2,286 results match your criteria Archives Of Clinical Neuropsychology[Journal]

The Influence of Cerebrovascular Pathology on Cluster Analysis of Neuropsychological Scores in Patients With Mild Cognitive Impairment.

Arch Clin Neuropsychol 2022 Jul 1. Epub 2022 Jul 1.

Department of Psychology, York University Glendon Campus.

Objectives: The diagnostic entity of mild cognitive impairment (MCI) is heterogeneous, highlighting the need for data-driven classification approaches to identify patient subgroups. However, these approaches can be strongly determined by sample characteristics and selected measures. Here, we applied a cluster analysis to an MCI patient database from a neuropsychology clinic to determine whether the inclusion of patients with MCI with vascular pathology would result in a different classification of subgroups. Read More

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Algorithms for Operationalizing Mild Cognitive Impairment Using the Spanish-Language NIH Toolbox Cognition Battery.

Arch Clin Neuropsychol 2022 Jun 24. Epub 2022 Jun 24.

Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.

Objective: Neuropsychologists would benefit from flexible methods for operationalizing psychometric cognitive impairment in Spanish-speaking examinees that vary in association with intelligence, education, and sociocultural characteristics. The current study combined low and high score base rates (BRs) for the Spanish-language NIH Toolbox Cognition Battery (NIHTB-CB) to identify score combinations that are uncommon within different stratifications of the normative sample and may indicate cognitive impairment.

Method: The Spanish-language NIHTB-CB normative sample included 250 healthy Latinx adults with complete data on two crystallized and five fluid cognitive tests (M = 38. Read More

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Cognitive Correlates of Impaired Testamentary Capacity in Alzheimer's Dementia.

Arch Clin Neuropsychol 2022 Jun 22. Epub 2022 Jun 22.

Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.

Background: Testamentary capacity (TC) is a legal construct about the ability to make or change a will. Although studies of financial and medical capacities have noted a strong association between capacity and cognition, no study has examined the cognitive correlates of TC in Alzheimer's disease (ad).

Methods: Study participants were 22 cognitively healthy controls and 20 persons with mild to moderate ad who were administered a neuropsychological battery and the Testamentary Capacity Instrument (TCI), a new performance-based measure of TC. Read More

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Contributory Etiologies to Cognitive Performance in Multimorbid Post-9/11 Veterans: The Deployment Trauma Phenotype.

Arch Clin Neuropsychol 2022 Jun 19. Epub 2022 Jun 19.

Translational Research Center for TBI and Stress Disorders and Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA.

Objective: This study examined cognitive functioning in post-9/11 Veterans with the deployment trauma phenotype (DTP), comprised of co-occurring diagnoses of depressive disorder (major depressive disorder and or persistent depressive disorder/dysthymia), posttraumatic stress disorder (PTSD), and mild traumatic brain injury (mTBI), using objective neuropsychological measures.

Method: Participants included a cross-sectional sample of 399 post-9/11 Veterans who completed clinical interviews and neuropsychological tests as part of a larger study at VA Boston Healthcare System. Confirmatory factor analysis identified four cognitive domains: attention, cognitive control/processing speed, episodic memory, and cognitive flexibility. Read More

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Objective Cognitive Outcomes and Subjective Emotional Sequelae in Litigating Adults with a Traumatic Brain Injury: The Impact of Performance and Symptom Validity Measures.

Arch Clin Neuropsychol 2022 Jun 16. Epub 2022 Jun 16.

Department of Psychology, Counselling and Therapy, School of Psychology and Public Health, La Trobe University, Victoria, Australia.

Objective: This study examined the relative contribution of performance and symptom validity in litigating adults with traumatic brain injury (TBI), as a function of TBI severity, and examined the relationship between self-reported emotional symptoms and cognitive tests scores while controlling for validity test performance.

Method: Participants underwent neuropsychological assessment between January 2012 and June 2021 in the context of compensation-seeking claims related to a TBI. All participants completed a cognitive test battery, the Personality Assessment Inventory (including symptom validity tests; SVTs), and multiple performance validity tests (PVTs). Read More

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Neurocognitive Profiles Associated With Limited English Proficiency in Cognitively Intact Adults.

Arch Clin Neuropsychol 2022 Jun 12. Epub 2022 Jun 12.

Department of Psychology, Neuropsychology Track, University of Windsor, Windsor ON, Canada.

Objective: The objective of the present study was to examine the neurocognitive profiles associated with limited English proficiency (LEP).

Method: A brief neuropsychological battery including measures with high (HVM) and low verbal mediation (LVM) was administered to 80 university students: 40 native speakers of English (NSEs) and 40 with LEP.

Results: Consistent with previous research, individuals with LEP performed more poorly on HVM measures and equivalent to NSEs on LVM measures-with some notable exceptions. Read More

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Comparative Analysis of Cognitive, Motor, and Visual-Motor Functions in Pediatric Acute Lymphoblastic Leukemia Survivors With and Without Allogeneic Hematopoietic Stem Cell Transplantation.

Arch Clin Neuropsychol 2022 Jun 6. Epub 2022 Jun 6.

Neurocognitive Laboratory, Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology, Moscow 117997, Russia.

Objective: Hematopoietic stem cell transplantation (HSCT) is an effective treatment for pediatric high-risk acute lymphoblastic leukemia (ALL) survivors. Still, both the disease and treatment often impair cognitive and motor functions, and HSCT is a risk factor for long-term deficits. The study aimed at investigating the effect of HSCT on cognitive, motor, and visual-motor functions. Read More

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Implementation of a Hybrid Teleneuropsychology Method to Assess Middle Aged and Older Adults During the COVID-19 Pandemic.

Arch Clin Neuropsychol 2022 Jun 6. Epub 2022 Jun 6.

Neuropsychology Research Unit, School of Psychology, The University of Queensland, Brisbane, Australia.

Objective: Hybrid teleneuropsychology has emerged as a useful assessment method to manage physical distancing requirements during the COVID-19 pandemic. We describe the development of a hybrid teleneuropsychology clinic and compare results of six neuropsychological tasks across testing modalities, as well as a participant experience survey.

Method: Healthy middle-aged and older adults completed a face-to-face assessment two years previously. Read More

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Social Inference from Middle to Older Adulthood.

Arch Clin Neuropsychol 2022 Jun 2. Epub 2022 Jun 2.

Neuropsychology Research Unit, School of Psychology, The University of Queensland, Brisbane, Australia.

Objective: Inferring the emotional state or the true meaning of another person's utterance is a key aspect of social cognition and critical for successful social interactions. In this study, we assess age-related differences in emotion recognition and sincere and sarcastic social exchanges in the context of cognitive and demographic factors.

Method: One hundred and eighty-seven adults ranging from middle to older adulthood completed the Mini-SEA Emotion Recognition test and Part B of The Awareness of Social Inference Test - Short Form (TASIT-S). Read More

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Normative Data for Healthy French-Speaking Persons Aged 80 Years and Older for the DTLA Language Screening Test.

Arch Clin Neuropsychol 2022 Jun 1. Epub 2022 Jun 1.

Département de réadaptation, Faculté de médecine, Université Laval, Québec, QC, Canada.

 : The Detection Test for Language Impairments in Adults and the Aged (DTLA) is a quick, sensitive, and standardized screening test designed to assess language disorders in adults and elderly people. The test was specifically developed to detect linguistic impairment associated with major neurocognitive disorders. In 2017, we established normative data on 545 healthy individuals between 50 and 80 years old from four French-speaking countries: Belgium, Canada (Quebec), France, and Switzerland. Read More

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Digital Methods of Delivering Education and Training in Neuropsychology.

Arch Clin Neuropsychol 2022 May 31. Epub 2022 May 31.

Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.

Objective: High quality and accessible education is crucial to secure the future of neuropsychology. Recent and ongoing advancements include the creation of a taxonomy of education and training, progress in delineating relevant competencies, and an update to the Houston Conference Guidelines. Meanwhile, there is also potential for growth in digital methods of delivering education such as podcasts, webinars, and social media platforms. Read More

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An Initial Psychometric Analysis of the Brain Gauge Tactile-Based Test Battery and Its Potential for Clinical Use Assessing Patients With Acute Mild Traumatic Brain Injury.

Arch Clin Neuropsychol 2022 May 27. Epub 2022 May 27.

Department of Brain Injury Medicine, Intrepid Spirit Center, Womack Army Medical Center, Fort Bragg, NC 28310, USA.

Objective: A new brief computerized test battery that uses tactile stimulation, Brain Gauge (BG), has been proposed as a cognitive assessment aid and its developers have reported an almost perfect ability to distinguish acute mild traumatic brain injury (mTBI) patients from healthy controls. This investigation attempted to replicate those results and serve as an initial psychometrically and clinically focused analysis of BG.

Methods: BG scores from 73 military service members (SM) assessed within 7 days after having a clinically diagnosed mTBI were compared to 100 healthy SMs. Read More

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Effects of Intracranial Interventional Embolization and Intracranial Clipping on the Cognitive and Neurologic Function of Patients with Intracranial Aneurysms.

Arch Clin Neuropsychol 2022 May 22. Epub 2022 May 22.

Department 5 of Neurosurgery, Cangzhou Central Hospital, Cangzhou, Hebei, China.

Background: Intracranial interventional embolization and intracranial clipping have been two typical therapies for the emergent rescue of intracranial aneurysm. However, there are still controversies over the impact of these two surgical treatments of aneurysms on cognitive and neurological functions of patients.

Methods: A total of 144 patients with intracranial aneurysms were enrolled as the test subjects, who were randomly and evenly divided into the Intracranial Clipping group and the Interventional Embolization group. Read More

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The Influence of Processing Speed, Attention, and Inhibition on Texas Functional Living Scale Performance.

Arch Clin Neuropsychol 2022 May 22. Epub 2022 May 22.

Neuropsychology Service, Department of Psychiatry and Behavioral Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Objective: Attention, inhibition, and processing speed are related to functional decline among older adults. This study attempts to clarify the relationships between these cognitive factors and adaptive functioning.

Method: We examined relationships between attention, inhibition, and processing speed, with scores on the Texas Functional Living Scale (TFLS), a performance-based measure of daily functioning, in a mixed clinical sample of 530 older adults who were referred for an outpatient neuropsychological evaluation. Read More

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Assessment of Testamentary Capacity in Older Adults: Description and Initial Validation of a Standardized Interview Instrument.

Arch Clin Neuropsychol 2022 May 22. Epub 2022 May 22.

Department of Neurology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

Objective: Testamentary capacity (TC) is a legal construct, which concerns a person's mental capacity to make or amend a will. Although expert clinicians are frequently asked to assess TC in forensic settings, there are few instruments and little empirical research to inform and guide their assessments. The present study describes the development and psychometric properties of a standardized assessment measure of TC (Testamentary Capacity Instrument-TCI), and investigates its reliability and validity. Read More

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Assessing Preseason Baseline Cognitive Functioning in High School Student Athletes: A "Hybrid" Approach.

Arch Clin Neuropsychol 2022 May 13. Epub 2022 May 13.

Institute for Brain Protection Sciences, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Objective: International consensus statements highlight the value of neuropsychological testing for sport-related concussion. Computerized measures are the most frequently administered assessments of pre-injury baseline and post-injury cognitive functioning, despite known measurement limitations. To our knowledge, no studies have explored the convergent validity of computerized Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) and traditional, well-validated paper and pencil (P&P) neuropsychological tests in high school student athletes. Read More

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Coping Style Moderates the Effect of Pain on Depression Symptoms in Multiple Sclerosis.

Arch Clin Neuropsychol 2022 May 12. Epub 2022 May 12.

Department of Psychology, The Pennsylvania State University, University Park, PA, USA.

Objective: The present study examined coping style as a possible moderator in the relationship between pain and depression in persons with multiple sclerosis (PwMS).

Methods: Fifty-four PwMS completed a comprehensive neuropsychological test battery and psychosocial questionnaires that assessed physical, cognitive, and emotional functioning. Using four pain indices (i. Read More

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A Neuropsychological Approach to Mild Cognitive Impairment.

Arch Clin Neuropsychol 2022 May 10. Epub 2022 May 10.

Department of Psychology, University of Regina, Regina, SK, Canada.

Objective: A neuropsychological approach to the detection and classification of mild cognitive impairment (MCI) using "gold standard" clinical ratings (CRs) was examined in a sample of independently functioning community dwelling seniors. The relationship between CRs and life satisfaction, concurrent validity of cognitive screening measures, and agreement between CRs and existing criteria for MCI were also determined.

Method: One hundred and forty-two participants, aged 75 years and older, were administered a comprehensive battery of neuropsychological tests, along with self-report measures of psychological and psychosocial functioning, and functional independence. Read More

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Neuropsychological Profile of Hereditary Ataxias: Study of 38 Patients.

Arch Clin Neuropsychol 2022 Apr 28. Epub 2022 Apr 28.

Faculty of Health Sciences, Isabel I University, Burgos, Spain.

Hereditary ataxias are a heterogeneous group of disorders characterized by degeneration of the cerebellum and its connections. It is known that patients with ataxia can manifest a broad spectrum of motor symptoms; however, current research has emphasized the relevance of cognitive disturbances. The aim of this study is to analyze the presence of cognitive impairment in a heterogeneous cohort of patients with hereditary ataxia (HA). Read More

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Functional Cognitive Disorder: Differential Diagnosis of Common Clinical Presentations.

Arch Clin Neuropsychol 2022 Apr 28. Epub 2022 Apr 28.

Academic Neurology Unit, University of Sheffield, Sheffield, UK.

Background: Cognitive symptoms in the absence of neurological disease are common. Functional cognitive disorder (FCD) has been conceptualized as a cognitive subtype of functional neurological disorder. Although FCD is understood as different from exaggerated or feigned cognitive complaints, previous accounts have provided little practical advice on how FCD can be separated from factitious or malingered cognitive complaints. Read More

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Associations between Intra-Individual Neurocognitive Variability and Prospective Memory in Veterans with Mild Traumatic Brain Injury History and Posttraumatic Stress Disorder.

Arch Clin Neuropsychol 2022 Apr 25. Epub 2022 Apr 25.

Veterans Affairs (VA) Northwest (VISN 20) Mental Illness, Research, Education, and Clinical Center (MIRECC), Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.

Objective: Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) frequently co-occur and are associated with neurocognitive intra-individual variability (IIV) and difficulty with prospective memory (PM). The current study aimed to examine associations between IIV and PM in this comorbid group.

Method: Fifty veterans with a history of blast mTBI and current comorbid PTSD completed a standardized neurocognitive battery to measure IIV, and the Memory for Intentions Screening Test measuring PM. Read More

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A Forced Choice Performance Validity Test for the Repeatable Battery for the Assessment of Neuropsychological Status.

Arch Clin Neuropsychol 2022 Apr 22. Epub 2022 Apr 22.

Department of Psychology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.

Objective: We aimed to assess the utility of a novel and easy-to-administer performance validity test (PVT), the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Forced Choice recognition trial (RFC), compared with previously developed RBANS PVTs.

Method: We compared the RFC with the RBANS Effort Index (EI) and Effort Scale (ES) in a sample of 62 non-litigating older adults (mean age = 74 years, 52% female) with varying levels of cognitive impairment.

Results: A significantly greater proportion of the sample met EI criteria for non-credible performance (EI > 2; 31%) compared with RFC criteria (RFC < 9; 15%). Read More

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Hippocampal Subfields in Mild Cognitive Impairment: Associations with Objective and Informant-Report of Memory Function.

Arch Clin Neuropsychol 2022 Apr 19. Epub 2022 Apr 19.

Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.

Background: Evidence suggests that select hippocampal subfields are implicated in the initial stages of Alzheimer's disease (AD) and are selectively involved in objective memory. Less is known whether subfields are associated with informant-reported memory difficulties of individuals with a diagnosis of mild cognitive impairment (MCI).

Method: Data from 56 participants with a diagnosis of amnestic MCI were included in the present study. Read More

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Memory Perfectionism is Associated with Persistent Memory Complaints after Concussion.

Arch Clin Neuropsychol 2022 Apr 19. Epub 2022 Apr 19.

Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada.

Objective: The etiology of persistent memory complaints after concussion is poorly understood. Memory perfectionism (highly valuing memory ability and intolerance of minor memory lapses) may help explain why some people report persistent subjective memory problems in the absence of corresponding objective memory impairment. This study investigated the relationship between memory perfectionism and persistent memory complaints after concussion. Read More

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Failed Performance on the Test of Memory Malingering and Misdiagnosis in Individuals with Early-Onset Dysexecutive Alzheimer's Disease.

Arch Clin Neuropsychol 2022 Apr 14. Epub 2022 Apr 14.

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Objective: Individuals with early-onset dysexecutive Alzheimer's disease (dAD) have high rates of failed performance validity testing (PVT), which can lead to symptom misinterpretation and misdiagnosis.

Method: The aim of this retrospective study is to evaluate rates of failure on a common PVT, the test of memory malingering (TOMM), in a sample of clinical patients with biomarker-confirmed early-onset dAD who completed neuropsychological testing.

Results: We identified seventeen patients with an average age of symptom onset at 52. Read More

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The Relationship between Fatigue and a Clinically Accessible Measure of Switching in Individuals with Multiple Sclerosis.

Arch Clin Neuropsychol 2022 Apr 4. Epub 2022 Apr 4.

Department of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, USA.

Objective: We examined whether fatigue in multiple sclerosis (MS) is linked to switching processes when switching is measured by the Trail Making Test (TMT).

Method: Eighty-three participants with MS were administered a battery of standardized tests of switching, working memory, and processing speed. Ordinary least squares regression models were used to estimate the association between fatigue severity and switching above and beyond attention, working memory, and processing speed. Read More

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Linking Patient-Centered Outcomes to Neuropsychological Practice: A Conceptual Framework and Opportunities for Research.

Arch Clin Neuropsychol 2022 Apr 2. Epub 2022 Apr 2.

Department of Neurology, University of Texas at Austin Dell Medical School, Austin, TX, USA.

In the current healthcare climate, reimbursement for services is increasingly linked to the ability to demonstrate beneficial patient outcomes. Neuropsychology faces some unique challenges in outcomes research, namely, that neuropsychologists often do not follow patients over time and the effect of neuropsychological services on patient outcomes may not be fully realized until under another provider's care. Yet there is an urgent need for empirical evidence linking neuropsychological practice to positive patient outcomes. Read More

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A Systematic Review of Childhood Adversity and Executive Functions Outcomes among Adults.

Arch Clin Neuropsychol 2022 Apr 2. Epub 2022 Apr 2.

Department of Psychology, Lakehead University.

Objective: Exposure to adverse childhood experiences (ACEs) is linked to disruptions in typical neurodevelopment of brain structures and functioning, including changes in executive functions. Although the relationships among ACEs, executive functions, and psychopathology are well documented in pediatric samples, a systematic review is needed to examine these relationships in adulthood.

Method: A systematic review examining the link between ACEs and executive functions among adult clinical and nonclinical samples was conducted across 33 scientific and grey literature databases. Read More

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VATA-ADL: The Visual Analogue Test for Anosognosia for Activities of Daily Living.

Arch Clin Neuropsychol 2022 Mar 21. Epub 2022 Mar 21.

Human Cognitive Neuroscience, Psychology, University of Edinburgh, Edinburgh, UK.

Objective: To study awareness of problems with one's own Activities of Daily Living (ADL) following stroke by means of a novel instrument-the Visual-Analogue Test for Anosognosia for Activities of Daily Living (VATA-ADL).

Methods: The new test overcomes some of the methodological problems of traditional structured interviews and self-rating questionnaires. In particular, to account for possible verbal communication difficulties, each question is illustrated by a drawing and a 4-point visual-analogue Likert scale. Read More

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Psychometric Properties of a New Decision-Making Capacity Assessment Tool for People with Substance Use Disorder: The CAT-CAT.

Arch Clin Neuropsychol 2022 Mar 15. Epub 2022 Mar 15.

Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.

Individuals with substance use disorder (SUD) often present with cognitive impairments, which may impede their ability to make decisions for themselves, including treatment-related decisions. It is therefore important to assess whether individuals with SUD have adequate decision-making capacity. Indeed, there have not been any capacity assessment tools tailored for use with SUD populations that demonstrate adequate psychometric properties or that have the strong ethical foundation that is required of capacity assessment tools. Read More

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