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Applied Neuropsychology. Adult

Phillip Lynn Kent
Quantitative and evidence-based approaches fail to capture "the whole person," neglect the important contributions of nonquantitative variables to understanding behavior, and have limitations when assessing individuals who fall outside traditional normative groups. The emphasis on quantitative and evidence-based practices is one challenge facing the profession. The lack of consensual definitions for various domains of interest is a second challenge, because it hinders research, poses communication challenges, and impedes the accumulation of knowledge about human behavior...
November 13, 2018: Applied Neuropsychology. Adult
Vahid Valinejad, Fariba Yadegari, Martine Vanryckeghem
The purpose of this study was to establish normative and psychometric data for the Persian version of the Communication Attitude Test for Adults who Stutter (BigCAT) and to determine if there is a significant difference between the speech-associated attitude of Persian stuttering adults and their nonstuttering peers. The Persian BigCAT was administered to 90 people who stutter (PWS) and 90 people who do not stutter (PWNS). After the translation of the test and its equalization to Persian Language, content validity was determined by the opinions of experts...
November 2, 2018: Applied Neuropsychology. Adult
Heather M Holden, Nicholas J Milano, Michael David Horner
Development of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was theoretically driven, with the goal of providing an assessment of abilities across five cognitive domains. Since its development, numerous factor analytic studies have failed to provide empirical support for the proposed five-factor structure and, furthermore, have lacked consensus on the internal structure of this instrument. A key limitation of these prior studies is the use of normal or mixed clinical samples, a practice that can obscure distinctions that may be evident in specific homogeneous clinical samples...
October 31, 2018: Applied Neuropsychology. Adult
Jeroen J Roor, Hans Knoop, Brechje Dandachi-FitzGerald, Maarten J V Peters, Gijs Bleijenberg, Rudolf W H M Ponds
Performance Validity Tests (PVTs) are used to measure the credibility of neuropsychological test results. Until now, however, a minimal amount is known about the effects of feedback upon noncredible results (i.e., underperformance) on subsequent neuropsychological test performance. The purpose of this study was to investigate the effects of feedback on underperformance in Chronic Fatigue Syndrome (CFS) patients. A subset of these patients received feedback on Amsterdam Short-Term Memory (ASTM) failure (i.e...
October 31, 2018: Applied Neuropsychology. Adult
Liana Palermo, Maria Cristina Cinelli, Laura Piccardi, Sara De Felice, Paola Ciurli, Chiara Incoccia, Laura Zompanti, Cecilia Guariglia
This study investigates prospective memory (PM) deficits as well as the interplay between performance in executive functions (EFs), speed of processing, episodic memory and PM in traumatic brain injury (TBI), differentiating between time based and event based tasks. The Memory for Intentions Screening Test was administrated to a sample of 19 participants with TBI and 50 healthy controls. Tasks probing different EFs (i.e., shifting, updating/working memory, inhibition, and access to long term memory), speed of processing, and episodic memory were also administrated to the TBI group...
October 31, 2018: Applied Neuropsychology. Adult
José Roberto Wajman, Mario Amore Cecchini, Paulo Henrique Ferreira Bertolucci, Letícia Lessa Mansur
This study is aimed to evaluating the underlying cognitive strategies used during Semantic Verbal Fluency (SVF) performance and comparing the differences between cognitively healthy controls (CHC), amnestic and amnestic-multiple domain mild cognitive impairment (a-MCI and a-md-MCI), Alzheimer's disease (AD), Lewy body dementia (LBD), and behavioral variant frontotemporal dementia (bvFTD). The cross-sectional study comprised 236 participants involving 78 CHC individuals, 33 a-MCI and 48 a-md-MCI, 39 AD, 22 LBD, and 16 bvFTD patients...
October 30, 2018: Applied Neuropsychology. Adult
Abdalla A R M Hamid, Abdel Hameed M Darweesh
Cognitive impairment is central to the discussion of most psychiatric disorders, because of the implications it has for diagnostic, therapeutic, and rehabilitative progression. In the present study, we compared the levels of cognitive impairment between psychiatric patients and a healthy control group. Thirty psychiatric patients and 30 matching healthy controls participated in this study. Their ages ranged from 17 to 55 years (Mage  = 29.17; SD = 8.87). The Brief Neuropsychological Cognitive Examination (BNCE) was used to measure cognitive impairment in both groups...
October 30, 2018: Applied Neuropsychology. Adult
Gali Weissberger, Katherine Gibson, Caroline Nguyen, Duke Han
This report presents the neuropsychological profile of an older gentleman diagnosed with single-domain mild cognitive impairment (MCI) at baseline who reverted to normal cognitive functioning at 1-year follow-up. The case highlights important considerations for assessing and diagnosing MCI in clinical settings in the context of sizeable reversion rates that have been reported extensively in the literature. A 72-year-old gentleman presented to our Neuropsychology Clinic with subjective memory complaints. Per recommendation, the patient returned for follow-up testing 1-year later...
October 23, 2018: Applied Neuropsychology. Adult
Erica Kornblith, Gary Abrams, Anthony J-W Chen, Joaquin Burciaga, Mark D'Esposito, Tatjana Novakovic-Agopian
Traumatic brain injury (TBI) is common among Veterans, and sequelae frequently include deficits in attention and executive function and problems with emotional regulation. Although rehabilitation has been shown to be effective, it is not clear how patient characteristics such as baseline cognitive status may impact response to rehabilitation in this sample. Explore the relationship between baseline neuropsychological status and postintervention functional outcomes in Veterans with chronic TBI. Thirty-three Veterans with chronic mild-severe TBI completed a neuropsychological evaluation, a functional assessment of executive function (EF), and measures of emotional and everyday functioning pre- and post-EF training or control training...
October 8, 2018: Applied Neuropsychology. Adult
Lauren Goworowski, Denise Vagt, Carlos Salazar, Kevin Mulligan, Frank Webbe
Improved detection of sport-related concussions can be enhanced by performance validity tests, such as the Rey Word Recognition Test (WRT). The WRT is brief and in the public domain but no norms exist for healthy college-athletes. The present study identified such normative values in a large college-athlete sample. Participants included 1,147 college-athletes, and four measures were collected: total words correct, words correct of the first 8, total number of intrusions, and combination score. The WRT was administered individually during baseline evaluations...
September 28, 2018: Applied Neuropsychology. Adult
Magdalene R Bracken, Anya Mazur-Mosiewicz, Kuba Glazek
The Trail Making Test (TMT) was adapted for the iPad by Parker-O'Brien, which uses the 2004 Tombaugh norms. This study investigated the equivalency of this electronic test by (a) examining the test-retest reliability of the iPad-TMT, and (b) calculating the concurrent validity between the two versions. The sample included 77 healthy adults. Reliability was assessed by Pearson product-moment correlation and intraclass correlation coefficient, while validity was assessed by MANOVA. Results indicate that Part A of the iPad-TMT did not demonstrate adequate test-retest reliability over 1 week (r = 0...
September 28, 2018: Applied Neuropsychology. Adult
Travis M Scott, Hetta Gouse, John Joska, Kevin G F Thomas, Michelle Henry, Anna Dreyer, Reuben N Robbins
The Hopkins Verbal Learning Test-Revised (HVLT-R) has been adapted for use in many different languages and in low- and middle-income countries. However, few adaptations have evaluated performance differences between home- and acquired-language administrations. The present study examined performance on an adapted HVLT-R between multilingual South Africans who chose to be tested in a home or acquired language. The HVLT-R was administered to 112 multilingual, isiXhosa as home language, Black South African adults (49% men) with no major medical, neurological, or psychiatric problems...
September 28, 2018: Applied Neuropsychology. Adult
Laszlo A Erdodi, Ayman G Shahein, Katrina J Kent, Robert M Roth
Lenient scoring of spatial orientation errors (SOE) on the Mini-Mental State Exam (MMSE) is common practice, even though it deviates from standard protocol and may compromise its diagnostic power. This study was designed to empirically evaluate the effect of lenient scoring on the MMSE's classification accuracy. Participants were 113 community dwelling older adults recruited for a research study, representing a wide range of range of neurological status from cognitively healthy to Alzheimer's disease. Clinical classification was determined by expert assessors based on multiple sources of clinical evidence...
September 28, 2018: Applied Neuropsychology. Adult
Amir Poreh, Jennifer B Levin, Max Teaford
The present study describes the development of a simplified complex figure for older adults. This new figure is based on theoretical organizational strategy models developed for the Rey Complex Figure Test and combines several new technologies for the enhancement of the data capture. The study shows that the accuracy and memory scores for the new measure correlate significantly with Trail Making Test, Five Point Test, and RBANS Complex Figure scores. The new figure's strategy scores correlate with predominantly nonverbal and to a lesser extent with verbal executive functions, supporting the construct validity of these scores and illustrating that computer-based data recording methodologies can reliably discern the multiple cognitive operations that impact performance on this and similar graphomotor measures...
September 5, 2018: Applied Neuropsychology. Adult
Patrick Riordan, Genessa Lahr
Performance Validity Testing has become an integral part of neuropsychological assessment, and a variety of embedded screening measures for performance validity have been proposed. Several performance validity indexes have been developed for the Repeatable Battery for the Assessment of Neuropsychological Status. Although the RBANS Effort Index (EI) and Effort Scale (ES) have garnered some empirical support, other research has raised questions regarding their accuracy in a number of assessment contexts. We evaluated the classification accuracy of the EI and ES against a standalone performance validity measure (Test of Memory Malingering; TOMM) in a mixed clinical patient sample...
September 5, 2018: Applied Neuropsychology. Adult
El Mohamad Haj, Roy Kessels, Laurent Urso, Jean Louis Nandrino
Chunking is a mnemonic strategy that involves organizing information into appropriate units. Our article examined the use of this strategy on forward and backward span performance in Korsakoff's syndrome. Fifteen patients with Korsakoff's syndrome and 17 age-and-education matched healthy controls participated to the study. Digit span performance (both forward and backward) was tested before and after chunking training. Results demonstrated an increased performance on the forward spans after chunking training in the patients with Korsakoff's syndrome, but no beneficial effect was observed on the backward spans in these participants...
September 5, 2018: Applied Neuropsychology. Adult
Elbaum Tomer, Tamar Lupu, Lior Golan, Michael Wagner, Yoram Braw
Eye movements showed initial promise for the detection of deception and may be harder to consciously manipulate than conventional accuracy measures. Therefore, we integrated an eye-tracker with the Word Memory Test (WMT) and tested its usefulness for the detection of feigned cognitive impairment. As part of the study, simulators (n = 44) and honest controls (n = 41) performed WMT's immediate-recognition (IR) subtest while their eye movements were recorded. In comparison to the control group, simulators spent less time gazing at relevant stimuli, spent more time gazing at irrelevant stimuli, and had a lower saccade rate...
September 5, 2018: Applied Neuropsychology. Adult
Mark Burghart, Jordan Craig, Jeff Radel, Jessie Huisinga
Information processing speed is often altered following a concussion. Few portable assessments exist to evaluate simple reaction time (SRT) in hospitals and clinics. We evaluated the use of a SRT application for mobile device measurement. 27 healthy adults (age = 30.7 ± 11.5 years) completed SRT tests using a mobile device with Sway, an application for SRT testing. Participants completed computerized SRT tests using the Computerized Test of Information Processing (CTIP). Test-retest reliability was assessed using intraclass correlation coefficients (ICC) between Sway trials...
September 5, 2018: Applied Neuropsychology. Adult
Kathryn Tolle, Robert J Spencer, Valencia Montgomery, Linas A Bieliauskas
Alphabet Printing (in the forward and backward order) is a brief and highly portable test with promise as a screening measure of processing speed and simple working memory, constructs which are only minimally assessed in many of the most commonly-used cognitive screening instruments. The aim of this project was to examine the construct validity of timed Alphabet Printing in a sample of 254 Veterans with cognitive complaints and a history of possible head injury. Criterion measures included more established tests of processing speed and simple working memory, including the Trail Making Test and the Digit Span subtest from the fourth edition of the Wechsler Adult Intelligence Scales...
September 5, 2018: Applied Neuropsychology. Adult
Jessica Bomyea, Sarah M Jurick, Amber V Keller, Chelsea C Hays, Elizabeth W Twamley, Amy J Jak
Self-reported traumatic brain injury (TBI) is common in combat veterans, and identification of psychiatric and neuropsychological consequences following TBI has become a priority for veteran healthcare. Given the importance of accurately capturing symptoms potentially related to TBI in VA settings, validity metrics are frequently used to evaluate both neuropsychological testing validity and the validity of symptom self-reports. The Validity-10 of the Neurobehavioral Symptom Inventory is one such metric that was designed to evaluate symptom over-reporting and thus identify individuals who may produce inconclusive testing profiles...
September 5, 2018: Applied Neuropsychology. Adult
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