identifying and managing these impairments. <b>Method:</b> We examined diagnostic techniques, therapeutic strategies, and outcomes reported in the literature on patients with mTBI with VD. Studies were excluded if they did not address VD resulting from mTBI or if they focused primarily on post-concussion syndrome. <b>Results:</b> Of the 927 studies screened, 59 met the inclusion criteria. Although most research prioritized symptom alleviation, some evaluated outcomes after treatment. Common vestibular symptoms identified included dizziness, imbalance, headache, postural and gait disturbances, vertigo, vestibulo-ocular dysfunction, hearing loss or tinnitus, and nystagmus. Diagnostic methods comprised various techniques, including diverse clinical assessments and specialized vestibular tests, and therapeutic strategies included vestibular rehabilitation therapy and pharmacological treatments, leading to varied clinical outcomes and quality-of-life improvements. <b>Conclusions:</b> The current approaches to diagnosing, assessing, and treating VD in patients with mTBI underscore the importance of a multidisciplinary approach with targeted therapeutic strategies to effectively manage this complex and heterogeneous condition. Further research is needed to investigate the complex interplay between VD and neuropsychiatric symptomology.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-27"},"PeriodicalIF":3.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709986","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":"Refining early dementia detection: Diagnostic utility of the Mattis Dementia Rating Scale-2 in differentiating multidomain amnestic mild cognitive impairment and early Alzheimer's disease.","authors":"Jesús Cacho-Gutiérrez, Rosalía García-García-Patino, Ricardo García-García, César Aguilera-Vega, Laura Vicente-González, Yinet Cuevas-Pérez, María Victoria Perea-Bartolomé, Valentina Ladera-Fernández, Julián Benito-León","doi":"10.1080/13854046.2025.2537902","DOIUrl":"10.1080/13854046.2025.2537902","url":null,"abstract":"<p><p><b>Background:</b> Early differentiation between amnestic multidomain mild cognitive impairment (aMCI-md) and Alzheimer's disease (AD) is critical for timely diagnosis and care planning. The Mattis Dementia Rating Scale-2 (DRS-2) is a multidomain cognitive screening tool with potential value in detecting early neurodegenerative changes, though its performance in distinguishing aMCI-md from early AD remains underexplored. <b>Objective:</b> To evaluate the diagnostic accuracy of the DRS-2 total and subscale scores in a Spanish clinical cohort by comparing cognitively unimpaired individuals, patients with aMCI-md, and those with early AD. <b>Methods:</b> We conducted a cross-sectional study including 684 participants: 333 cognitively healthy controls, 141 with aMCI-md, and 210 with early AD. The DRS-2 was administered as part of a neuropsychological battery. Receiver operating characteristic curves, area under the curve (AUC), and optimal cut-off values were used to assess discriminative performance. <b>Results:</b> The DRS-2 total score and the Memory and Initiation/Perseveration subscales demonstrated good discriminative accuracy across all diagnostic contrasts. In the most clinically relevant comparison (aMCI-md vs. early AD), both the total score and Memory subscale reached an AUC of .87, while Initiation/Perseveration followed closely (AUC = .83). The total score yielded 87.2% accuracy (cut-off = 126), and Memory alone achieved 86.6% accuracy (cut-off = 19). Attention and Construction subscales consistently showed limited diagnostic value. <b>Conclusion:</b> The DRS-2, particularly the Memory and Initiation/Perseveration subscales, appears to be a reliable tool for distinguishing the early stages of cognitive impairment, supporting its clinical use for early diagnosis and risk stratification in memory clinic settings.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-21"},"PeriodicalIF":2.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709985","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}