The Clinical NeuropsychologistThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2

78 records returned

Examination Of Various Wms-Iii Logical Memory Scores In The Assessment Of Response Bias.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The assessment of response validity during neuropsychological evaluation is an integral part of the testing process. Research has increasingly focused on the use of "embedded" effort measures (derived from standard neuropsychological tasks) because they do not require additional administration time and are less likely to be identified as effort indicators by test takers because of their primary focus as measures of cognitive function. The current study examined the clinical utility of various WMS-III Logical Memory scores in detecting response bias, as well as the Rarely Missed Index, an embedded effort indicator deriv...
Source: The Clinical Neuropsychologist - November 11, 2009 Category: Psychiatry & Psychology Authors: Bortnik KE, Boone KB, Marion SD, Amano S, Ziegler E, Victor TL, Zeller MA Tags: Clin Neuropsychol Source Type: journals

Book Review: What Lies Beneath.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19890764 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - November 2, 2009 Category: Psychiatry & Psychology Authors: Macallister WS Tags: Clin Neuropsychol Source Type: journals

Addressing the needs of wounded military veterans: an introduction to the special issue.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19882470 [PubMed - in process] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Scolaro Moser R, Zitnay GA Tags: Clin Neuropsychol Source Type: journals

Introduction to the Report of the International Conference on Behavioral Health and Traumatic Brain Injury. The 2008 International Conference on Behavioral Health and Traumatic Brain Injury. Report to Congress on Improving the Care of Wounded Warriors NOW.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19882471 [PubMed - in process] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Pascrell B Tags: Clin Neuropsychol Source Type: journals

A brief overview of traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) within the Department of Defense.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article summarizes current Department of Defense (DOD) initiatives related to TBI and PTSD. PMID: 19882472 [PubMed - in process] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Jaffee MS, Meyer KS Tags: Clin Neuropsychol Source Type: journals

Challenges associated with post-deployment screening for mild traumatic brain injury in military personnel.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is ongoing debate regarding the epidemiology of mild traumatic brain injury (MTBI) in military personnel. Accurate and timely estimates of the incidence of brain injury and the prevalence of long-term problems associated with brain injuries among active duty service members and veterans are essential for (a) operational planning, and (b) to allocate sufficient resources for rehabilitation and ongoing services and supports. The purpose of this article is to discuss challenges associated with post-deployment screening for MTBI. Multiple screening methods have been used in military, Veterans Affairs, and independent...
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Iverson GL, Langlois JA, McCrea MA, Kelly JP Tags: Clin Neuropsychol Source Type: journals

Giving context to post-deployment post-concussive-like symptoms: blast-related potential mild traumatic brain injury and comorbidities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article investigates factors that might account for the discrepancy between current research expectations and some occurrences in clinical practice. The physics of blast waves, as well as animal and human research, relevant to explosions are reviewed. Additional factors that occur within the military blast exposure milieu are also explored because the context in which an injury occurs can potentially impact symptom severity and course of recovery. Differential diagnoses, iatrogenic illness, diagnosis threat, and symptom embellishment are also considered. PMID: 19882474 [PubMed - in process] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Howe LL Tags: Clin Neuropsychol Source Type: journals

Psychopharmacological issues in the treatment of TBI and PTSD.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recognition of the frequency of the co-occurrence of traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) is a relatively recent development in both fields. As a result there has been little work on effective treatment strategies for those with both conditions. In fact studies of PTSD treatment often exclude those with a history of TBI, and studies of the treatment of TBI sequelae have often excluded participants with psychiatric disorders such as PTSD. Thus although evidence-based approaches for the treatment of PTSD and for the sequelae TBI are emerging, little is known about the use of psychotropic...
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: McAllister TW Tags: Clin Neuropsychol Source Type: journals

An integrated review of recovery after mild traumatic brain injury (MTBI): implications for clinical management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The diagnosis and treatment of mild traumatic brain injury (MTBI)have historically been hampered by an incomplete base of scientific evidence to guide clinicians. One question has been most elusive to clinicians and researchers alike: What is the true natural history of MTBI? Fortunately, the science of MTBI has advanced more in the last decade than in the previous 50 years, and now reaches a maturity point at which the science can drive an evidence-based approach to clinical management. In particular, technological advances in functional neuroimaging have created a powerful bridge between the clinical and basic scienc...
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: McCrea M, Iverson GL, McAllister TW, Hammeke TA, Powell MR, Barr WB, Kelly JP Tags: Clin Neuropsychol Source Type: journals

The new neuroscience frontier: promoting neuroplasticity and brain repair in Traumatic Brain Injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Increased awareness of traumatic brain injury (TBI) in the military, a persistent call for evidence-based treatment, and recent government funding have revealed new research opportunities in neuroscience. This paper describes a relatively new frontier for research: that of the facilitation or enhancement of neuroplasticity and brain repair in TBI using novel treatment protocols. Such protocols, algorithmically introduced, may be tailored to the individual through the matching of neuromarkers with specific interventions. Examples of neuromarkers and interventions employed for the purpose of neuromodulation are reported....
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: DeFIna P, Fellus J, Polito MZ, Thompson JW, Moser RS, DeLuca J Tags: Clin Neuropsychol Source Type: journals

The interaction between psychological health and traumatic brain injury: a neuroscience perspective.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The occurrence of traumatic brain injury (TBI) and psychological health issues in the current theater of military operations has become a major factor in planning for the long-term healthcare of our wounded warriors. Post-traumatic stress disorder (PTSD) can co-exist with brain injury in military members who have been exposed to blasts. Specific areas of the brain may be more susceptible to damage from blasts. In particular, damage to the prefrontal cortex can lead to disinhibition of cerebral structures that control fear and anxiety. Reactive systemic inflammatory processes related to TBI may also impair psychological...
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Hoffman SW, Harrison C Tags: Clin Neuropsychol Source Type: journals

Beyond diagnosis: understanding the healthcare challenges of injured veterans through the application of the International Classification of Functioning, Disability and Health (ICF).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Psychiatric and neurological disorders brought about by exposure to combat can create serious obstacles to community reintegration. Effective therapeutic and rehabilitative methods designed to address disorders that arise from combat are available. Yet there continues to be a need to develop both a deeper understanding of veterans' needs and best-practice methods to alleviate distress and facilitate community participation. Awareness of these needs served as the catalyst for the International Conference on Behavioral Health and Traumatic Brain Injury and is the basis for developing numerous new programs and service ref...
Source: The Clinical Neuropsychologist - November 1, 2009 Category: Psychiatry & Psychology Authors: Sandberg MA, Bush SS, Martin T Tags: Clin Neuropsychol Source Type: journals

Determining Whether Or When To Adopt New Versions Of Psychological And Neuropsychological Tests: Ethical And Professional Considerations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Test selection has significant implications for inferences that can be drawn from test data. Some tests undergo revisions, typically to improve their psychometric properties, normative data, relevance of stimuli, and ease of administration. Although revisions of psychological and neuropsychological tests are published periodically, little information is available regarding whether or when clinicians should transition to the most recent versions of the tests. The 2002 APA Ethics Code (Standard 9.08b) requires that psychologists not base their assessment or intervention decisions or recommendations "on tests and measures...
Source: The Clinical Neuropsychologist - October 27, 2009 Category: Psychiatry & Psychology Authors: Bush SS Tags: Clin Neuropsychol Source Type: journals

Sensitivity of the Test of Memory and Learning to Attention and Memory Deficits in Children with ADHD.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Children with attention deficit hyperactivity disorder (ADHD) exhibit a number of cognitive deficits. The current study compared patterns of attention, learning, and memory impairment on the Test of Memory and Learning (TOMAL) between 80 children with ADHD and 80 normal comparisons who were matched for age and gender. Results demonstrated that children with ADHD performed significantly worse than matched controls on the Attention/Concentration Index and the Sequential Recall Index. ROC analysis indicated that these two indexes had good classification accuracy with AUCs of.76 and.77 respectively. There were also group d...
Source: The Clinical Neuropsychologist - October 22, 2009 Category: Psychiatry & Psychology Authors: Thaler NS, Allen DN, McMurray JC, Mayfield J Tags: Clin Neuropsychol Source Type: journals

MMPI-2 profiles: Fibromyalgia Patients Compared to Epileptic and Non-Epileptic Seizure Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We compared MMPI-2 profiles of Gulf War veterans with fibromyalgia (FM) to epileptic seizure (ES) patients, psychogenic non-epileptic seizure (PNES) patients, and Gulf War veteran healthy controls. Both PNES and FM are medically unexplained conditions. In previous MMPI-2 research PNES patients were shown to have significantly higher Hs and Hy clinical scales than ES patients. In the present research the FM group had significantly higher Hs and Hy scale scores than both the ES group and the healthy control group. There was no significant difference between the FM and PNES Hs scale scores; however, the FM Hy scale score ...
Source: The Clinical Neuropsychologist - October 22, 2009 Category: Psychiatry & Psychology Authors: Johnson AL, Storzbach D, Binder LM, Barkhuizen A, Kent Anger W, Salinsky MC, Tun SM, Rohlman DS Tags: Clin Neuropsychol Source Type: journals

Advocacy 101: A Step Beyond Complaining. How the Individual Practitioner can Become Involved and Make a Difference.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are critical issues facing the neuropsychological community, such as inadequate reimbursement for services, a lack of familiarity among public policy makers regarding the science and practice of neuropsychology, and a lack of public policy awareness among professional neuropsychologists. Advocacy for the field is the most effective way to undertake positive change. Currently, a minority of psychological professionals actively engages in an advocacy process, while the majority is not involved, or is involved periodically or passively. With weak advocacy our field risks slower development in key areas, and without ...
Source: The Clinical Neuropsychologist - October 20, 2009 Category: Psychiatry & Psychology Authors: Howe LL, Sweet JJ, Bauer RM Tags: Clin Neuropsychol Source Type: journals

"Good Old Days" Bias Following Mild Traumatic Brain Injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A small percentage of people with a mild traumatic brain injury (MTBI) report persistent symptoms and problems many months or even years following injury. Preliminary research suggests that people who sustain an injury often underestimate past problems (i.e., "good old days" bias), which can impact their perceived level of current problems and recovery. The purpose of this study was to examine the influence of the good old bays bias on symptom reporting following MTBI. The MTBI sample consisted of 90 referrals to a concussion clinic (mean time from injury to evaluation = 2.1 months, SD = 1.5, range = 0.8-8.1). All were...
Source: The Clinical Neuropsychologist - October 12, 2009 Category: Psychiatry & Psychology Authors: Iverson GL, Lange RT, Brooks BL, Lynn Ashton Rennison V Tags: Clin Neuropsychol Source Type: journals

The Reliable Digit Span Test in Chronic Pain: Classification Accuracy in Detecting Malingered Pain-Related Disability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study used criterion groups validation (known-groups design) to examine the classification accuracy of the Reliable Digit Span test (RDS) in a large group of chronic pain patients referred for psychological evaluation. The sample consisted of 612 patients classified into one of six groups based on evidence of malingered pain-related disability (MPRD): No-Incentive, Not MPRD; Incentive-Only, Not MPRD; Indeterminate; Possible MPRD; Probable MPRD; Definite MPRD. A total of 30 college student simulators were also included. Lower average RDS scores and higher rates of RDS failure were seen in patients classified as MPRD an...
Source: The Clinical Neuropsychologist - October 1, 2009 Category: Psychiatry & Psychology Authors: Greve KW, Bianchini KJ, Etherton JL, Meyers JE, Curtis KL, Ord JS Tags: Clin Neuropsychol Source Type: journals

General Intellectual Decline and Daily Living Skills.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A total of 64 elderly individuals presenting with cognitive decline were administered a test of general intelligence and a measure of adaptive knowledge and daily living skills. Premorbid ability was estimated using a demographic formula and a reading test. After controlling for age and depression, general intellectual ability accounted for a large amount of the variance in a broad range of adaptive knowledge and behavioral skills, reflecting the influence of premorbid ability and especially estimated decline. Different patterns of adaptive knowledge and skills were identified as a function of measured IQ and of estima...
Source: The Clinical Neuropsychologist - September 10, 2009 Category: Psychiatry & Psychology Authors: Hart RP, Wade JB, Bean MK, Gibson DP Tags: Clin Neuropsychol Source Type: journals

Evaluation of the WMS-III Rarely Missed Index in a Naive Clinical Sample.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the WMS-III Rarely Missed Index as a reliable predictor of fabrication of memory difficulties. A total of 31 outpatients referred for neuropsychological evaluation completed the WMS-III Logical Memory Delayed Recognition Test (LMDR) before having heard the stories and again after hearing the stories. Of the 30 items from the LMDR completed by participants who had not heard the stories, 5 were found to significantly differ from chance; only 1 of those items was found to do so in the original RMI studies. Conversely, of the six items in the original RMI study, only one was found to differ from chance in the prese...
Source: The Clinical Neuropsychologist - September 8, 2009 Category: Psychiatry & Psychology Authors: Axelrod BN, Barlow A, Paradee C Tags: Clin Neuropsychol Source Type: journals

Effort Indicators within the California Verbal Learning Test-II (CVLT-II).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study determined whether performance patterns on the California Verbal Learning Test-II (CVLT-II) could differentiate participants with traumatic brain injury (TBI) showing adequate effort from those with mild TBI exhibiting poor effort using a case-control design. The TBI group consisted of 124 persons with moderate to severe traumatic brain injury (TBI). The poor effort group consisted of 77 persons with mild head injury who were involved in litigation (LG) and failed at least one stand-alone symptom validity measure (SVT) and also either a second SVT or an effort indicator embedded within a standard clinical test. ...
Source: The Clinical Neuropsychologist - September 8, 2009 Category: Psychiatry & Psychology Authors: Wolfe PL, Millis SR, Hanks R, Fichtenberg N, Larrabee GJ, Sweet JJ Tags: Clin Neuropsychol Source Type: journals

American Academy of Clinical Neuropsychology Consensus Conference Statement on the Neuropsychological Assessment of Effort, Response Bias, and Malingering.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During the past two decades clinical and research efforts have led to increasingly sophisticated and effective methods and instruments designed to detect exaggeration or fabrication of neuropsychological dysfunction, as well as somatic and psychological symptom complaints. A vast literature based on relevant research has emerged and substantial portions of professional meetings attended by clinical neuropsychologists have addressed topics related to malingering (Sweet, King, Malina, Bergman, & Simmons, 2002). Yet, despite these extensive activities, understanding the need for methods of detecting problematic effort...
Source: The Clinical Neuropsychologist - September 1, 2009 Category: Psychiatry & Psychology Authors: Heilbronner RL, Sweet JJ, Morgan JE, Larrabee GJ, Millis SR, Participants C Tags: Clin Neuropsychol Source Type: journals

Detecting Malingered Pain-Related Disability: Classification Accuracy of the Test of Memory Malingering.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study used criterion groups validation to determine the accuracy of the Test of Memory Malingering (TOMM) in detecting malingered pain-related disability (MPRD) across a range of cutoffs in chronic pain patients undergoing psychological evaluation (n = 604). Data from patients with traumatic brain injury (n = 45) and dementia (n = 59) are presented for comparison. TOMM scores decreased and failure rates increased as a function of greater external evidence of intentional under-performance. The TOMM detected from 37.5% to 60.2% of MPRD patients, depending on the cutoff. False positive (FP) error rates ranged from 0% to ...
Source: The Clinical Neuropsychologist - August 31, 2009 Category: Psychiatry & Psychology Authors: Greve KW, Etherton JL, Ord J, Bianchini KJ, Curtis KL Tags: Clin Neuropsychol Source Type: journals

Perceived Roles and Collaboration Between Neuropsychologists and Speech-Language Pathologists in Rehabilitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of the current study was to determine perceptions of neuropsychologists (NPs) and speech-language pathologists (SLPs) regarding each other's roles in the rehabilitation setting, and to assess the type and extent of collaborations. Participants were 311 SLPs and 77 NPs working in a rehabilitation setting. Results indicated a great deal of overlap between the roles of SLPs and NPs. While there was much agreement about roles, misperceptions were evident with regard to some of the domains of assessment and treatment. A need for increased collaboration on planning assessments and treatment was evident. The resul...
Source: The Clinical Neuropsychologist - August 27, 2009 Category: Psychiatry & Psychology Authors: Sander AM, Raymer A, Wertheimer J, Paul D Tags: Clin Neuropsychol Source Type: journals

Board Certification in Professional Psychology: Promoting Competency and Consumer Protection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article uses the model and experience of the American Board of Professional Psychology, with particular attention to the American Board of Clinical Neuropsychology and the American Academy of Clinical Neuropsychology, to illustrate these benefits. Recent developments regarding board certification are described, as well as how to become involved in the process. PMID: 19685380 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - August 11, 2009 Category: Psychiatry & Psychology Authors: Cox DR Tags: Clin Neuropsychol Source Type: journals

Pediatric neuropsychology: Stories to be told, Stories to be heard.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19626563 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - July 22, 2009 Category: Psychiatry & Psychology Authors: Davis AV Tags: Clin Neuropsychol Source Type: journals

Auditory Responsive Naming versus Visual Confrontation Naming in Dementia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dysnomia is typically assessed during neuropsychological evaluation through visual confrontation naming. Responsive naming to description, however, has been shown to have a more distributed representation in both fMRI and cortical stimulation studies. While naming deficits are common in dementia, the relative sensitivity of visual confrontation versus auditory responsive naming has not been directly investigated. The current study compared visual confrontation naming and auditory responsive naming in a dementia sample of mixed etiologies to examine patterns of performance across these naming tasks. A total of 50 patien...
Source: The Clinical Neuropsychologist - July 22, 2009 Category: Psychiatry & Psychology Authors: Miller KM, Finney GR, Meador KJ, Loring DW Tags: Clin Neuropsychol Source Type: journals

Cognitive Discrepancies in Children at the Ends of the Bell Curve: A Note of Caution for Clinical Interpretation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discrepancies between IQ scores on the Wechsler Abbreviated Scale of Intelligence (WASI) and scores from the Delis-Kaplan Executive Function System (D-KEFS) were examined at different levels of intellectual functioning in 470 normal-functioning youths (aged 8-19) from the co-standardization sample of the WASI and D-KEFS. Results demonstrated that children with lower IQ scores often had significantly higher D-KEFS scores, whereas children with higher IQ scores often had significantly lower D-KEFS scores. Similar patterns were identified for discrepancies between Verbal and Performance IQ indices. These findings are simi...
Source: The Clinical Neuropsychologist - July 21, 2009 Category: Psychiatry & Psychology Authors: McGee CL, Delis DC, Holdnack JA Tags: Clin Neuropsychol Source Type: journals

Reliable Change Indices and Regression-Based Measures for the Rey-Osterreith Complex Figure Test in Partial Epilepsy Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Rey-Osterreith Complex Figure (ROCF) is commonly used in evaluations of patients undergoing epilepsy surgery. We assessed test-retest performance on ROCF in 30 partial epilepsy patients (mean interval = 33.7 months) to derive reliable change indices (RCIs) and regression-based measures for change. ROCF reproductions were rescored by three raters (IRR Copy: 0.963; Delayed Recall: 0.986). The derived adjusted RC (90% CI) cutoff values for the ROCF Copy were (</=-6.5, >/=8.4) and were (</=-6.8, >/=10.0) for the Delayed Recall. Results from regression-based analyses were negative, using age, education, seiz...
Source: The Clinical Neuropsychologist - July 13, 2009 Category: Psychiatry & Psychology Authors: Nakhutina L, Pramataris P, Morrison C, Devinsky O, Barr WB Tags: Clin Neuropsychol Source Type: journals

Challenges in the neuropsychological assessment of ethnic minorities: summit proceedings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19530035 [PubMed - in process] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - June 27, 2009 Category: Psychiatry & Psychology Authors: Romero HR, Lageman SK, Kamath VV, Irani F, Sim A, Suarez P, Manly JJ, Attix DK, Tags: Clin Neuropsychol Source Type: journals

Lesion Location and Repeatable Battery for the Assessment of Neuropsychological Status Performance in Acute Ischemic Stroke.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The validity of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was evaluated in a sample of acute ischemic stroke patients. A total of 164 ischemic stroke patients with anterior fossa lesions were divided into groups according to lesion laterality (left, right, or bilateral) and location (cortical versus subcortical) as determined by CT and/or MRI findings. The hypotheses for this study were: (1) that left hemispheric stroke patients would perform better than their counterparts on the Visuospatial/Constructional and Attention Indexes; (2) that right hemisphere stroke patients would outpe...
Source: The Clinical Neuropsychologist - June 16, 2009 Category: Psychiatry & Psychology Authors: C Wilde M Tags: Clin Neuropsychol Source Type: journals

Thalamic Contributions to Anterograde, Retrograde, and Implicit Memory: A Case Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Learning and memory deficits are typically associated with damage or dysfunction of medial temporal lobe structures; however, diencephalic lesions are another common cause of severe and persistent memory deficits. We focus specifically on the thalamus and review the pathological and neuropsychological characteristics of two common causes of such damage: Korsakoff's syndrome and stroke. We then present a patient who had sustained bilateral medial thalamic infarctions that affected the medial dorsal nucleus and internal medullary lamina. This patient demonstrated the characteristic temporally graded retrograde amnesia an...
Source: The Clinical Neuropsychologist - June 15, 2009 Category: Psychiatry & Psychology Authors: Hampstead BM, Koffler SP Tags: Clin Neuropsychol Source Type: journals

Experiences of the Language-Learning Brain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19557657 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - June 15, 2009 Category: Psychiatry & Psychology Authors: Marlowe WB Tags: Clin Neuropsychol Source Type: journals

Evaluation of a neuropsychological screen in an incarcerated population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Brief Neuropsychological Cognitive Examination (BNCE) is a screening device designed to rapidly assess neuropsychological functioning. The availability of an effective and efficient screen for neuropsychological and/or cognitive disorders is an important concern within various settings such as correctional facilities, where there are likely to be large numbers of individuals in need of evaluation. In the current study the utility of the BNCE in detecting cognitive impairments among a clinical sample of incarcerated individuals was evaluated by comparing performance on this instrument to performance on measures of g...
Source: The Clinical Neuropsychologist - May 20, 2009 Category: Psychiatry & Psychology Authors: Ball TD, Pastore RE, Sollman MJ, Burright RG, Donovick PJ Tags: Clin Neuropsychol Source Type: journals

Reliability Concerns in the Repeated Computerized Assessment of Attention in Children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the test-retest reliability of selected variables from one popular computerized continuous performance test (CPT)-i.e., the Conners' CPT - Second Edition (CPT-II). Participants were 39 healthy children (20 girls) ages 6-18 without intellectual impairment (mean PPVT-III SS = 102.6), LD, or psychiatric disorders (DICA-IV). Test-retest reliability over the 3-8 month interval (mean = 6 months) was acceptable (Intraclass Correlations [ICC] =.82 to.92) on comparison measures (Beery Test of Visual Perception, WISC-IV Block Design, PPVT-III). In contrast, test-retest reliability was only modest for CPT-II raw scores (I...
Source: The Clinical Neuropsychologist - May 12, 2009 Category: Psychiatry & Psychology Authors: Zabel TA, Thomsen CV, Cole C, Martin R, Mahone EM Tags: Clin Neuropsychol Source Type: journals

Common blood laboratory values are associated with cognition among older inpatients referred for neuropsychological testing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to examine the relationship between common laboratory values and cognitive functioning among 129 inpatients referred for neuropsychological evaluation. Laboratory values were recorded at admission, at the time point closest to neuropsychological evaluation, and at the time of peak metabolic derangement. Cognitive status was evaluated with the modified Mini-Mental State Exam. Patients with hyperglycemia, hypochloremia, and/or elevated creatinine at admission exhibited cognitive deficits. Patients with hyperglycemia, hyperchloremia, hypernatremia, hyperkalemia, leukocytosis, low hemoglobin, ...
Source: The Clinical Neuropsychologist - April 28, 2009 Category: Psychiatry & Psychology Authors: Bruce JM, Harrington CJ, Foster S, Westervelt HJ Tags: Clin Neuropsychol Source Type: journals

Leukoaraiosis Severity and List-Learning in Dementia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In patients with dementia, leukoaraiosis (LA) was hypothesized to result in differential patterns of impairment on a verbal serial list-learning test. Using a visual rating scale, 144 dementia patients with ischemic scores <4 were re-categorized as having mild (n = 73), moderate (n = 44), or severe LA (n = 27). Mild LA was predicted to be associated with an amnestic list-learning profile, while severe LA was predicted to be associated with a dysexecutive profile. List-learning performances were standardized to a group of healthy older adults (n = 24). Analyses were conducted on a set of four factors derived from the...
Source: The Clinical Neuropsychologist - April 6, 2009 Category: Psychiatry & Psychology Authors: Price CC, Garrett KD, Jefferson AL, Cosentino S, Tanner JJ, Penney DL, Swenson R, Giovannetti T, Bettcher BM, Libon DJ Tags: Clin Neuropsychol Source Type: journals

Commentary on Larrabee, Millis, and Meyers' paper "Sensitivity to Brain Dysfunction of the Halstead Reitan vs an Ability-Focused Neuropsychological Battery"Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The study by Larrabee, Millis, and Meyers (2007) was designed to compare the sensitivity to brain dysfunction of the Halstead Reitan Battery (HRB) to an ability-focused battery using data from Russell's database. Appropriate cases were screened to eliminate participants "wherein external incentive (Veterans Disability) was a possible factor ..." (p. 815). However, VA compensation is not related to medical treatment since it requires an unrelated independent investigation. Russell's participants were diagnosed by faculty members of the University of Miami Medical School using CT scans etc. The Larrabee et al. (2007) SVT...
Source: The Clinical Neuropsychologist - April 3, 2009 Category: Psychiatry & Psychology Authors: Russell EW Tags: Clin Neuropsychol Source Type: journals

Increasing Awareness of Clinical Neuropsychology in the General Public.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the goals of public awareness efforts for clinical neuropsychology, and outlines current resources that can be utilized toward this end. We review the process of creating new public awareness resources and discuss ideas for how practitioners can become involved public awareness efforts. We consider some of the many issues driving the need for public awareness activities and resources, highlight the need for practitioners and professional organizations to be self-advocates, and hope to inspire our field to the very feasible process of integrating public awareness efforts into professional practice. ...
Source: The Clinical Neuropsychologist - March 31, 2009 Category: Psychiatry & Psychology Authors: Attix DK, Potter GG Tags: Clin Neuropsychol Source Type: journals

40 Plus or Minus 10, a New Magical Number: Reply to Russell.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Russell (2009 this issue) has criticized our recently published investigation (Larrabee, Millis, & Meyers, 2008) comparing the diagnostic discrimination of an ability-focused neuropsychological battery (AFB) to that of the Halstead Reitan Battery (HRB). He contended that our symptom validity test (SVT) screening excluding 43% of brain dysfunction and 15% of control patients using computations based on Digit Span inappropriately excluded patients with brain damage, due to the correlation of Digit Span with the Average Index Score (AIS). Our exclusion of 43% of brain dysfunction participants matches the frequency of ...
Source: The Clinical Neuropsychologist - March 31, 2009 Category: Psychiatry & Psychology Authors: Larrabee GJ, Millis SR, Meyers JE Tags: Clin Neuropsychol Source Type: journals

Let's Not Get Hysterical: Comparing the MMPI-2 Validity, Clinical, and RC Scales in TBI Litigants Tested for Effort.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The MMPI-2 restructured clinical (RC) scales replace the traditional clinical scales in the MMPI-2 restructured form (MMPI-2-RF). Few studies to date have examined the MMPI-2 RC scales in traumatic brain injury (TBI) litigants. We compared MMPI-2 validity, clinical, and RC scales profiles of 83 mild, complicated mild, and moderate/severe TBI litigants who were tested for effort. Past research shows that patients referred for neuropsychological evaluations with mild TBIs paradoxically have higher MMPI-2 clinical scale elevations than patients with moderate/severe TBIs. Failure on cognitive symptom validity tests (SVTs) ...
Source: The Clinical Neuropsychologist - March 31, 2009 Category: Psychiatry & Psychology Authors: Thomas ML, Youngjohn JR Tags: Clin Neuropsychol Source Type: journals

On percentile norms in neuropsychology: Proposed reporting standards and methods for quantifying the uncertainty over the percentile ranks of test scores.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Normative data for neuropsychological tests are often presented in the form of percentiles. One problem when using percentile norms stems from uncertainty over the definitional formula for a percentile. (There are three co-existing definitions and these can produce substantially different results.) A second uncertainty stems from the use of a normative sample to estimate the standing of a raw score in the normative population. This uncertainty is unavoidable but its extent can be captured using methods developed in the present paper. A set of reporting standards for the presentation of percentile norms in neuropsycholo...
Source: The Clinical Neuropsychologist - March 26, 2009 Category: Psychiatry & Psychology Authors: Crawford JR, Garthwaite PH, Slick DJ Tags: Clin Neuropsychol Source Type: journals

Empirical Correlates and Interpretation of the MMPI-2-RF Cognitive Complaints (COG) Scale.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present three case studies to illustrate interpretive strategies for the COG scale. PMID: 19330701 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - March 18, 2009 Category: Psychiatry & Psychology Authors: Gervais RO, Ben-Porath YS, Wygant DB Tags: Clin Neuropsychol Source Type: journals

Patterns of Word-List Generation in Mild Cognitive Impairment and Alzheimer's Disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with amnestic mild cognitive impairment (aMCI) have been described as exhibiting greater impairment on tests of category fluency than letter fluency. This has been offered as evidence that this condition represents pre-clinical Alzheimer's disease (AD). We hypothesized that this pattern of differential impairment is dependent on the specific semantic categories and initial letters selected, and is not specific to AD and aMCI. A total of 40 cognitively normal older adults, 74 MCI patients-25 "amnestic single domain" (aMCI), 27 "amnestic multiple domain", and 22 non-amnestic-and 29 AD patients were tested with m...
Source: The Clinical Neuropsychologist - March 17, 2009 Category: Psychiatry & Psychology Authors: Brandt J, Manning KJ Tags: Clin Neuropsychol Source Type: journals

Comparison of assessment measures for post-stroke depression.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to examine the sensitivity and specificity of four standardized measures for assessing depression in a stroke population. A total of 67 adults admitted to an inpatient rehabilitation unit with acute stroke were assessed with four standardized depression measures and by structured clinical interview as part of a cross-sectional study assessing cognitive and emotional functioning. Using DSM-IV criteria, major depression was present in 15% of the sample and minor depression in an additional 28%. The four depression measures yielded rates of depression ranging from 14% to 46% when their recommend...
Source: The Clinical Neuropsychologist - March 13, 2009 Category: Psychiatry & Psychology Authors: Roger PR, Johnson-Greene D Tags: Clin Neuropsychol Source Type: journals

Benton Visual Retention Test Performance in Normal Adults and Acute Stroke Patients: Demographic Considerations, Discriminant Validity, and Test-Retest Reliability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined relationships between demographic variables and Benton Visual Retention Test performance in 352 healthy Greek adults, aged 18-84 years. We derived norms for BVRT total number correct and error scores adjusted for variables that contributed significantly to the variance. We also investigated BVRT performance in 28 acute stroke patients M = 6.14 days after insult. Age, education, and IQ, but not gender, were significantly associated with BVRT performance in healthy participants. However, only age contributed significantly to BVRT performance in acute stroke patients. Test-retest reliability was moderate (.782) fo...
Source: The Clinical Neuropsychologist - March 4, 2009 Category: Psychiatry & Psychology Authors: Messinis L, Lyros E, Georgiou V, Papathanasopoulos P Tags: Clin Neuropsychol Source Type: journals

Be Prepared: A review of Denney and Sullivan's Clinical Neuropsychology in the Criminal Forensic Setting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19259888 [PubMed - as supplied by publisher] (Source: The Clinical Neuropsychologist)
Source: The Clinical Neuropsychologist - March 3, 2009 Category: Psychiatry & Psychology Authors: Larrabee GJ Tags: Clin Neuropsychol Source Type: journals

Detecting Malingered Pain-Related Disability: Classification Accuracy of the Portland Digit Recognition Test.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study used criterion groups validation to determine the classification accuracy of the Portland Digit Recognition Test (PDRT) at a range of cutting scores in chronic pain patients undergoing psychological evaluation (n = 318), college student simulators (n = 29), and patients with brain damage (n = 120). PDRT scores decreased and failure rates increased as a function of greater independent evidence of intentional underperformance. There were no differences between patients classified as malingering and college student simulators. The PDRT detected from 33% to nearly 60% of malingering chronic pain patients, depending ...
Source: The Clinical Neuropsychologist - March 2, 2009 Category: Psychiatry & Psychology Authors: Greve KW, Bianchini KJ, Etherton JL, Ord JS, Curtis KL Tags: Clin Neuropsychol Source Type: journals

Relationships among Anxiety, Depression, and Executive Functioning in Multiple Sclerosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Anxiety is a common psychiatric symptom among patients with multiple sclerosis (MS), however compared to depression it is relatively under-studied. The relative contribution of anxiety and depression to cognitive functioning was evaluated among 77 persons with MS. Participants completed the Chicago Multiscale Depression Inventory, the State-Trait Anxiety Inventory, and neuropsychological measures of executive functioning. Regression analyses indicated that, although both depression and anxiety independently predicted performance on an index of executive functioning, anxiety was uniquely associated with cognitive functi...
Source: The Clinical Neuropsychologist - February 25, 2009 Category: Psychiatry & Psychology Authors: Julian LJ, Arnett PA Tags: Clin Neuropsychol Source Type: journals

Evaluation of the German Translation of the Stroke Impact Scale Using Rasch Analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To assess the complex and heterogeneous consequences of stroke, currently comprehensive patient-centered measures, like the Stroke Impact Scale (SIS), are increasingly being developed. The purpose of this study was to evaluate the psychometric properties of the German translation of the SIS using Rasch analyses. A total of 196 patients with stroke from 16 study centers participated in the study. In tests for item fit, 7 of the 64 items displayed model misfit. Response categories of 25 items showed threshold disordering. Person separation reliability lay above.80 in six domains. No differential item functioning was dete...
Source: The Clinical Neuropsychologist - February 23, 2009 Category: Psychiatry & Psychology Authors: Geyh S, Cieza A, Stucki G Tags: Clin Neuropsychol Source Type: journals