Archives of Clinical Neuropsychology最新文献_第2页

Improving Access to Dementia Care in the Era of Monoclonal Antibody Treatments for Alzheimer's Disease: a Pilot Clinical Protocol Using Abbreviated Neuropsychological Assessment. 在单克隆抗体治疗阿尔茨海默病的时代，改善痴呆症护理的可及性：使用简略神经心理评估的试点临床方案。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acae111

Savana M Naini, Ryan C Thompson, Maria Agustina Rossetti, Virginia T Gallagher, Carol A Manning, Kathleen Fuchs, Anelyssa D'Abreu, Tanya Prachar, Shannon E Reilly

{"title":"Improving Access to Dementia Care in the Era of Monoclonal Antibody Treatments for Alzheimer's Disease: a Pilot Clinical Protocol Using Abbreviated Neuropsychological Assessment.","authors":"Savana M Naini, Ryan C Thompson, Maria Agustina Rossetti, Virginia T Gallagher, Carol A Manning, Kathleen Fuchs, Anelyssa D'Abreu, Tanya Prachar, Shannon E Reilly","doi":"10.1093/arclin/acae111","DOIUrl":"10.1093/arclin/acae111","url":null,"abstract":"Objective: To meet the growing demand for timely diagnosis in the new era of disease-modifying medications for Alzheimer's disease (AD), the present study aimed to reduce clinic wait times by developing and refining an abbreviated neuropsychological battery to assess individuals with a suspected amnestic process (i.e., Early-Stage AD Pathway).Method: Early-Stage AD Pathway patients were referred by an internal neurology provider who determined that the patient had: (1) an amnestic clinical presentation, (2) a normal neurological examination, and (3) a Montreal Cognitive Assessment total score between 18 and 25. These patients were scheduled for a 2-h neuropsychological evaluation, including a brief clinical interview and an abbreviated testing battery. We evaluated n = 19 patients in the Early-Stage AD Pathway and compared them to 114 older adults referred via traditional clinic procedures (i.e., General Clinic).Results: Most individuals evaluated via the Early-Stage AD Pathway were diagnosed with mild cognitive impairment (MCI; 68.4%) or mild dementia (21.1%) through the neuropsychological evaluation. Rate of diagnosis of MCI/dementia was comparable between groups. The average number of days between initial referral and completion of the neuropsychological evaluation was significantly lower (Mdiff = 145.8 days, U = 1867.500, p < 0.001) for the Early-Stage AD Pathway group than for the General Clinic group, as the former could be scheduled more flexibly.Conclusions: Implementing an abbreviated neuropsychological assessment process significantly reduced the time between referral and evaluation to identify individuals who may be eligible for emerging pharmacological treatments for AD and/or non-pharmacological interventions in a timely manner.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"767-774"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Examining the Discrepancy between Subjective Cognitive Complaints and Processing Speed Performance in Military Personnel with Traumatic Brain Injury. 外伤性脑损伤军人主观认知抱怨与加工速度表现差异的研究。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acae112

Daija A Jackson, Sara M Lippa, Tracey A Brickell, Louis M French, Rael T Lange

{"title":"Examining the Discrepancy between Subjective Cognitive Complaints and Processing Speed Performance in Military Personnel with Traumatic Brain Injury.","authors":"Daija A Jackson, Sara M Lippa, Tracey A Brickell, Louis M French, Rael T Lange","doi":"10.1093/arclin/acae112","DOIUrl":"10.1093/arclin/acae112","url":null,"abstract":"Objective: To examine correlates of the discrepancy between subjective cognitive complaints and processing speed performance in a sample of military personnel with and without traumatic brain injury (TBI).Method: About 235 U.S. military service members (31 noninjured controls [NIC], 69 injured controls [IC], 70 uncomplicated mild TBI [mTBI], and 65 complicated mild/moderate/severe TBI [sTBI]) prospectively enrolled in a longitudinal TBI study completed neuropsychological testing, performance validity tests, and self-report measures of cognitive complaints and psychological symptoms. Service members were categorized as \"Accurate Estimators,\" \"Underestimators,\" and \"Overestimators\" based on discrepancies between their subjective cognition and processing speed performance.Results: The NIC group was less likely to underestimate their cognitive abilities than the mTBI group (p < .05). Discrepancy groups significantly differed in processing speed scores (p < .001), with underestimators demonstrating the best objective cognitive performance. Spearman correlations revealed significant positive correlations between unadjusted discrepancy scores and psychological symptoms in the NIC, IC, and sTBI groups (ps < 0.05) but not the mTBI group (ps > 0.05). In contrast, discrepancy scores adjusted for premorbid intelligence were consistently and positively correlated with psychological symptoms across all injury groups (ps < 0.05).Conclusions: Findings suggest that mTBI injuries may increase the likelihood of a patient underestimating their cognitive performance. Further, premorbid cognitive functioning is an important factor in evaluating discrepancies in self-reported cognitive complaints and processing speed performance.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"833-841"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Case Reports in the Integration of Technology with Cognitive Rehabilitation for Individuals with Memory Concerns and Their Care Partners. 技术与认知康复对记忆问题个体及其护理伙伴的整合案例报告。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acae115

Karl S Grewal, Eric S Grewal, Allison Cammer, Lachlan A McWilliams, Raymond J Spiteri, Megan E O'Connell

{"title":"Case Reports in the Integration of Technology with Cognitive Rehabilitation for Individuals with Memory Concerns and Their Care Partners.","authors":"Karl S Grewal, Eric S Grewal, Allison Cammer, Lachlan A McWilliams, Raymond J Spiteri, Megan E O'Connell","doi":"10.1093/arclin/acae115","DOIUrl":"10.1093/arclin/acae115","url":null,"abstract":"Objective: Technology can be combined with psychological interventions to support older adults with memory concerns. Using a bi-phasic design, cognitive rehabilitation (CR) was integrated with off-the-shelf technology and delivered to two people with cognitive impairment, and one care partner.Method: Pre- and post-intervention assessments were completed for all participants. Individuals with memory problems received pre- and post-intervention remote neuropsychological assessment (i.e., Rey auditory verbal learning test; mental alternations test; animal fluency), and the hospital anxiety and depression scale (HADS). The care partner completed the HADS, Zarit burden interview, and neuropsychiatric inventory questionnaire. Change metrics incorporated reliable change indices where possible. Goals were tracked using the Canadian occupation performance measure; these data were analyzed through visual inspection. A research journal (used to document intervention process) was analyzed thematically.Results: Results cautiously suggested our integration was feasible and acceptable across several technologies and varying goals. Across participants, significant changes in goal progress suggested the integration of technology with CR successfully facilitated goal performance and satisfaction. The research journal underscored the importance of a visual component, intervention flexibility, and a strong therapeutic alliance in integrating technology and CR.Conclusions: CR and technology present a promising avenue for supporting people living with cognitive impairment. Further exploration of technology and CR with a range of etiologies and target goals is warranted.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"878-906"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142875798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retraction and replacement of: Development and Preliminary Validation of Standardized Regression-Based Change Scores as Measures of Transitional Cognitive Decline. 撤销和替代：基于标准化回归的变化评分作为过渡性认知衰退的测量方法的发展和初步验证。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acaf016

引用次数: 0

Depression Symptoms Moderate Associations between Daily Functioning and Neuropsychological Performance in Mexican American Adults. 抑郁症状缓和了墨西哥裔美国成年人的日常功能与神经心理学表现之间的关联。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acae100

Lisa V Graves, Jennifer Lozano, Lorraine Vergonia, Paola Ortega

{"title":"Depression Symptoms Moderate Associations between Daily Functioning and Neuropsychological Performance in Mexican American Adults.","authors":"Lisa V Graves, Jennifer Lozano, Lorraine Vergonia, Paola Ortega","doi":"10.1093/arclin/acae100","DOIUrl":"10.1093/arclin/acae100","url":null,"abstract":"Objective: The influence of depression on the relationship between cognition and daily living in aging Mexican American adults requires further investigation, given projected trends in general growth as well as prevalence of depression and Alzheimer's disease and related dementias (ADRD) in this population.Method: In the present study, we examined the extent to which depression (assessed using the Geriatric Depression Scale - 15 item version) moderated the association between reported daily functioning (assessed using the Functional Activities Questionnaire [FAQ]) and objective neuropsychological performance in aging Mexican American adults in the National Alzheimer's Coordinating Center cohort.Results: Worse reported daily functioning (higher FAQ scores) was associated with worse memory and language performance among participants without elevated depression symptoms (ps < .05), but no associations were observed among those with elevated symptoms (ps > .05). Moreover, depression did not moderate associations of reported daily functioning with performance in attention and working memory or executive functioning and processing speed (ps > .05).Conclusions: Aging Mexican American adults with elevated depression symptoms may have subjective informant reports of daily functioning that are discrepant from their objective performance on formal tests of memory and language. Within the context of neuropsychological evaluations for ADRD, failure to adequately assess mood to inform the nature of cognitive and/or functional changes could result in misdiagnosis and lead to delayed, premature, and/or improper intervention with this population.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"822-832"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Language and Cognitive Impairments in Multiple Sclerosis: a Comparative Study of RRMS and SPMS Patients. 多发性硬化症的语言和认知障碍：RRMS 和 SPMS 患者的比较研究。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-21 DOI: 10.1093/arclin/acae110

Maria Martzoukou, Anastasia Nousia, Lambros Messinis, Kostas Konstantopoulos, Grigorios Nasios

{"title":"Language and Cognitive Impairments in Multiple Sclerosis: a Comparative Study of RRMS and SPMS Patients.","authors":"Maria Martzoukou, Anastasia Nousia, Lambros Messinis, Kostas Konstantopoulos, Grigorios Nasios","doi":"10.1093/arclin/acae110","DOIUrl":"10.1093/arclin/acae110","url":null,"abstract":"Objective: Previous studies have reported that patients with Multiple Sclerosis (MS) face cognitive difficulties. Much less, however, is known about their language abilities. The present study aims to provide a clear view of the language abilities of adults with MS, considering their cognitive skills and the type of the disorder.Method: Specifically, 20 patients with Relapsing-Remitting MS, 17 patients with Secondary Progressive MS, and two healthy control groups demographically matched with the clinical groups, took part in the study. Their language abilities were examined using the Adult Language Abilities Test, which explores morpho-syntactic and semantic phenomena of the Greek language in both comprehension and production modes.Results: Our results did not reveal statistically significant differences between the two clinical groups on any cognitive or language subtest. Both groups, however, performed poorer than the control groups in producing the correct form of verbs, possessive and weak personal pronouns, and in comprehending relative and passive clauses. Participants' performance in morphosyntax was found to be related to their processing speed.Conclusion: Mapping the cognitive and language abilities of patients with MS is crucial for designing effective targeted interventions, which can help them adopt strategies to manage their specific cognitive and language symptoms.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"775-782"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

NIH Toolbox Cognition Performance in Older Adults with Normal Cognition, Mild Cognitive Impairment, and Mild Dementia of the Alzheimer's Type: Results from the ARMADA Study. 美国国立卫生研究院工具箱认知表现在老年人正常认知，轻度认知障碍，轻度痴呆的阿尔茨海默氏症类型：结果从ARMADA研究。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-14 DOI: 10.1093/arclin/acaf035

Emily H Ho, Tatiana Karpouzian-Rogers, Ezgi Ayturk, Katy Bedjeti, Sandra Weintraub, Richard Gershon

{"title":"NIH Toolbox Cognition Performance in Older Adults with Normal Cognition, Mild Cognitive Impairment, and Mild Dementia of the Alzheimer's Type: Results from the ARMADA Study.","authors":"Emily H Ho, Tatiana Karpouzian-Rogers, Ezgi Ayturk, Katy Bedjeti, Sandra Weintraub, Richard Gershon","doi":"10.1093/arclin/acaf035","DOIUrl":"https://doi.org/10.1093/arclin/acaf035","url":null,"abstract":"Objective: Efficient and early detection of cognitive impairment may be facilitated using the NIH Toolbox (NIHTB), a computerized suite of assessments measuring multiple aspects of neurological functioning.Methods: The Advancing Reliable Measurement in Alzheimer's Disease and cognitive Aging study validated the NIHTB across a geographically diverse cognitive aging sample. Participants aged >64 with normal cognition (NC), mild cognitive impairment (MCI), and dementia of the Alzheimer type (DAT) across nine research sites completed the NIHTB. One-way ANOVAs captured differences in performance on the Cognition Battery and effect sizes were calculated.Results: Groups differed substantially across all cognition measures, with large differences in Total and Fluid Cognition, after demographic adjustment. The largest differentiators were in fluid measures, particularly for working and episodic memory.Conclusions: NIHTB-CB differentiates NC, MCI, and DAT groups. Future studies will examine longitudinal differences and performance in enriched samples (African American participants, Spanish NIHTB, 85+ years old).","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Response Bias Scale and Response Bias Scale-19 of the MMPI-2-RF: Cross Validation and Comparison in an Active-Duty Neuropsychological Sample. MMPI-2-RF的反应偏倚量表和反应偏倚量表-19：在现役神经心理学样本中的交叉验证和比较。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-14 DOI: 10.1093/arclin/acaf034

Luke G Childers, Paul B Ingram, Adam T Schmidt, Brandy Piña-Watson

{"title":"The Response Bias Scale and Response Bias Scale-19 of the MMPI-2-RF: Cross Validation and Comparison in an Active-Duty Neuropsychological Sample.","authors":"Luke G Childers, Paul B Ingram, Adam T Schmidt, Brandy Piña-Watson","doi":"10.1093/arclin/acaf034","DOIUrl":"https://doi.org/10.1093/arclin/acaf034","url":null,"abstract":"Objective: Valid client performance is critical to effective psychological testing. The MMPI-2-RF includes the Response Bias Scale (RBS) as an effective over-reporting scale and was developed for such detection efforts. Emerging RBS research has evaluated modifications to improve the scale's reliability and validity, shortening it from 28 to 19-items. This study cross-validates RBS-19 in a large military sample using multiple Performance Validity Tests as outcome measures. It also examines the moderating effects of military rank.Methods: Active-Duty Service members (n = 587) seen at Walter Reed National Medical Center. Archival data were collected during referral-based post-deployment screenings for reported cognitive impairments. Analytic plan includes PVT mean difference testing, RBS/RBS19 and PVT Pass All / Fail Any strengths of association, and moderation analyses.Results: Results indicate a non-significant influence of rank at predicting PVT failure. RBS was generally equitable with RBS-19 but demonstrated some marginally better utility. Elevation frequency and differences in those rates (e.g., Chi Square and Phi Coefficient's) supported significant relationships between overall Pass All/Fail Any grouping.Conclusions: Clinical implications suggest differences in PVT detection when assessing response invalidity. Important moderator findings suggest rank does not influence response style. Inconsistency with previous literature suggests importance of context dependent testing (e.g., post-deployment, fitness for duty vs forensic/outpatient settings). Recommendations for future use in Active-Duty populations are provided.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Evaluation of In-person versus Remote Cognitive Assessment in Cognitively Unimpaired Older Adults via Regression-Based Change Analysis. 基于回归变化分析的无认知障碍老年人现场与远程认知评估评价。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-13 DOI: 10.1093/arclin/acaf033

Lauren A Latham, Suzanne Craft, Stephen R Rapp, James R Bateman, Maryjo Cleveland, Samantha Rogers, Benjamin J Williams, Mia Yang, Bonnie C Sachs

{"title":"Evaluation of In-person versus Remote Cognitive Assessment in Cognitively Unimpaired Older Adults via Regression-Based Change Analysis.","authors":"Lauren A Latham, Suzanne Craft, Stephen R Rapp, James R Bateman, Maryjo Cleveland, Samantha Rogers, Benjamin J Williams, Mia Yang, Bonnie C Sachs","doi":"10.1093/arclin/acaf033","DOIUrl":"https://doi.org/10.1093/arclin/acaf033","url":null,"abstract":"Objective: Compare the changes in neuropsychological test scores between remote and in-person follow-up assessment over a 1-year period using standardized regression-based (SRB) change indices.Method: Participants were from the Wake Forest Alzheimer's Disease Research Center (ADRC; N = 230) [mean age: 68.6 (7.8) years; education: 16.3 (2.3) years; 71% female; 86% White] and cognitively normal (as defined by a CDR of 0) at baseline and follow-up [mean days: 420.03 (48.53)]. Follow-up testing with the Uniform Data Set v3 Cognitive Battery was completed in person (n = 121) or remotely (n = 109) via phone (n = 61) or video (n = 48). SRB change scores were calculated using published formulas. Chi-square analysis compared the frequency of scores falling outside of an SRB cut-point +/-1.645 for follow-up assessments and mean SRB change scores were compared.Results: There were no significant differences in the frequency of SRB change scores for in-person versus remote follow-up assessments at the SRB cut-point. Similarly, one-way ANOVAs comparing mean SRB change scores revealed no significant differences between in-person, telephone, and video follow-up means for any of the tests.Conclusions: Telephone and video cognitive assessments performed similarly to in-person assessment and offer a valuable tool for research and clinical applications.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

An 18-Year Study of Changes in Neurocognitive Function and Associations with Repetitive Head Trauma among Former Collegiate American Football Players: A Case Series. 前美国大学橄榄球运动员18年的神经认知功能变化及其与重复性头部创伤的关联研究：一个案例系列。

IF 2.1 4区心理学

Archives of Clinical Neuropsychology Pub Date : 2025-05-05 DOI: 10.1093/arclin/acaf032

Samuel R Walton, Zachary Yukio Kerr, Jacob R Powell, Kelly S Giovanello, Michael A McCrea, Kevin M Guskiewicz, Benjamin L Brett

{"title":"An 18-Year Study of Changes in Neurocognitive Function and Associations with Repetitive Head Trauma among Former Collegiate American Football Players: A Case Series.","authors":"Samuel R Walton, Zachary Yukio Kerr, Jacob R Powell, Kelly S Giovanello, Michael A McCrea, Kevin M Guskiewicz, Benjamin L Brett","doi":"10.1093/arclin/acaf032","DOIUrl":"https://doi.org/10.1093/arclin/acaf032","url":null,"abstract":"Objectives: To assess changes in neurocognitive test scores among former collegiate American football players over 18 years and examine associations with head trauma history.Methods: Former collegiate American football players (n = 31; aged = 38.4 ± 1.3 years) self-reported their concussion history and repetitive head impact exposure (Head Impact Exposure Estimate). Neurocognitive testing was conducted at two time-points (during college [T1] and 18-year follow-up [T2]) via Hopkins Verbal Learning Test-Revised Immediate and Delayed Recall; Verbal fluency; Symbol Digit Modalities Test; and Trail-Making Test-B. Raw score changes were calculated, with accompanying Cohen's d effect sizes and coefficients of variation. Repeated-measures analyses of covariance models were fit to examine changes in test performance. Multivariable linear regression models tested associations of sport-related concussion history and repetitive head impact exposure with change scores.Results: No significant changes in cognitive test performance were observed (ps ≥ .06). Individual-level changes exhibited high variability (coefficients of variation ≥ 244%), and group-level effects were small to medium (d ≤ 0.41). Neither sport-related concussion history nor repetitive head impacts were related to change scores (ps > .05).Conclusions: Group-level test scores did not change over 18 years among former collegiate football players now in midlife, though individual-level variability was high. Sport-related concussion and head impact exposure estimates were not related to change. Longitudinal studies are essential to understand cognitive trajectories of former football players and factors influencing those trajectories.","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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