Assessment of Cognition Flashcards
Traditional Clinical Psychology Hx
- 1896: 1st clinic at Upenn by
- First half of 20th century focused on _____ assessment; ____ based
- Post-_____: clinical needs increase
- ‘49 ____ model: scientist-practitioner
- ‘73 ____ model: practitioner-scholar
- Lightner Witmer
- Psychological assessment; stats
- WWII
- boulder
- . Vail
What turned the view on traditional clinical psychology? 2
- WWII
2. Brenda Milner’s work on Henry Molaison
Assessment for “neuro” psychological domains (8)
Intelligence Memory Language Attention Executive Processing speed Visuospatial Affect
Goal of Neuropsych eval?
- To objectively quantify (3) changes
- Limits of Imaging and other lab data - can’t assess: (5)
- (EVIDENCE-BASED) cognitive, affective, and behavioral
- Qualitative data for functionality
Individual variance and range of functionality
Quantification of functional capacity
Detailed QoL
Only where and what, NOT the degree of what it may or may NOT mean
Goal of neuropsych is to objectively quantify (EVIDENCE-BASED) cognitive, affective, and behavioral changes after: 6 events
- Developmental
ADHD, LD, autism, Tourette’s - Acute brain insult
CVA, TBI/CHI, encephalitis, aphasias - Neurodegenerative
Dementia umbrella, Tumors, Epilepsy, NeuroAIDS - Pre-post surgical intervention
Wada, DBS, shunt for NPH, ECT, transplant - Psychiatric
Schizophrenia, BPD, depression, GAD - Medico-legal
MVA, SSDI, toxic exposure, falls, law-suits
Malingering, effort
Capacity
Neuropsych is analagouse to:
Analogous to individualized, domain-specific, functional imaging (example: handedness in epilepsy, Wada)
When is neuropsych eval appropriate to order? (2)
Whenever patient and/OR collateral report indicate concerns over:
Memory, intelligence, language, attention, executive skills, processing speed, V/S skills, capacity, affect, Q of memory malingering
Whenever there SHOULD be cognitive deficit but not reported/denied
Assessment of intelligence uses:
- ****Wechsler Adult Intelligence Scale (III/IV): measures intelligence (Full Scale IQ), broken down into 4 factor indices: Perceptual Organization/Perceptual Reasoning, Verbal Comprehension, Processing Speed, and Working Memory. N = 2200.
- Kaufman Brief Intelligence Test, 2nd Edition: an abbreviated measure of overall intelligence (Full Scale IQ), broken down into Verbal IQ and Nonverbal IQ.
- Stanford-Binet Intelligence Scales (V): Similar to WAIS. N = 4800
What is the Wechsler Adult Intelligence Scale (III/IV)
: measures intelligence (Full Scale IQ), broken down into 4 factor indices: Perceptual Organization/Perceptual Reasoning, Verbal Comprehension, Processing Speed, and Working Memory. N = 2200.
Which two tests assess intelligence in children?
*Wechsler Intelligence Scale for Children-IV
Wechsler Preschool and Primary Scale of Intelligence-III
Also St Binet intelligence scale
Note on IQ:
- Flynn Effect:
- g factor:
- Crystalized intelligence:
- Fluid intelligence:
- substantial increase in average scores on intelligence tests all over the world.
- general intelligence.
- “acquisition” intelligence. culturally loaded and biased yet prefered in western world.
- “use” intelligence.
Assesses general achievement: 3
- Wide Range Achievement Test-4th Edition: Education level based achievement test. The Reading subtest is a good measure of premorbid IQ.
- Wechsler Individual Achievement Test-III: More diagnostic power. N = 3000
- Woodcock-Johnson III
Assesses memory: 6
- ***** Wechsler Memory Scale (III/IV): measure of general memory broken down into 5 factor indices, i.e., immediate memory, delayed memory, visual working memory, auditory memory, and visual memory.
- Brief Visuospatial Memory Test-Revised: measure of visual memory via 6 figure stimuli presentation.
- ***** Rey-Osterrieth complex figure test: measure of visual memory via complex figure presentation.
- California Verbal Learning Test-II: measure of verbal memory via list learning (hardest).
- Auditory Verbal Learning Test: measure of verbal memory via list learning (hard).
- Hopkins Verbal Learning Test-Revised: measure of verbal memory via list learning (shorted of the three).
Language assessment (5)
- AmNart Reading: reading test; a decent measure of premorbid IQ.
- Multilingual Aphasia Examination: Seven domain language test.
- Controlled Oral Word Association Test: Phonemic verbal fluency task.
- Category/Semantic Fluency: Semantic verbal fluency task.
- *****Boston Naming Test: assessment of anomia.
Boston naming test assesses:
language — anomia
