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Reasoning in mental health 1 > Psychological and neuropsychological testing > Flashcards

Psychological and neuropsychological testing Flashcards

1
Q

Clinical psychologists in mental health are:

A

Scientists: dev now measuring tools, add to knowledge on normal and pathologic mental health and testing of efficacy of interventions
Psychotherapists
Consultants: contribution to measuring and diagnosing mental dysfunction and tracking it’s evolution over time

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2
Q

Psychology training and expertise

A

Laws and theories governing how people perceive, think, feel and behave

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3
Q

Personality

A

traits/ characteristics that influence feelings, thoughts, behavior

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4
Q

Social psychology

A

How these are modified in the presence of others

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5
Q

Abnormal psychology

A

extreme or pathological variations

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6
Q

Neuropsychology

A

seeks to apply knowledge of human brain-behaviour relationships to clinical problems

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7
Q

Neuropsychology training

A

neuroanatomy and pathology
functional specialization of brain regions
develop, administer, score and interpret tests that measure ability in particular cognitive domains
infer causal attributions to various patterns of cognitive test scores.

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8
Q

dx

A

classification of qualities ex: are you depressed

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9
Q

measurement

A

quantification of severity ex: how depressed are you

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10
Q

prerequisites for accurate, precise, useful measurement

A

well defined construct based on strong theoretical and empirical grounds
internal validity
external validity
precision: how many lines on a ruler, how big of a change do we want to see
equal interval spacing of possible scores
invariant across users and across clinically meaningless time intervals ex: gender, age, culture, education

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11
Q

Avoid making conclusions too quickly

A

test 2nd hypothesis

try to disconfirm 1st hypothesis

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12
Q

Scales depression

A

Beck depression inventory
Hamilton depression rating scale
montgomery -asperg DRS: same issues as young mania rating scale
hospital anxiety and depression scale
geriatric depression scale
clinically useful depression scale: self report, 16 questions

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13
Q

What to consider practically when using scales

A

language, simplicity, precision

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14
Q

Scales anxiety

A

clinically useful anxiety scale

geriatric anxiety inventory (20, 5)

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15
Q

how many questions

A

less than 20

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16
Q

short versions of scales

A

sx get thrown out the window

but can help to get an overall view

17
Q

mania

A

young mania rating scale

18
Q

young mania scale issues

A

non contributing content
redundant content
limited in bread of construct covered
differential item functioning for most items: variable responses across users depending on age, sex, education

19
Q

OCD

A

Yale-Brown OCD scale (YBOCS)

20
Q

Psychosis

A

positive and negative symptoms scale

21
Q

positive and negative symptoms scale issue

A

long, training

22
Q

Cognitive ability

A

Mini mental exam
Clock drawing test
MOCA

23
Q

Mini mental exam

A

screening fo classification of dementia
$
psychometric issues: sensitivity to mild cognitive impairment, content, dimensionality (doesn’t measure one single thing)

24
Q

Clock drawing test

A

screening for possible problem

25
Q

MOCA

A

classification: sever to mild impairment
measurement: good in validated contexts
multiple languages
free, conditional to training

26
Q

Neuropsychological assessment

A

bringing meaning to a test score

27
Q

multidimensionality

A

what we don’t want

measure many things that don’t have to do with subject

28
Q

areas of expertise as consultants

A 
assessment of psychopathology 
personnalité assessment
diagnosis of developmental disorders 
diagnosis of learning disabilities
neuropsychological assessment
29
Q

personality

A

Minnesota multiphasic personality inventory

30
Q

What neuropsychologists do

A

Interview focused on neurodevelopment, academic and occupational history
clarify pattern of objective strengths and weaknesses across domains: verbal, visual, memory, attention, executive functions
clarify association between objective cognitive performance and presenting complaints
specify possible dx
Recommend appropriateness of specific healthcare interventions, probable areas of functional impairment, strategies for managing/ reducing functional impairment

31
Q

Executive functions in psychiatric populations

A

Lack of flexibility: OCD, SUD, eating disorders, gambling disorders
Decision making difficulties: depression, anx, SUD
Difficulty initiating and completing projects: ADHD, dep
Affective dysregulation: BPD, anxiety, BAD

Reasoning in mental health 1 (8 decks)

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