Ethical Considerations in the Neuropsychological Assessment of Older Adults

Author(s):  
Arthur C. Russo ◽  
Shane S. Bush ◽  
Donna Rasin-Waters
2014 ◽  
Vol 20 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Aaron M. Koenig ◽  
Rishi K. Bhalla ◽  
Meryl A. Butters

AbstractThis brief report provides an introduction to the topic of cognitive functioning in late-life depression (LLD). In addition to providing a review of the literature, we present a framework for understanding the heterogeneity of cognitive outcomes in this highly prevalent disorder. In addition, we discuss the relationship between LLD and dementia, and highlight the importance of regularly assessing cognitive functioning in older adults who present with depressive symptoms. If cognitive deficits are discovered during a neuropsychological assessment, we recommend referral to a geriatric psychiatrist or cognitive neurologist, for evaluation and treatment of the patient’s symptoms. (JINS, 2014, 20, 1–7)


1997 ◽  
Vol 11 (4) ◽  
pp. 454-460 ◽  
Author(s):  
Doug Johnson-greene ◽  
Corinne Hardy-morais ◽  
Kenneth M. Adams ◽  
Christine Hardy ◽  
Paula Bergloff

2000 ◽  
Vol 6 (5) ◽  
pp. 362-370 ◽  
Author(s):  
Robin G. Morris ◽  
Claire Worsley ◽  
David Matthews

Neuropsychological assessment, in the broader sense, is common clinical practice with older adults because of the widespread use of mental status examinations and dementia rating scales. In the more narrow sense, a neuropsychological assessment conducted by a clinical psychologist or clinical neuropsychologist is used less frequently and for more specific purposes. This paper outlines these uses and provides a brief overview of the different types of test that might be used, with a clinical example to illustrate the type of information gained. This review is designed not to be comprehensive, but to provide a pointer towards the latest trends in test development.


2019 ◽  
Vol 34 (6) ◽  
pp. 891-891
Author(s):  
J Greene ◽  
M Messer ◽  
T White

Abstract Objective The Neuropsychological Assessment Battery (NAB) is a comprehensive, modular battery of neuropsychological tests assessing of a wide array of cognitive skills and functions in adults. The purpose of the current study is to provide additional statistical evidence to support interpretation of NAB score changes over time. Method Participants were healthy community-dwelling adults, ages 18 to 97 years, from the NAB standardization sample that was assessed on the NAB a second time (n = 95). Reliable change index scores were calculated for the five domain indexes and the total index at several levels of significance. Base rates of score differences between Time 1 and Time 2 were examined. Results Across the indexes, significant score differences (at p < .05) ranged from 17 to 28 standard score points for adults (ages 18 to 59 years) and from 13 to 23 standard score points for older adults (ages 60 to 97 years). Approximately 67-89% of adult participants had Time 1 and Time 2 scores within 1 standard deviation (SD) of each other, while older adults ranged from 73-97%. Only 0-4% of adults and older adults had a large decline on any score (greater than 2 SDs). 1-2% of adults and 3-5% of older adults had a large improvement on any score (greater than 2 SDs). Conclusions These data allow clinicians to determine the statistical significance of NAB score differences, as well as quantify the frequency of the observed differences.


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