scholarly journals A-248 Using Rates of Low Scores to Assess Agreement between CNSVS and a Traditional Battery of Neuropsychological Tests

2020 ◽  
Vol 35 (6) ◽  
pp. 1043-1043
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K

Abstract Objective CNSVS is a brief computerized test battery used to assess cognitive function. We compare intra-individual agreement between CNSVS and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered CNSVS and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 95.9% from CNSVS and 80.0% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 38.8% from CNSVS and 63.3% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.

2020 ◽  
Vol 35 (6) ◽  
pp. 1026-1026
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K

Abstract Objective CogState is a brief computerized test battery used to assess cognitive function. We compare intra-individual agreement between CogState and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered CogState and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 95.1% from CogState and 70.6% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 31.7% from CogState and 38.2% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.


2020 ◽  
Vol 35 (6) ◽  
pp. 1027-1027
Author(s):  
Ivins B ◽  
Arrieux J ◽  
Cole W ◽  
Schwab K

Abstract Objective ImPACT is a brief computerized test battery used to assess cognitive function most often following sports concussion. We compare intra-individual agreement between ImPACT and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤ 7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered ImPACT and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~ > 10th %ile) to the worst overall performance (i.e. ~ ≤ 10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 100.0% from ImPACT and 73.1% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 42.9% from ImPACT and 34.6% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.


2019 ◽  
Vol 34 (6) ◽  
pp. 1022-1022
Author(s):  
B Ivins ◽  
J Arrieux ◽  
W Cole ◽  
K Schwab

Abstract Objective The Automated Neurological Assessment Metrics (Version 4) Traumatic Brain Injury Military (ANAM4 TBI-MIL) battery is widely used by the US military to assess cognitive function. We compare intra-individual agreement between ANAM4 TBI-MIL and a battery of traditional neuropsychological tests using rates of low scores. Methods Complete and valid data from 246 healthy soldiers and 177 soldiers ≤7 days from sustaining mild TBI (mTBI) were used in this analysis. All soldiers were consecutively administered ANAM4 TBI-MIL and a traditional test battery consisting of: TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. We performed base rate analyses of both batteries to determine the proportions of soldiers who had various numbers of scores that were 1.0+, 1.5+, and 2.0+ standard deviations below the normative mean. We used those rates to place Soldiers into a “low score hierarchy” ranging from the least poor (i.e. ~≥10th %ile) to the worst overall performance (i.e. ~≤10th %ile). We then compared agreement between the batteries at each of those levels. Results More soldiers with mTBI had low scores than healthy soldiers on both batteries. Of the soldiers who performed at the worst level on one battery, 88.1% from ANAM and 100% from traditional had some level of poor performance on the other battery. However, of the soldiers who performed at the worst level on either battery, only 58.3% from ANAM and 50.0% from traditional also performed at the worst level on the other battery. Conclusion These batteries similarly identify poor performance to a degree, though with some potentially meaningful differences still present.


2019 ◽  
Vol 34 (6) ◽  
pp. 991-991
Author(s):  
B Ivins ◽  
J Arrieux ◽  
W Cole ◽  
K Schwab

Abstract Objective It is not uncommon for healthy individuals to have one or more low scores on a battery of cognitive tests. The number of scores produced by the battery by itself can affect the probability of having low scores. The purpose of this study is to examine the rates of low scores on a battery of commonly used neuropsychological tests in soldiers with and without acute mTBI. Methods Data from 246 healthy soldiers and 177 soldiers evaluated within seven days of sustaining a mTBI and who had complete and valid data were used in this analysis. All soldiers completed the TOPF, WAIS-IV, CVLT-II, RCFT, DKEFS, and CPT-II. The CARB was used as a measure of effort. For each group, we determined the proportions of soldiers who had various numbers of scores that were 1.0 or more, 1.5 or more, 2.0 or more standard deviations below the normative means for each score. We used prevalence ratios to compare the proportions with low scores in each group. Results Low scores were common in both groups (93.1% and 96.0% of controls and mTBI cases, respectively, had at least one score 1.0+ SDs below norm, 57.7% and 79.1% had at least one score 1.5+ SDs below norm, while 30.5% and 48.0% had at least score 2.0+ SDs below norm). Low scores were more common in the mTBI group. Conclusion Examining rates of low scores can help identify clinically meaningful performance decrements across an entire battery when large numbers of scores are available.


1973 ◽  
Vol 16 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Milo E. Bishop ◽  
Robert L. Ringel ◽  
Arthur S. House

The oral form-discrimination abilities of 18 orally educated and oriented deaf high school subjects were determined and compared to those of manually educated and oriented deaf subjects and normal-hearing subjects. The similarities and differences among the responses of the three groups were discussed and then compared to responses elicited from subjects with functional disorders of articulation. In general, the discrimination scores separated the manual deaf from the other two groups, particularly when differences in form shapes were involved in the test. The implications of the results for theories relating orosensory-discrimination abilities are discussed. It is postulated that, while a failure in oroperceptual functioning may lead to disorders of articulation, a failure to use the oral mechanism for speech activities, even in persons with normal orosensory capabilities, may result in poor performance on oroperceptual tasks.


Author(s):  
Ananaira Alves Goulart ◽  
André Lucatelli ◽  
Paulo Sergio Panse Silveira ◽  
José de Oliveira Siqueira ◽  
Maria José Carvalho Carmona ◽  
...  

Cephalalgia ◽  
1984 ◽  
Vol 4 (1) ◽  
pp. 25-32 ◽  
Author(s):  
C Saunte

Autonomic functions have been studied in seven patients with chronic paroxysmal hemicrania (CPH). A test battery comprising tearing, salivation and nasal secretion was employed. Under basal conditions these parameters did not differ significantly from those in a control group. After stimulation with pilocarpine the patients responded rather inhomogeneously. This test battery may therefore help find and classify subgroups of these types of patients. During attacks, there is a clear discrepancy between minimal salivation on the one hand and the marked increase in tearing, nasal secretion and sweating on the other. CPH attacks may be associated with an increased firing of sympathetic impulses to the different organs. In the event of a uniform type of autonomic firing taking place during attack, these findings may suggest a different innervation pattern for the salivary glands compared to the other glands involved. The innervation pattern of these secretory organs may seem to be more intricate and sophisticated than hitherto assumed.


2015 ◽  
Vol 73 (2) ◽  
pp. 90-95 ◽  
Author(s):  
Emine Bilgi ◽  
Hasan Hüseyin Özdemir ◽  
Ayhan Bingol ◽  
Serpil Bulut

Objective This study will evaluate how decreasing depression severity via group psychotherapy affects the cognitive function of patients with multiple sclerosis (MS) who are also diagnosed with depression and cognitive dysfunction. Method MS patients completed the Brief Repeatable Battery of Neuropsychological Tests and Beck Depression Inventory (BDI). The group members diagnosed with depression and cognitive dysfunction underwent group psychotherapy for 3 months. Upon completion of psychotherapy, both tests were readministered. Results Depression and cognitive dysfunction were comorbid in 15 (13.9%) of patients. Although improvement was detected at the end of the 3-month group psychotherapy intervention, it was limited to the BDI and the Paced Auditory Test. Conclusion Group psychotherapy might decrease cognitive impairment in MS patients.


2020 ◽  
Vol 150 (8) ◽  
pp. 2164-2174
Author(s):  
Marilyn C Cornelis ◽  
Sandra Weintraub ◽  
Martha Clare Morris

ABSTRACT Background Coffee and tea are the major contributors of caffeine in the diet. Evidence points to the premise that caffeine may benefit cognition. Objective We examined the associations of habitual regular coffee or tea and caffeine intake with cognitive function whilst additionally accounting for genetic variation in caffeine metabolism. Methods We included white participants aged 37–73 y from the UK Biobank who provided biological samples and completed touchscreen questionnaires regarding sociodemographic factors, medical history, lifestyle, and diet. Habitual caffeine-containing coffee and tea intake was self-reported in cups/day and used to estimate caffeine intake. Between 97,369 and 445,786 participants with data also completed ≥1 of 7 self-administered cognitive functioning tests using a touchscreen system (2006–2010) or on home computers (2014). Multivariable regressions were used to examine the association between coffee, tea, or caffeine intake and cognition test scores. We also tested interactions between coffee, tea, or caffeine intake and a genetic-based caffeine-metabolism score (CMS) on cognitive function. Results After multivariable adjustment, reaction time, Pairs Matching, Trail Making test B, and symbol digit substitution, performance significantly decreased with consumption of 1 or more cups of coffee (all tests P-trend < 0.0001). Tea consumption was associated with poor performance on all tests (P-trend < 0.0001). No statistically significant CMS × tea, CMS × coffee, or CMS × caffeine interactions were observed. Conclusions Our findings, based on the participants of the UK Biobank, provide little support for habitual consumption of regular coffee or tea and caffeine in improving cognitive function. On the contrary, we observed decrements in performance with intakes of these beverages which may be a result of confounding. Whether habitual caffeine intake affects cognitive function therefore remains to be tested.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Jitendra Mugali ◽  
Dr. Nitin Pattanashetty ◽  
Dr. S S Chate ◽  
Dr. N M Patil ◽  
Dr. Sandeep Patil ◽  
...  

Objectives: 1.To studies the categorical prevalence of temperament of scholastically backward children. 2. To study the associated Psychiatric problems with type of temperament in scholastically backward children. Material and Methods: Total of 1480 children studying in 3 CBSE schools, aged between 6 and 12 years were screened. 312 children were found to scholastically backward. After simple randomization and further screening procedure 115 children were included in the study. Each child was assessed by interviewing with MINI-KID Questionnaire, temperament assessment scale, I Q assessment by using Reven’s coloured progressive matrices, CBCL and final diagnosis done by ICD DCR criteria.  Statistical analysis was done using Epi Info 7 software. Results: The prevalence of scholastically backwardness was found to be 21.08%. The distribution of scholastically backward children belongs to falling types of temperament found to be easy temperament-41.74 %, difficult temperament 13.91 % and slow to warm temperament 44.35% respectively. Majority of scholastically backward children belongs to slow to warm type of temperament. All the difficult temperament children were associated with one or the other psychiatric problems. 18.75% of children with easy temperament and 74.51% of children with slow to warm are associated with psychiatric problems. Conclusion: Temperament of a child is one of the major factors for scholastic performance. Some children do poor performance in academics, school refusal and school drop outs. Prevalence of difficult temperament in children had associated with 100% psychiatric disorder. Difficult temperament children handling in home and in school is very difficult, so early detection of associated psychiatric problems and early intervention will surely help to handle the further consequences.


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