Abigail C Bretzin, Ara J Schmitt, Elizabeth Teel, John H Holmes, Douglas J Wiebe, Erica Beidler
Objective: The first objective was to establish the respective factor structures of a concussion perceptions inventory that was adapted for youth athletes (ages 8-14 years) and their parents from the Perceptions of Concussion Inventory for Athletes. The second objective was to understand the associations between the concussion perceptions of youth athlete-parent dyads.
Method: In this cross-sectional study, 329 parent-youth athlete dyads completed a respective concussion perception inventory. Mean age of youth respondents was 10.9 ± 1.8 years (70.1% male) and mean age of parent respondents was 40.5 ± 13.6 years (60.9% female).
Results: Exploratory factor analyses revealed unique 7-factor structures for both the youth athlete and parent inventories (youth athlete: anxiety, clarity, treatment, permanent injury, symptom variability, long-term outcomes, and personal control; parent: anxiety, clarity, treatment, permanent injury, symptom variability, and long-term outcomes, and affect others). Weak associations were found between dyads on the 5 factors that were composed of identical items (anxiety, clarity, treatment, permanent injury, and symptom variability).
Conclusions: Findings suggest that this adapted inventory has adequate psychometric properties to be used in the study of the concussion perceptions of youth athletes and their parents. Weak correlations across the concussion perceptions in the dyads suggest that parents and children hold different concussion perceptions and this should be considered in instrument selection of future studies.
{"title":"Parent and Youth Athlete Perceptions of Concussion Injury: Establishing a Factor Structure.","authors":"Abigail C Bretzin, Ara J Schmitt, Elizabeth Teel, John H Holmes, Douglas J Wiebe, Erica Beidler","doi":"10.1093/arclin/acad109","DOIUrl":"10.1093/arclin/acad109","url":null,"abstract":"<p><strong>Objective: </strong>The first objective was to establish the respective factor structures of a concussion perceptions inventory that was adapted for youth athletes (ages 8-14 years) and their parents from the Perceptions of Concussion Inventory for Athletes. The second objective was to understand the associations between the concussion perceptions of youth athlete-parent dyads.</p><p><strong>Method: </strong>In this cross-sectional study, 329 parent-youth athlete dyads completed a respective concussion perception inventory. Mean age of youth respondents was 10.9 ± 1.8 years (70.1% male) and mean age of parent respondents was 40.5 ± 13.6 years (60.9% female).</p><p><strong>Results: </strong>Exploratory factor analyses revealed unique 7-factor structures for both the youth athlete and parent inventories (youth athlete: anxiety, clarity, treatment, permanent injury, symptom variability, long-term outcomes, and personal control; parent: anxiety, clarity, treatment, permanent injury, symptom variability, and long-term outcomes, and affect others). Weak associations were found between dyads on the 5 factors that were composed of identical items (anxiety, clarity, treatment, permanent injury, and symptom variability).</p><p><strong>Conclusions: </strong>Findings suggest that this adapted inventory has adequate psychometric properties to be used in the study of the concussion perceptions of youth athletes and their parents. Weak correlations across the concussion perceptions in the dyads suggest that parents and children hold different concussion perceptions and this should be considered in instrument selection of future studies.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139511582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah J Verity, Alexander J Hagan, Anna Kearney, Susanna Waern
Introduction: The Test of Everyday Attention for Children 2 (TEA-Ch 2) is a rigorously tested measure of attention, often used in pediatric neuro-oncology settings. Data from one Primary Treatment Centre found a high proportion of children scored in the highest range on the Cerberus subtest. This brief report attempts to answer the question: Does the Cerberus subtest of the TEA-Ch 2 provide outlying scores in the pediatric neuro-oncology population?
Methods: Data representing 62 Cerberus assessments from four primary treatment centers were analyzed.
Results: Data showed a substantially higher level of performance on the Cerberus subtest compared to other TEA-Ch2 subtests. Scores were not only higher than expected relative to children's performance on other subtests but also higher than would be expected in the general population.
Discussion: Within our data, performance on the Cerberus subset of the TEA-Ch 2 yields somewhat questionable data from which to draw conclusions regarding sustained attentional ability in a pediatric neuro-oncology cohort.
{"title":"Potential Anomalous Findings on the Cerberus Subtest of the TEACh 2 in a Pediatric Neuro-Oncology Cohort.","authors":"Sarah J Verity, Alexander J Hagan, Anna Kearney, Susanna Waern","doi":"10.1093/arclin/acad104","DOIUrl":"10.1093/arclin/acad104","url":null,"abstract":"<p><strong>Introduction: </strong>The Test of Everyday Attention for Children 2 (TEA-Ch 2) is a rigorously tested measure of attention, often used in pediatric neuro-oncology settings. Data from one Primary Treatment Centre found a high proportion of children scored in the highest range on the Cerberus subtest. This brief report attempts to answer the question: Does the Cerberus subtest of the TEA-Ch 2 provide outlying scores in the pediatric neuro-oncology population?</p><p><strong>Methods: </strong>Data representing 62 Cerberus assessments from four primary treatment centers were analyzed.</p><p><strong>Results: </strong>Data showed a substantially higher level of performance on the Cerberus subtest compared to other TEA-Ch2 subtests. Scores were not only higher than expected relative to children's performance on other subtests but also higher than would be expected in the general population.</p><p><strong>Discussion: </strong>Within our data, performance on the Cerberus subset of the TEA-Ch 2 yields somewhat questionable data from which to draw conclusions regarding sustained attentional ability in a pediatric neuro-oncology cohort.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139432215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The production of words in verbal fluency tests relies heavily on executive functions and linguistic abilities. New tests such as the famous people fluency test can also be useful in clinical practice and research. This test, in which participants are asked to name so many famous people, has the potential to distinguish healthy individuals from participants with neurological disorders such as mild cognitive impairment or Alzheimer's disease.
Method: The aim of this study was to determine the psychometric validity of the test (Study 1) and to provide normative data in the adult population of French Quebec for the famous people fluency test (Study 2).
Results: The results of the normative study, derived from a sample of 378 healthy individuals between the ages of 50 and 92, showed that age and educational level significantly influence performance on the test. Therefore, percentile ranks were calculated for performance on the famous people fluency test, stratified for these two variables. The results of Study 2 showed that the test differentiated the performance of healthy participants from the performance of participants with mild cognitive impairment or Alzheimer's disease. The results also showed that the famous people fluency test has adequate convergent validity, established with a semantic fluency test, and that the results showed good stability over time (test-retest validity).
Conclusion: Norms and psychometric data for the famous people fluency test will improve the ability of clinicians and researchers to better recognize executive and language impairments associated with pathological conditions.
{"title":"Normative Data for the Famous People Fluency Test in the Adult French-Quebec Population and Validation Study in Mild Cognitive Impairment and Alzheimer's Disease.","authors":"Joël Macoir, Mariane Landry, Carol Hudon","doi":"10.1093/arclin/acae053","DOIUrl":"https://doi.org/10.1093/arclin/acae053","url":null,"abstract":"<p><strong>Objective: </strong>The production of words in verbal fluency tests relies heavily on executive functions and linguistic abilities. New tests such as the famous people fluency test can also be useful in clinical practice and research. This test, in which participants are asked to name so many famous people, has the potential to distinguish healthy individuals from participants with neurological disorders such as mild cognitive impairment or Alzheimer's disease.</p><p><strong>Method: </strong>The aim of this study was to determine the psychometric validity of the test (Study 1) and to provide normative data in the adult population of French Quebec for the famous people fluency test (Study 2).</p><p><strong>Results: </strong>The results of the normative study, derived from a sample of 378 healthy individuals between the ages of 50 and 92, showed that age and educational level significantly influence performance on the test. Therefore, percentile ranks were calculated for performance on the famous people fluency test, stratified for these two variables. The results of Study 2 showed that the test differentiated the performance of healthy participants from the performance of participants with mild cognitive impairment or Alzheimer's disease. The results also showed that the famous people fluency test has adequate convergent validity, established with a semantic fluency test, and that the results showed good stability over time (test-retest validity).</p><p><strong>Conclusion: </strong>Norms and psychometric data for the famous people fluency test will improve the ability of clinicians and researchers to better recognize executive and language impairments associated with pathological conditions.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141615822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: Long-Term Effects of Intensive Rehabilitation on Memory Functions in Acquired Brain-Damaged Patients.","authors":"","doi":"10.1093/arclin/acae056","DOIUrl":"https://doi.org/10.1093/arclin/acae056","url":null,"abstract":"","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Libby A DesRuisseaux, Jasmin E Guevara, Kevin Duff
Objective: Dispersion is a form of intra-individual variability across neuropsychological tests that has been shown to predict cognitive decline. However, few studies have investigated the stability and predictive utility of both across- and within-domain dispersion. The current study aims to fill these gaps in the literature by examining multiple indices of dispersion in a longitudinal clinical sample of individuals diagnosed with mild cognitive impairment (MCI) at baseline.
Method: Two hundred thirty-eight MCI patients from a cognitive disorders clinic underwent testing at baseline and after approximately 1.5 years. Linear regression was used to examine whether baseline across- and within-domain dispersion predicted cognitive decline in individuals whose diagnostic classification progressed to dementia (i.e., MCI-Decline) and those who retained an MCI diagnosis at follow-up (i.e., MCI-Stable). Cognitive decline was operationalized dichotomously using group status and continuously using standardized regression-based (SRB) z-scores.
Results: Dispersion variables at baseline and follow-up were positively correlated in both groups, with the exception of within-domain executive functioning and language dispersion in the MCI-Decline group. None of the dispersion variables predicted diagnostic conversion to MCI. Using SRB z-scores, greater across-domain dispersion predicted greater overall cognitive decline at follow-up, but this was not the case for within-domain variables with the exception of visuospatial skills.
Conclusions: Results suggest that across- and within-domain dispersion are relatively stable across time, and that across-domain dispersion is predictive of subtle cognitive decline in patients with MCI. However, these results also highlight that findings may differ based on the tests included in dispersion calculations.
{"title":"Examining the Stability and Predictive Utility of Across- and Within-Domain Intra-Individual Variability in Mild Cognitive Impairment.","authors":"Libby A DesRuisseaux, Jasmin E Guevara, Kevin Duff","doi":"10.1093/arclin/acae054","DOIUrl":"https://doi.org/10.1093/arclin/acae054","url":null,"abstract":"<p><strong>Objective: </strong>Dispersion is a form of intra-individual variability across neuropsychological tests that has been shown to predict cognitive decline. However, few studies have investigated the stability and predictive utility of both across- and within-domain dispersion. The current study aims to fill these gaps in the literature by examining multiple indices of dispersion in a longitudinal clinical sample of individuals diagnosed with mild cognitive impairment (MCI) at baseline.</p><p><strong>Method: </strong>Two hundred thirty-eight MCI patients from a cognitive disorders clinic underwent testing at baseline and after approximately 1.5 years. Linear regression was used to examine whether baseline across- and within-domain dispersion predicted cognitive decline in individuals whose diagnostic classification progressed to dementia (i.e., MCI-Decline) and those who retained an MCI diagnosis at follow-up (i.e., MCI-Stable). Cognitive decline was operationalized dichotomously using group status and continuously using standardized regression-based (SRB) z-scores.</p><p><strong>Results: </strong>Dispersion variables at baseline and follow-up were positively correlated in both groups, with the exception of within-domain executive functioning and language dispersion in the MCI-Decline group. None of the dispersion variables predicted diagnostic conversion to MCI. Using SRB z-scores, greater across-domain dispersion predicted greater overall cognitive decline at follow-up, but this was not the case for within-domain variables with the exception of visuospatial skills.</p><p><strong>Conclusions: </strong>Results suggest that across- and within-domain dispersion are relatively stable across time, and that across-domain dispersion is predictive of subtle cognitive decline in patients with MCI. However, these results also highlight that findings may differ based on the tests included in dispersion calculations.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The identification and diagnosis of children with attention deficit hyperactivity disorder (ADHD) traits is challenging during the preschool stage. Neuropsychological measures may be useful in early assessments. Furthermore, analysis of event-related behavior appears to be an unmet need for clinical treatment planning. Conners' Kiddie Continuous Performance Test (K-CPT) is the most popular well-established neuropsychological measurement but lacks event markers to clarify the heterogeneous behaviors among children. This study utilized a novel commercially available neuropsychological measure, the ΣCOG, which was more game-like and provided definite event markers of individual trial in the test.
Methods: Thirty-three older preschool children (14 were diagnosed with ADHD, mean age: 66.21 ± 5.48 months; 19 demonstrated typical development, mean age: 61.16 ± 8.11 months) were enrolled and underwent comprehensive medical and developmental evaluations. All participants underwent 2 versions of neuropsychological measures, including the K-CPT, Second Edition (K-CPT 2) and the ΣCOG, within a short interval.
Results: The study indicated the omissions and response time scores measured in this novel system correlated with clinical measurement of the behavioral scales in all participants and in the group with ADHD; additionally, associations with the traditional K-CPT 2 were observed in commissions and response time scores. Furthermore, this system provided a within-task behavioral analysis that identified the group differences in the specific trial regarding omission and commission errors.
Conclusions: This innovative system is clinically feasible and can be further used as an alternative to the K-CPT 2 especially in research by revealing within-task event-related information analysis.
{"title":"The Utility of a Novel Neuropsychological Measurement to Analyze Event-Related Attentional Behaviors among Young Children with Attention Deficit Hyperactivity Disorder-a Pilot Study.","authors":"I-Chun Chen, Yu-Qi Zheng, Hui-Xuan Zhao, Li-Chen Lin, Yun-Ju Chen, Meng-Han Chang, Li-Wei Ko","doi":"10.1093/arclin/acae055","DOIUrl":"https://doi.org/10.1093/arclin/acae055","url":null,"abstract":"<p><strong>Objective: </strong>The identification and diagnosis of children with attention deficit hyperactivity disorder (ADHD) traits is challenging during the preschool stage. Neuropsychological measures may be useful in early assessments. Furthermore, analysis of event-related behavior appears to be an unmet need for clinical treatment planning. Conners' Kiddie Continuous Performance Test (K-CPT) is the most popular well-established neuropsychological measurement but lacks event markers to clarify the heterogeneous behaviors among children. This study utilized a novel commercially available neuropsychological measure, the ΣCOG, which was more game-like and provided definite event markers of individual trial in the test.</p><p><strong>Methods: </strong>Thirty-three older preschool children (14 were diagnosed with ADHD, mean age: 66.21 ± 5.48 months; 19 demonstrated typical development, mean age: 61.16 ± 8.11 months) were enrolled and underwent comprehensive medical and developmental evaluations. All participants underwent 2 versions of neuropsychological measures, including the K-CPT, Second Edition (K-CPT 2) and the ΣCOG, within a short interval.</p><p><strong>Results: </strong>The study indicated the omissions and response time scores measured in this novel system correlated with clinical measurement of the behavioral scales in all participants and in the group with ADHD; additionally, associations with the traditional K-CPT 2 were observed in commissions and response time scores. Furthermore, this system provided a within-task behavioral analysis that identified the group differences in the specific trial regarding omission and commission errors.</p><p><strong>Conclusions: </strong>This innovative system is clinically feasible and can be further used as an alternative to the K-CPT 2 especially in research by revealing within-task event-related information analysis.</p>","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-06DOI: 10.1093/arclin/acae052.57
L. Shurtz, A. Datoc, G. D. Sanders, S. Bunt, N. Didehbani, J. Schaffert, C. LoBue, C. Cullum
Exercise participation has been associated with improved physical health, cognition, and psychological well-being as well as reduced risk for chronic illness and mortality. The effects of exercise participation in former athletes are less understood; this study investigated the relationship between current exercise participation and cognitive/emotional symptoms in former college athletes. Former college athletes aged 50–87 (N = 597, 44.2% female) completed the College Level Aging Athlete Study (CLEAATS) survey including the Patient Health Questionnaire (PHQ-8), Generalized Anxiety Disorder (GAD-7), Cognitive Function Instrument (CFI), Telephone Interview for Cognitive Status-Modified (TICS-m), and self-reported weekly exercise involvement, classified as aerobic exercise (e.g., jogging/cycling), anaerobic exercise (e.g., weightlifting), and “other wellness activities”(e.g., yoga/meditation). Four multiple linear regression models investigated whether current exercise participation predicted mood and cognition, adjusting for demographic factors. Overall models for PHQ-8 [F(6,590) = 8.87, p < 0.001], GAD-7 [F(6,590) = 4.87, p < 0.001], CFI [F(6,590) = 3.45, p = 0.002], and TICS-m [F(6,590) = 15.99, p < 0.001] were significant. Individually, aerobic exercise was a significant predictor of PHQ-8 (b = −0.35, p < 0.001), GAD-7 (b = −0.18, p = 0.007), CFI (b = −0.12, p = 0.021), and TICS-m (b = 0.18, p = 0.022) scores, such that more exercise predicted lower emotional/cognitive difficulties. Engagement in “other wellness activities”was significantly associated with higher TICS-m (b = 0.18, p = 0.024) scores. Anaerobic exercise was not a significant predictor in any model. Consistent with research in other populations, participation in aerobic exercise predicted better cognitive/emotional functioning in former college athletes. Involvement in other forms of exercise did not consistently predict greater functioning, though “other wellness activities”was associated with better objective cognition. Results emphasize the importance of recommending aerobic exercise for former athletes.
参加运动与改善身体健康、认知和心理健康以及降低慢性疾病和死亡风险有关。本研究调查了退役大学生运动员目前参加运动与认知/情绪症状之间的关系。 年龄在 50-87 岁之间的退役大学生运动员(N = 597,44.2% 为女性)完成了大学生老龄化运动员研究(CLEAATS)调查,包括患者健康问卷(PHQ-8)、广泛性焦虑症(GAD-7)、认知功能问卷(CFI)、认知状况电话访谈(TICS-m),以及自我报告的每周运动参与情况,分为有氧运动(如慢跑/骑自行车)、有氧运动(如跑步/骑自行车)、认知功能问卷(CFI)和认知状况电话访谈(TICS-m)、有氧运动(如慢跑/骑自行车)、无氧运动(如举重)和 "其他健康活动"(如瑜伽/冥想)。四个多元线性回归模型研究了当前参与运动是否能预测情绪和认知,并对人口统计学因素进行了调整。 PHQ-8[F(6,590) = 8.87, p < 0.001]、GAD-7[F(6,590) = 4.87, p < 0.001]、CFI[F(6,590) = 3.45, p = 0.002]和TICS-m[F(6,590) = 15.99, p < 0.001]的整体模型显著。就个体而言,有氧运动对 PHQ-8 (b = -0.35, p < 0.001)、GAD-7 (b = -0.18, p = 0.007)、CFI (b = -0.12, p = 0.021)和 TICS-m (b = 0.18, p = 0.022)得分有显著的预测作用,因此运动越多,情绪/认知困难越低。参与 "其他健康活动 "与较高的 TICS-m (b = 0.18,p = 0.024)得分显著相关。在任何模型中,无氧运动都不是一个重要的预测因素。 与其他人群的研究结果一致,参与有氧运动可预测退役大学生运动员的认知/情感功能。虽然 "其他健康活动 "与更好的客观认知相关,但参与其他形式的运动并不能持续预测更好的功能。研究结果强调了向退役运动员推荐有氧运动的重要性。
{"title":"A - 57 Relationship between Exercise Participation and Cognitive/Emotional Symptom Endorsement in Older Former College Athletes","authors":"L. Shurtz, A. Datoc, G. D. Sanders, S. Bunt, N. Didehbani, J. Schaffert, C. LoBue, C. Cullum","doi":"10.1093/arclin/acae052.57","DOIUrl":"https://doi.org/10.1093/arclin/acae052.57","url":null,"abstract":"\u0000 \u0000 \u0000 Exercise participation has been associated with improved physical health, cognition, and psychological well-being as well as reduced risk for chronic illness and mortality. The effects of exercise participation in former athletes are less understood; this study investigated the relationship between current exercise participation and cognitive/emotional symptoms in former college athletes.\u0000 \u0000 \u0000 \u0000 Former college athletes aged 50–87 (N = 597, 44.2% female) completed the College Level Aging Athlete Study (CLEAATS) survey including the Patient Health Questionnaire (PHQ-8), Generalized Anxiety Disorder (GAD-7), Cognitive Function Instrument (CFI), Telephone Interview for Cognitive Status-Modified (TICS-m), and self-reported weekly exercise involvement, classified as aerobic exercise (e.g., jogging/cycling), anaerobic exercise (e.g., weightlifting), and “other wellness activities”(e.g., yoga/meditation). Four multiple linear regression models investigated whether current exercise participation predicted mood and cognition, adjusting for demographic factors.\u0000 \u0000 \u0000 \u0000 Overall models for PHQ-8 [F(6,590) = 8.87, p < 0.001], GAD-7 [F(6,590) = 4.87, p < 0.001], CFI [F(6,590) = 3.45, p = 0.002], and TICS-m [F(6,590) = 15.99, p < 0.001] were significant. Individually, aerobic exercise was a significant predictor of PHQ-8 (b = −0.35, p < 0.001), GAD-7 (b = −0.18, p = 0.007), CFI (b = −0.12, p = 0.021), and TICS-m (b = 0.18, p = 0.022) scores, such that more exercise predicted lower emotional/cognitive difficulties. Engagement in “other wellness activities”was significantly associated with higher TICS-m (b = 0.18, p = 0.024) scores. Anaerobic exercise was not a significant predictor in any model.\u0000 \u0000 \u0000 \u0000 Consistent with research in other populations, participation in aerobic exercise predicted better cognitive/emotional functioning in former college athletes. Involvement in other forms of exercise did not consistently predict greater functioning, though “other wellness activities”was associated with better objective cognition. Results emphasize the importance of recommending aerobic exercise for former athletes.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141672925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-06DOI: 10.1093/arclin/acae052.07
A. Bankston, R. Malkin, A. Logalbo, F. Webbe
Purpose: We report normative data with non-athlete college students for three brief, public-domain performance validity tests (PVT) representing auditory-verbal memory (Rey Word Recognition Test; RWRT), auditory vigilance; (A-Test), and visual attention (Rey Dot Counting Test; DCT). Cut scores for suboptimal performance (SOP) were determined, and the importance of using multiple PVTs was established. Method: 150 non-athlete college students (45% female; representing four college year levels) were recruited via the college’s research participation application and assigned randomly to honest-effort, fake-bad, or instructed fake-bad groups. 50 student-athletes were selected randomly to compare athlete performance with non-athletes. Group differences for PVT measures, and receiver operating curve (ROC) cut scores for suboptimal performance are reported. Results: Only the RWRT measures met normality and homogeneity of variance assumptions. MANOVA with post-hoc Tukey tests showed no differences between groups for RWRT. For DCT and A-Test, non-parametric Kruskal-Wallis comparisons were conducted, each resulting in significant differences (all p < 0.001) between honest-effort and SOP groups. No differences were found between the two SOP groups, nor athlete baseline vs honest effort groups, but athletes differed significantly from both SOP groups. ROC cut scores that suggested suboptimal effort were DCT combination score ≥ 15; RWRT combination score ≤ 12; and A-Test omission errors ≥1. Four participants from the honest-effort group and 49 from the fake-bad groups fell below criteria for two tests. Conclusion: The DCT combination and A-Test omission scores were valid indicators of suboptimal performance. Combining multiple PVT “failures”maximized identification of suspect performers and minimized inclusion of honest-effort participants.
{"title":"A - 07 Three Brief, Public-Domain Performance-Validity Measures for Concussion Baseline Testing: Normative Performance and Sub-Optimal Cut Scores","authors":"A. Bankston, R. Malkin, A. Logalbo, F. Webbe","doi":"10.1093/arclin/acae052.07","DOIUrl":"https://doi.org/10.1093/arclin/acae052.07","url":null,"abstract":"\u0000 \u0000 \u0000 Purpose: We report normative data with non-athlete college students for three brief, public-domain performance validity tests (PVT) representing auditory-verbal memory (Rey Word Recognition Test; RWRT), auditory vigilance; (A-Test), and visual attention (Rey Dot Counting Test; DCT). Cut scores for suboptimal performance (SOP) were determined, and the importance of using multiple PVTs was established.\u0000 \u0000 \u0000 \u0000 Method: 150 non-athlete college students (45% female; representing four college year levels) were recruited via the college’s research participation application and assigned randomly to honest-effort, fake-bad, or instructed fake-bad groups. 50 student-athletes were selected randomly to compare athlete performance with non-athletes. Group differences for PVT measures, and receiver operating curve (ROC) cut scores for suboptimal performance are reported.\u0000 \u0000 \u0000 \u0000 Results: Only the RWRT measures met normality and homogeneity of variance assumptions. MANOVA with post-hoc Tukey tests showed no differences between groups for RWRT. For DCT and A-Test, non-parametric Kruskal-Wallis comparisons were conducted, each resulting in significant differences (all p < 0.001) between honest-effort and SOP groups. No differences were found between the two SOP groups, nor athlete baseline vs honest effort groups, but athletes differed significantly from both SOP groups. ROC cut scores that suggested suboptimal effort were DCT combination score ≥ 15; RWRT combination score ≤ 12; and A-Test omission errors ≥1. Four participants from the honest-effort group and 49 from the fake-bad groups fell below criteria for two tests.\u0000 \u0000 \u0000 \u0000 Conclusion: The DCT combination and A-Test omission scores were valid indicators of suboptimal performance. Combining multiple PVT “failures”maximized identification of suspect performers and minimized inclusion of honest-effort participants.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-06DOI: 10.1093/arclin/acae052.44
N. Ramirez, A. J. Zynda, C. Perry, C. Burley, S. Patel, H. Guercio, N. Bunker, J. French, A. Trbovich, M. Collins, A. Kontos
To examine differences in demographics, medical history, injury characteristics, and multidomain clinical assessment outcomes between different age groups of older adults following concussion. This prospective study included participants aged 50+ years with a diagnosed concussion (<12 months) who presented to a specialty concussion clinic. Participants completed a clinical intake/interview (e.g., demographics) and a multidomain clinical assessment comprising symptoms (Clinical Profile Screen [CP-Screen]), cognitive (Repeatable Battery for the Assessment of Neuropsychological Status [RBANS]), psychological health (Patient Health Questionnaire-9 [PHQ-9], Generalized Anxiety Disoder-7 [GAD-7]), vestibular/ocular (Vestibular/Ocular Motor Screen [VOMS]), and quality of life (Neurological Quality of Life [Neuro-QoL]) at an initial visit. Older adults aged 50–59 and 60+ years were compared using independent samples t-tests, X2 tests, and analyses of covariance. 76 participants (M = 59.6¬ ± 6.3 years, 55.3% female) were included, 41 (53.9%) aged 50–59 and 35 (46.1%) aged 60+ years. The 50–59-year group had a greater proportion of females (68.3% vs. 40.0%, p = 0.01) and a history of anxiety (39.0% vs. 17.1%, p = 0.036). The 50–59-year group had worse Neuro-QoL (F[1, 72] = 5.1, p = 0.03, ηp2 = 0.10), RBANS recall (F[1, 72] = 7.1, p < 0.01, ηp2 = 0.09), RBANS fluency (F[1, 72] = 5.0, p = 0.03, ηp2 = 0.06), and RBANS list recognition (F[1, 72] = 4.1, p = 0.04, ηp2 = 0.06), controlling for sex and history of anxiety. This study demonstrated that adults aged 50–59 years were more likely to be female and have a history of anxiety compared to adults 60+ years. Interestingly, older adults 50–59 years demonstrated greater perceived difficulties in their cognitive abilities post-concussion, which was reflected in impairments on cognitive testing compared to adults 60+ years.
{"title":"A - 44 A Comparison of Multi-Domain Clinical Assessment Outcomes in Older Adults Following Concussion","authors":"N. Ramirez, A. J. Zynda, C. Perry, C. Burley, S. Patel, H. Guercio, N. Bunker, J. French, A. Trbovich, M. Collins, A. Kontos","doi":"10.1093/arclin/acae052.44","DOIUrl":"https://doi.org/10.1093/arclin/acae052.44","url":null,"abstract":"\u0000 \u0000 \u0000 To examine differences in demographics, medical history, injury characteristics, and multidomain clinical assessment outcomes between different age groups of older adults following concussion.\u0000 \u0000 \u0000 \u0000 This prospective study included participants aged 50+ years with a diagnosed concussion (<12 months) who presented to a specialty concussion clinic. Participants completed a clinical intake/interview (e.g., demographics) and a multidomain clinical assessment comprising symptoms (Clinical Profile Screen [CP-Screen]), cognitive (Repeatable Battery for the Assessment of Neuropsychological Status [RBANS]), psychological health (Patient Health Questionnaire-9 [PHQ-9], Generalized Anxiety Disoder-7 [GAD-7]), vestibular/ocular (Vestibular/Ocular Motor Screen [VOMS]), and quality of life (Neurological Quality of Life [Neuro-QoL]) at an initial visit. Older adults aged 50–59 and 60+ years were compared using independent samples t-tests, X2 tests, and analyses of covariance.\u0000 \u0000 \u0000 \u0000 76 participants (M = 59.6¬ ± 6.3 years, 55.3% female) were included, 41 (53.9%) aged 50–59 and 35 (46.1%) aged 60+ years. The 50–59-year group had a greater proportion of females (68.3% vs. 40.0%, p = 0.01) and a history of anxiety (39.0% vs. 17.1%, p = 0.036). The 50–59-year group had worse Neuro-QoL (F[1, 72] = 5.1, p = 0.03, ηp2 = 0.10), RBANS recall (F[1, 72] = 7.1, p < 0.01, ηp2 = 0.09), RBANS fluency (F[1, 72] = 5.0, p = 0.03, ηp2 = 0.06), and RBANS list recognition (F[1, 72] = 4.1, p = 0.04, ηp2 = 0.06), controlling for sex and history of anxiety.\u0000 \u0000 \u0000 \u0000 This study demonstrated that adults aged 50–59 years were more likely to be female and have a history of anxiety compared to adults 60+ years. Interestingly, older adults 50–59 years demonstrated greater perceived difficulties in their cognitive abilities post-concussion, which was reflected in impairments on cognitive testing compared to adults 60+ years.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-06DOI: 10.1093/arclin/acae052.58
L. Shurtz, S. Bunt, N. Didehbani, J. Schaffert, C. LoBue, C. Cullum
Concerns regarding cognitive decline due to history of concussions/head injury are common among former athletes, especially as long-term effects of head injury have gained widespread media attention. Examining the association of these concerns with current cognitive functioning may prove beneficial for understanding the prominence of these concerns. This study investigated whether concerns for cognitive problems due to prior concussions/head injury might relate to current cognitive functioning in former college athletes. Former college athletes aged 50–87 (N = 597, 44.22% female) from the College Level Aging Athlete Study (CLEAATS) completed the Cognitive Function Instrument (CFI) and the Telephone Interview for Cognitive Status-Modified (TICS-m). Self-reported concern regarding contribution of history of concussions and/or head impacts to the development of “permanent memory or thinking problems”was measured on a 5-point Likert scale. Two multiple linear regressions investigated whether reported concern predicted subjective (CFI) and objective (TICS-m) cognitive functioning, with adjustment for age, gender, education, and mood/anxiety symptoms. Overall models CFI [F(6,590) = 69.78, R2 = 0.42, p < 0.001] and TICS-m [F(6,590) = 17.78, R2 = 0.15, p < 0.001] were significant. Level of concern for memory/thinking problems significantly predicted CFI scores (b = 0.68, p < 0.001) but not TICS-m scores, such that greater concern predicted higher CFI score. Concern regarding cognitive problems due to history of concussion/head impacts may be associated with greater perceived cognitive symptoms among former college athletes, but this was unrelated to an objective measure of cognition. Further investigation is necessary to clarify the origin of these concerns, but these results underscore the importance of promoting accurate public information about long-term effects of concussion/head injury.
{"title":"A - 58 Relationship between Cognitive Impairment Concern and Current Cognitive Functioning in Older Former College Athletes","authors":"L. Shurtz, S. Bunt, N. Didehbani, J. Schaffert, C. LoBue, C. Cullum","doi":"10.1093/arclin/acae052.58","DOIUrl":"https://doi.org/10.1093/arclin/acae052.58","url":null,"abstract":"\u0000 \u0000 \u0000 Concerns regarding cognitive decline due to history of concussions/head injury are common among former athletes, especially as long-term effects of head injury have gained widespread media attention. Examining the association of these concerns with current cognitive functioning may prove beneficial for understanding the prominence of these concerns. This study investigated whether concerns for cognitive problems due to prior concussions/head injury might relate to current cognitive functioning in former college athletes.\u0000 \u0000 \u0000 \u0000 Former college athletes aged 50–87 (N = 597, 44.22% female) from the College Level Aging Athlete Study (CLEAATS) completed the Cognitive Function Instrument (CFI) and the Telephone Interview for Cognitive Status-Modified (TICS-m). Self-reported concern regarding contribution of history of concussions and/or head impacts to the development of “permanent memory or thinking problems”was measured on a 5-point Likert scale. Two multiple linear regressions investigated whether reported concern predicted subjective (CFI) and objective (TICS-m) cognitive functioning, with adjustment for age, gender, education, and mood/anxiety symptoms.\u0000 \u0000 \u0000 \u0000 Overall models CFI [F(6,590) = 69.78, R2 = 0.42, p < 0.001] and TICS-m [F(6,590) = 17.78, R2 = 0.15, p < 0.001] were significant. Level of concern for memory/thinking problems significantly predicted CFI scores (b = 0.68, p < 0.001) but not TICS-m scores, such that greater concern predicted higher CFI score.\u0000 \u0000 \u0000 \u0000 Concern regarding cognitive problems due to history of concussion/head impacts may be associated with greater perceived cognitive symptoms among former college athletes, but this was unrelated to an objective measure of cognition. Further investigation is necessary to clarify the origin of these concerns, but these results underscore the importance of promoting accurate public information about long-term effects of concussion/head injury.\u0000","PeriodicalId":8176,"journal":{"name":"Archives of Clinical Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}