Archives of Clinical Neuropsychology最新文献

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Neurocognitive Intraindividual Variability in Veterans with Mild Traumatic Brain Injury History and Posttraumatic Stress Disorder. 有轻度脑外伤史和创伤后应激障碍的退伍军人的神经认知个体差异。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae098
Holly K Rau, David P Sheppard, Justin E Karr, Rebecca C Hendrickson, Abigail Schindler, Elaine R Peskind, Kathleen F Pagulayan
{"title":"Neurocognitive Intraindividual Variability in Veterans with Mild Traumatic Brain Injury History and Posttraumatic Stress Disorder.","authors":"Holly K Rau, David P Sheppard, Justin E Karr, Rebecca C Hendrickson, Abigail Schindler, Elaine R Peskind, Kathleen F Pagulayan","doi":"10.1093/arclin/acae098","DOIUrl":"10.1093/arclin/acae098","url":null,"abstract":"<p><strong>Objective: </strong>Veterans with a history of blast-related mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) may be at risk for greater cognitive concerns and worse functional outcomes compared to those with either condition in isolation. However, traditional neuropsychological assessment approaches have yielded equivocal results in these populations. The present study examined an alternative method for detecting subtle cognitive inefficiencies: neurocognitive intraindividual variability (IIV), a measure of within-person performance consistency.</p><p><strong>Method: </strong>Participants were 79 male Veterans with a history of blast-related mTBI and current PTSD (mTBI/PTSD group; n = 54) or neither diagnosis (controls; n = 25). Mean T-scores and IIV scores were calculated from neuropsychological measures of attention and speed of information processing (A/SoP) as well as executive functioning (EF).</p><p><strong>Results: </strong>Global IIV was significantly higher in the mTBI/PTSD group compared to controls (p = .047, Cohen's d = 0.49). At the domain level, larger effect sizes were observed for EF IIV (Cohen's d = 0.46) compared to A/SoP IIV (d = 0.32), although neither were statistically significant. Within the mTBI/PTSD group, higher Global IIV was associated with worse self-reported executive dysfunction, psychological quality of life, and cognitive post-concussive symptoms; at the domain level, these clinical outcomes were generally associated with greater A/SoP IIV (but not EF IIV).</p><p><strong>Conclusion: </strong>Findings extend previous investigations of neurocognitive IIV in individuals with a history of mTBI across PTSD status. Among Veterans with a history of mTBI and comorbid PTSD, neurocognitive variability may be a better indicator of self-reported cognitive inefficiencies and Veteran experience of daily cognitive functioning than mean neuropsychological performances.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"425-436"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520833","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 Impact of Cognitive Behavioral Therapy for Insomnia on Neurofilament Light and Phosphorylated Tau in Individuals with a Concussion. 失眠症认知行为疗法对脑震荡患者神经丝光和磷酸化 Tau 的影响
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae096
Rebecca Ludwig, Michael Rippee, Linda D'Silva, Jeff Radel, Aaron M Eakman, Jill Morris, Alvin Beltramo, Michelle Drerup, Catherine Siengsukon
{"title":"The Impact of Cognitive Behavioral Therapy for Insomnia on Neurofilament Light and Phosphorylated Tau in Individuals with a Concussion.","authors":"Rebecca Ludwig, Michael Rippee, Linda D'Silva, Jeff Radel, Aaron M Eakman, Jill Morris, Alvin Beltramo, Michelle Drerup, Catherine Siengsukon","doi":"10.1093/arclin/acae096","DOIUrl":"10.1093/arclin/acae096","url":null,"abstract":"<p><strong>Background: </strong>Concussions damage neurologic tissue, increasing release of intercellular proteins including phosphorylated Tau (pTau) and neurofilament light (NfL). Disrupted sleep from a concussion negatively impacts the ability of the glymphatic system to remove cellular waste from the brain.</p><p><strong>Objective: </strong>The purpose of this study was to determine if enhancing sleep using Cognitive Behavioral Therapy for Insomnia (CBT-I) impacts pTau and NFL levels following a concussion.</p><p><strong>Methods: </strong>This is pre/post intervention analysis of a larger wait-list control study. Participants had their blood sampled pre/post the CBT-I intervention which was analyzed using SIMOA analytics. Paired sampling statistics and linear regression models were used to examine how insomnia severity impacts pTau181 and NfL.</p><p><strong>Results: </strong>Twenty-eight participants were enrolled in this study. Age and baseline protein level were significantly associated with post-intervention protein levels, but post-intervention insomnia severity was not associated with post-intervention protein levels. About 50% of participants that had clinically meaningful change in insomnia and had a reduction in their NfL and pTau181 values.</p><p><strong>Conclusions: </strong>Post-intervention insomnia was not associated with post-intervention NfL or pTau. Yet, on an individual level, ~50% of participants had a clinically meaningful change in insomnia and reduced level of NfL and pTau 18.1.</p><p><strong>Clinical trial registration: </strong>NCT04885205 https://clinicaltrials.gov.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"437-444"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590123","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
Adaptation and validation of the Greek version of the Communication and Language Assessment questionnaire for persons with Multiple Sclerosis (CLAMS). 希腊语版多发性硬化症患者交流和语言评估问卷(CLAMS)的改编和验证。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae015
Nefeli Dimitriou, Grigorios Nasios, Anastasia Nousia, Emmanouil Anyfantis, Lambros Messinis, Georgios Dimakopoulos, Sarah El-Wahsh, Christos Bakirtzis, Vasiliki Kostadima, Spiridon Konitsiotis
{"title":"Adaptation and validation of the Greek version of the Communication and Language Assessment questionnaire for persons with Multiple Sclerosis (CLAMS).","authors":"Nefeli Dimitriou, Grigorios Nasios, Anastasia Nousia, Emmanouil Anyfantis, Lambros Messinis, Georgios Dimakopoulos, Sarah El-Wahsh, Christos Bakirtzis, Vasiliki Kostadima, Spiridon Konitsiotis","doi":"10.1093/arclin/acae015","DOIUrl":"10.1093/arclin/acae015","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to validate the Communication and Language Assessment questionnaire for persons with Multiple Sclerosis (CLAMS) into the Greek language.</p><p><strong>Method: </strong>106 Persons with Multiple Sclerosis (PwMS) and 51 healthy controls (HCs) participated in this study. We evaluated patients' cognitive abilities with the Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS). All PwMS completed the CLAMS and three additional questionnaires (Speech Pathology-Specific Questionnaire for persons with Multiple Sclerosis, SMS; Stroke and Aphasia Quality of Life Scale-39, SAQOL-39; the Beck Depression Inventory Fast Screen, BDI-FS), and all HCs filled in the CLAMS.</p><p><strong>Results: </strong>The internal consistency of the CLAMS was excellent (a = 0.933) for the PwMS and a significant difference was found between PwMS and HCs for the total CLAMS score. Statistical analyses showed a significant positive correlation between the CLAMS and the other questionnaires (SMS, BDI, and SAQOL-39) and a statistically significant negative correlation between the CLAMS and the three subtests of the BICAMS (Symbol Digit Modalities Test, Greek Verbal Learning Test-II, and Brief Visuospatial Memory Test-Revised). There was no correlation between the CLAMS and participants' age, disease duration, and disease type.</p><p><strong>Conclusion: </strong>The Greek version of the CLAMS is a valid self-reported questionnaire for the evaluation of language and communication symptoms in PwMS.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"635-641"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093377","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
Concurrent Validity of Performance-Based Measures of Daily Functioning with Cognitive Measures and Informant Reported Everyday Functioning. 基于表现的日常功能测量与认知测量和知情人报告的日常功能的并发有效性。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae077
Aneela Rahman, Maureen Schmitter-Edgecombe, Anjali Krishnan, Reanne Cunningham, Nadia Pare, Janelle Beadle, David E Warren, Laura Rabin
{"title":"Concurrent Validity of Performance-Based Measures of Daily Functioning with Cognitive Measures and Informant Reported Everyday Functioning.","authors":"Aneela Rahman, Maureen Schmitter-Edgecombe, Anjali Krishnan, Reanne Cunningham, Nadia Pare, Janelle Beadle, David E Warren, Laura Rabin","doi":"10.1093/arclin/acae077","DOIUrl":"10.1093/arclin/acae077","url":null,"abstract":"<p><strong>Objective: </strong>Despite the substantial need for reliable and valid assessment of functional ability in older adults, there is currently limited research on the emergence of early functional declines during prodromal dementia stages, such as subjective cognitive decline (SCD) and mild cognitive impairment (MCI). This study uses novel performance-based assessments to characterize subtle, yet clinically meaningful, changes in functional ability.</p><p><strong>Method: </strong>A sample of 93 older adults classified as cognitively unimpaired (CU; n = 30, Mage = 73.57 ± 6.66), SCD (n = 34, Mage = 72.56 ± 6.43), or MCI (n = 29, Mage = 78.28 ± 7.55) underwent neuropsychological testing along with an informant-rated daily functional skills measure (Assessment of Functional Capacity Interview). Participants also completed the Night Out Task (NOT), an open-ended performance-based measure of functional assessment, and the Financial Capacity Instrument-Short Form (FCI-SF) that assesses financial skills.</p><p><strong>Results: </strong>The MCI group performed worse on the NOT and FCI-SF relative to SCD and CU. NOT and FCI scores were associated with measures of global cognitive function, executive function, processing speed, language and memory, and FCI-SF overall score was correlated with informant-rated functional ability. The NOT and FCI-SF were also predictive of informant-reported daily functioning over and above traditional cognitive data and demographics.</p><p><strong>Conclusions: </strong>Performance-based measures of IADL may allow for earlier detection of subtle functional changes that might not be adequately captured by traditional measures. The measurement of early functional changes is an important global outcome to evaluate the efficacy of interventions in dementia research.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"363-374"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339970","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
Association of Transient Global Amnesia (TGA) With Dietary Intake of Vitamin B12. 短暂性全面健忘症 (TGA) 与膳食中维生素 B12 摄入量的关系。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae091
Seyedeh Hayedeh Mousavi Shalmani, Zahra Mahamoudi, Narjes Nooriani, Zahra Saeedirad, Naeemeh Hassanpour Ardekanizadeh, Aryan Tavakoli, Soheila Shekari, Masoomeh Alsadat Mirshafaei, Mahdi Mousavi Mele, Pouya Mirzaee, Maryam Gholamalizadeh, Parsa Bahmani, Sara Khoshdooz, Saeid Doaei
{"title":"Association of Transient Global Amnesia (TGA) With Dietary Intake of Vitamin B12.","authors":"Seyedeh Hayedeh Mousavi Shalmani, Zahra Mahamoudi, Narjes Nooriani, Zahra Saeedirad, Naeemeh Hassanpour Ardekanizadeh, Aryan Tavakoli, Soheila Shekari, Masoomeh Alsadat Mirshafaei, Mahdi Mousavi Mele, Pouya Mirzaee, Maryam Gholamalizadeh, Parsa Bahmani, Sara Khoshdooz, Saeid Doaei","doi":"10.1093/arclin/acae091","DOIUrl":"10.1093/arclin/acae091","url":null,"abstract":"<p><strong>Background: </strong>Transient global amnesia (TGA), which is described as short-term amnesia, may be influenced by some dietary components involved in brain function. The aim of the present study was to assess the connection between TGA and dietary intake of vitamin B12.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 258 people with TGA and 520 people without TGA in Sabzevar, Iran. All participants were screened for TGA (ICD-10 code: G45.4). A validated Food Frequency Questionnaire (FFQ) was utilized to estimate the dietary intake of vitamin B12. Different models of logistic regression were used to determine the association between TGA and dietary intake of vitamin B12 after adjusting the confounders.</p><p><strong>Results: </strong>There was an inverse association between the risk of TGA and the intake of vitamin B12 (OR = 0.94, CI 95%: 0.89-0.99, p = .02, effect size: -0.04). The result did not change after adjustment for age, gender, education, job, and marital status (OR = 0.93, CI 95%: 0.88-0.98, p = .01, effect size: -0.03). The result remained significant after additional adjustments for body mass index (BMI) and physical activity (OR = 0.94, CI 95%: 0.89-0.99, p = .03, effect size: -0.04), and after further adjustments for the underlying diseases, including diabetes, hypertension, and stroke (OR = 0.86, CI 95%: 0.81-0.92, p < .01, effect size: -0.10).</p><p><strong>Conclusion: </strong>Vitamin B12 deficiency may increase the risk of TGA and should be considered as a potential concern for people at risk for TGA. Further studies are needed to validate these findings and to discover the underlying mechanisms of the effects of vitamin B12 on TGA.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"375-381"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543326","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
Translation and Adaptation of Cognistat in Hindi Language: For Computerized Evaluation of Cognitive Functioning. 印度语 Cognistat 的翻译和改编:认知功能计算机化评估。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae008
Rajesh Sagar, Shivangi Talwar, Rohit Verma, Manjari Tripathi
{"title":"Translation and Adaptation of Cognistat in Hindi Language: For Computerized Evaluation of Cognitive Functioning.","authors":"Rajesh Sagar, Shivangi Talwar, Rohit Verma, Manjari Tripathi","doi":"10.1093/arclin/acae008","DOIUrl":"10.1093/arclin/acae008","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive assessment is a crucial element of the mental health screening process. However, there is a lack of culturally appropriate cognitive screening tools for the Hindi-speaking aging population in India. We aimed to translate and culturally tailor the English version of the computerized Cognistat test for the Hindi-speaking aging population.</p><p><strong>Method: </strong>The computer-based Cognistat Assessment System was culturally adapted for the North Indian Hindi-speaking population. Participants with mild cognitive impairment (MCI) (n = 30), depression (n = 30), and healthy control (n = 30) groups between the age range of 50 and 83 years were assessed using the translated version of the tool. The group differences were analyzed using analysis of variance, multivariate analysis of variance, Tukey's post hoc analysis for continuous variables, and Fisher's exact test for categorical variables. The correlation between the Cognistat domains was analyzed using Pearson's correlation, and test reliability was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>The MCI group had significantly lower scores as compared with the depression and control groups on orientation, language, repetition, and calculation domain tasks. For attention and construction tasks, the MCI group had lower scores than the control group. MCI group scores were significantly lower than the control group on naming domain. The Hindi version of the test was reliable for the Hindi-speaking aging population.</p><p><strong>Conclusions: </strong>Cognistat Hindi can be used by trained healthcare professionals with Hindi-speaking populations for culturally tailored primary evaluation of cognitive difficulties. Future research should focus on further validation and assessment of its properties.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"655-661"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139943800","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
Validation of the Arabic Version of the Multiple Sclerosis Impact Scale (MSIS-29): a Rasch Analysis Study. 阿拉伯版多发性硬化影响量表(MSIS-29)的验证:一项Rasch分析研究。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae121
Walid Al-Qerem, Dunia Basem, Sawsan Khdair, Anan Jarab, Judith Eberhardt
{"title":"Validation of the Arabic Version of the Multiple Sclerosis Impact Scale (MSIS-29): a Rasch Analysis Study.","authors":"Walid Al-Qerem, Dunia Basem, Sawsan Khdair, Anan Jarab, Judith Eberhardt","doi":"10.1093/arclin/acae121","DOIUrl":"10.1093/arclin/acae121","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord. This cross-sectional study aimed to validate the Arabic version of the Multiple Sclerosis Impact Scale-29 (MSIS-29) using Rasch analysis to assess quality of life in Jordanian MS patients.</p><p><strong>Method: </strong>Rasch analysis was conducted to evaluate the suitability of the model for the present study. Model fit was assessed by computing item/person separation reliability, infit and outfit mean square (MSQ) values, Cronbach's alpha, and the Akaike Information Criterion.</p><p><strong>Results: </strong>A total of 301 MS patients were enrolled in the study. Significant likelihood ratios for all three scales (MSIS-29-PHYSICAL, MSIS-29-PSYCHOLOGICAL, and MSIS-29-TOTAL) supported the use of a partial credit Rasch model. An issue with disordered thresholds was resolved by collapsing adjacent response categories. Item reliability scores for MSIS-29-PHYS and MSIS-29-PSYCH were 0.95 and 0.89, respectively, while person reliability scores were 0.92 and 0.84, respectively. Infit and outfit MSQ were within the acceptable range for all items on the MSIS-29-PSYCH scale. However, for the MSIS-29-PHYS scale, item MSIS-29_17 exceeded the acceptable range in both infit (1.93) and outfit (1.82) MSQs, and item MSIS-29_20 exceeded the acceptable range in infit (1.81). The Wright map also indicated that most items were considered relatively easy by the respondents, exhibiting various difficulty levels on the latent scale.</p><p><strong>Conclusion: </strong>The Arabic version of the MSIS-29 is a valid and reliable tool for evaluating quality of life in Jordanian MS patients.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"520-528"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891502","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
Bridging Gaps in Neuropsychological Rehabilitation Intensity for Post-Stroke Population in Spain. 弥合西班牙卒中后人群神经心理康复强度的差距。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acaf020
José Félix Mozo, Natividad Pardo, Allyah M Hassell, Dolores Villalobos
{"title":"Bridging Gaps in Neuropsychological Rehabilitation Intensity for Post-Stroke Population in Spain.","authors":"José Félix Mozo, Natividad Pardo, Allyah M Hassell, Dolores Villalobos","doi":"10.1093/arclin/acaf020","DOIUrl":"10.1093/arclin/acaf020","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the treatment intensity applied in neurorehabilitation centers in Spain and its relationship with sociodemographic, biomedical, and cognitive variables in post-stroke patients. Current guidelines recommend rehabilitation sessions lasting at least 45 min per day, 2-5 days/week, but there is no consensus on neuropsychology intensity.</p><p><strong>Method: </strong>This Spanish multicenter, observational, descriptive cross-sectional study included 163 adult participants diagnosed with stroke, collecting 48 biopsychosocial variables. Statistical analyses, including non-parametric tests and linear regressions, were conducted to assess the relationship between intervention intensity and the studied variables.</p><p><strong>Results: </strong>Our findings reveal an average neuropsychology of 59 min/week, significantly below international recommendations for intensive therapies. Patients in subacute phases (<6 months) and those with severe cognitive impairment (Montreal Cognitive Assessment <21) receive higher-intensity interventions, though still far from optimal standards. Significant differences were also identified between center types, reflecting variations in the resources available.</p><p><strong>Conclusion: </strong>This study not only highlights the need to establish clear intensity criteria in neuropsychology but also provides a foundation for future experimental studies to evaluate the impact of increased intensity on cognitive outcomes. Additionally, future research should analyze whether the observed differences between center types could lead to inequalities in access to therapies. These unique data in the Spanish context can serve as a starting point for designing more equitable and effective clinical guidelines.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"574-590"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633230","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
Multicenter Validation of the English Version of the Dépistage Cognitif de Québec: a Cognitive Screening Tool for Atypical Dementias. 魁北克认知测试英语版的多中心验证:非典型痴呆症认知筛查工具。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae092
Synthia Meilleur-Durand, Marianne Lévesque, Frederic St-Onge, Mario Masellis, Ging-Yuek Robin Hsiung, Pamela Jarrett, Sylvia Villeneuve, Gabriel Léger, David Salmon, Doug Galasko, Stephen C Cunnane, Serge Gauthier, Brandy Callahan, Leila Sellami, Carol Hudon, Joël Macoir, Louis Verret, Alison Cassivi-Joncas, Michael Comishen, Robert Laforce
{"title":"Multicenter Validation of the English Version of the Dépistage Cognitif de Québec: a Cognitive Screening Tool for Atypical Dementias.","authors":"Synthia Meilleur-Durand, Marianne Lévesque, Frederic St-Onge, Mario Masellis, Ging-Yuek Robin Hsiung, Pamela Jarrett, Sylvia Villeneuve, Gabriel Léger, David Salmon, Doug Galasko, Stephen C Cunnane, Serge Gauthier, Brandy Callahan, Leila Sellami, Carol Hudon, Joël Macoir, Louis Verret, Alison Cassivi-Joncas, Michael Comishen, Robert Laforce","doi":"10.1093/arclin/acae092","DOIUrl":"10.1093/arclin/acae092","url":null,"abstract":"<p><strong>Background: </strong>Early detection of atypical dementia remains difficult partly because of the absence of specific cognitive screening tools. This creates undue delays in diagnosis and management. The Dépistage Cognitif de Québec (DCQ; dcqtest.org) was developed in French and later validated in participants with atypical syndromes. We report the validation of the English version.</p><p><strong>Methods: </strong>This multicentre prospective validation study was conducted in 10 centers across Canada and the United States on 260 English-speaking participants aged over 50. We translated and modified the original French DCQ to add targeted stimuli to the Visusopatial Index and social cognition vignettes to the Behavioral Index. A backward translation was performed and equivalence between languages was assessed by administering both tests to 30 bilingual participants.</p><p><strong>Results: </strong>Mean DCQ total score (out of 100) was 95.0 (SD = 3.6). Spearman's correlation coefficient showed a strong and significant correlation (r = 0.49, p < .001) with the Montreal Cognitive Assessment. Test-retest reliability was good (Spearman's coefficient = 0.72, p < .001) and interrater reliability, excellent (intraclass correlation = 0.97, p < .001). Normative data shown in percentiles were stratified by age and education for a population-based sample of 260 English-speaking controls aged between 50 and 87 years old.</p><p><strong>Conclusions: </strong>Similar to the French version, the English DCQ proved to be a valid cognitive screening test. The original version was very sensitive to detect atypical dementias such as primary progressive aphasias, Alzheimer's disease' variants and syndromes along the frontotemporolobar degeneration spectrum. This 20-min test can be administered à la carte and offers an alternative to detailed comprehensive neuropsychological evaluations.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"718-722"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142405967","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
Normative Data Study of Verbal Fluency and Naming Tests in Elderly People in Costa Rica. 哥斯达黎加老年人语言流畅性和命名测试的标准数据研究。
IF 2.1 4区 心理学
Archives of Clinical Neuropsychology Pub Date : 2025-04-27 DOI: 10.1093/arclin/acae045
Lara Mora-Villalobos, Gloriana Brown-Mata, Vanessa Smith-Castro, Daniela Ramos-Usuga, Diego Rivera, Juan Carlos Arango-Lasprilla
{"title":"Normative Data Study of Verbal Fluency and Naming Tests in Elderly People in Costa Rica.","authors":"Lara Mora-Villalobos, Gloriana Brown-Mata, Vanessa Smith-Castro, Daniela Ramos-Usuga, Diego Rivera, Juan Carlos Arango-Lasprilla","doi":"10.1093/arclin/acae045","DOIUrl":"10.1093/arclin/acae045","url":null,"abstract":"<p><strong>Objective: </strong>To generate normative data for the Verbal Fluency Test (VFT) and the Boston Naming Test (BNT) in the Costa Rican population.</p><p><strong>Method: </strong>The sample consisted of 563 healthy older people (aged 59-90 years). Polynomial multiple regression analyses were run to evaluate the effects of the age, sex, and education variables on VFT and BNT scores.</p><p><strong>Results: </strong>The results showed a significant linear effect of education on the four-letter VF scores and an effect of sex on the letter P score, with females performing better than males. The explained variance ranged from 20.9% to 28.3%. A linear effect of age and education was also found for the four semantic VF scores, with scores decreasing with increasing age and lower education. The sex variable was significant for all semantic categories, with females performing better than males except in the animal category. The explained variance ranged from 21.7% to 30.9%. In the BNT, a linear effect of education was found, so that the more education, the better the score. In addition, a sex effect was also found, with males having higher scores than females. The predictors of the model explained 9.6% of the variance.</p><p><strong>Conclusions: </strong>This is the first study that generates normative data for the VF and BNT in the Costa Rican population over 59 years of age based on demographic variables. The use of these normative data will help clinicians in Costa Rica to better understand language functioning in the elderly, allowing for better classification and diagnosis in the future.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":" ","pages":"510-519"},"PeriodicalIF":2.1,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295503","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
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