Abbreviating the Finger Tapping Test.

The Finger Tapping Test (FTT) has a strong empirical base but its procedures are inconsistent and the test can be time-consuming. To simplify and abbreviate administration procedures, several potential abbreviated procedures were evaluated using a sample of 71 individuals presenting to a VA Hospital for neuropsychological evaluation. A short version using the mean score of Trials 3-5 for each hand was found to be a strong predictor of full-test performance. The abbreviated version also had stronger reliability than the full version, and it accurately predicts impairment and performance validity classification based on the full version. This abbreviated version appears to be more efficient and sufficiently accurate to be considered for use in lieu of the traditional and potentially longer version of the FTT.

Immediate list recall as a measure of short-term episodic memory: insights from the serial position effect and item response theory.

The serial position effect shows that two interrelated cognitive processes underlie immediate recall of a supraspan word list. The current study used item response theory (IRT) methods to determine whether the serial position effect poses a threat to the construct validity of immediate list recall as a measure of verbal episodic memory. Archival data were obtained from a national sample of 4,212 volunteers aged 28-84 in the Midlife Development in the United States study. Telephone assessment yielded item-level data for a single immediate recall trial of the Rey Auditory Verbal Learning Test (RAVLT). Two parameter logistic IRT procedures were used to estimate item parameters and the Q(1) statistic was used to evaluate item fit. A two-dimensional model better fit the data than a unidimensional model, supporting the notion that list recall is influenced by two underlying cognitive processes. IRT analyses revealed that 4 of the 15 RAVLT items (1, 12, 14, and 15) were misfit (p < .05). Item characteristic curves for items 14 and 15 decreased monotonically, implying an inverse relationship between the ability level and the probability of recall. Elimination of the four misfit items provided better fit to the data and met necessary IRT assumptions. Performance on a supraspan list learning test is influenced by multiple cognitive abilities; failure to account for the serial position of words decreases the construct validity of the test as a measure of episodic memory and may provide misleading results. IRT methods can ameliorate these problems and improve construct validity.

Screening for neuropsychological impairment using Reitan and Wolfson's preliminary neuropsychological test battery.

This study examined the utility of a screening battery developed by Reitan & Wolfson, 2006 for predicting neuropsychological impairment on the Halstead-Reitan neuropsychological test battery for adults. Using archival neuropsychological data from 69 litigants seen in a private practice setting, the Pearson correlation between the General Neuropsychological Deficit Scale (GNDS) score and the total Neuropsychological Deficit Scale (NDS) score from the screening battery (SBNDS) was .82. ROC curve analysis determined that the AUC was .88. Using a cutoff score of 9, as recommended by Reitan and Wolfson, the screening battery had excellent specificity but only fair sensitivity for identifying individuals with neuropsychological impairment on the Halstead-Reitan battery. Using a cutoff score of 8, the sensitivity and specificity of the screening battery was comparable to the findings of Reitan and Wolfson. The findings from this study indicate the optimal cutoff score for the screening battery may vary with different populations. The positive predictive power (PPP) and negative predictive power (NPP) were calculated for various base rates for cut scores with both sensitivity and specificity of greater than .600, and this information is provided.

Effects of a third party observer and anxiety on tests of executive function.

For the past 10 years, research on the effects of observer presence on test performance has expanded in the neuropsychological literature. Previous studies have shown that the presence of a third party observer is associated with poorer performance on tests of effort, attention, concentration, learning, and memory. The present study was designed to investigate whether performance on tests of executive function is similarly impaired by the presence of a third party observer. The study also sought to examine associations among examinee anxiety, observer presence, and performance. Seventy-nine college undergraduates were recruited for the study, and 70 were included in the final analyses. Participants were randomly assigned to either the observation or control condition, and were administered verbal fluency tests, the Trail Making Test (parts A and B), and the Tactual Performance Test, as well as the Fear of Negative Evaluation scale and State-Trait Anxiety Inventory. Multivariate analyses of variance revealed that performance on the combined dependent variables was significantly associated with observer presence. A significant observation condition by trait anxiety interaction was also found. Univariate analyses revealed that performances on semantic fluency and TPT-localization were most strongly associated with observation and trait anxiety, with performance being poorer in the presence of a third party observer. Additionally, effects of trait anxiety on performance in the presence of an observer appear to vary depending on task characteristics. Implications and suggestions for further research are discussed.

A review of internet sites regarding independent medical examinations: implications for clinical neuropsychological practitioners.

Independent medical examinations (IMEs) are evaluations requested by third parties as a means of obtaining information regarding the level of treatment an individual requires as the result of an accident or injury. A number of Web sites have been created with the purpose of advising individuals on how to prepare for IMEs. A thorough search of the Internet, using several different search terms and search engines, revealed 7 such Web sites. These sites contain detailed recommendations of the steps an individual should take before, during, and following an IME. While the majority of recommendations are not likely to affect the validity of a neuropsychological IME, some contain information that may have a negative impact on evaluation outcomes. Details from each site and their implications for clinical neuropsychological practitioners are highlighted.

Odor mixture alters neural resources during symbolic problem solving.

The smell of a cup of coffee is produced by many different odor chemicals combined in a mixture, yet the perception of that odor is of a single unified whole. Recent evidence has demonstrated that mixtures of odors share some of the same spatiotemporal features of speech sounds and may use similar brain resources in associating those features with the symbols they represent. This experiment investigated the hypothesis that an odor mixture would interfere with a math task that requires symbolic but not spatial processing. Results indicated the pattern of brain electrical activity was similar for the single odors and the mixture during spatial processing. During solution of the task requiring symbolic processing, the odor mixture produced a pattern of brain electrical activity different from the single odorants. These data suggest that the perception of odor mixtures may use some of the same resources associated with symbolic processing.