Titulo:

Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
.

Sumario:

Los falsos positivos y los falsos negativos en la evaluación neuropsicológica pueden ocurrir debido a diferentes razones y pueden tener consecuencias graves tales como la administración de un tratamiento innecesario que puede causar efectos adversos y la incapacidad de proporcionar un tratamiento oportuno a los pacientes. Por lo tanto, es importante saber qué tanto podemos confiar en el diagnóstico. Los resultados de las pruebas son insuficientes para este fin. Como punto de partida, debemos establecer hipótesis sobre la condición del paciente utilizando la información que hemos recopilado de varias fuentes. Adicionalmente, es necesario utilizar información sobre las propiedades psicométricas de las pruebas, los valores predictivos y las ta... Ver más

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spelling Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
Los falsos positivos y los falsos negativos en la evaluación neuropsicológica pueden ocurrir debido a diferentes razones y pueden tener consecuencias graves tales como la administración de un tratamiento innecesario que puede causar efectos adversos y la incapacidad de proporcionar un tratamiento oportuno a los pacientes. Por lo tanto, es importante saber qué tanto podemos confiar en el diagnóstico. Los resultados de las pruebas son insuficientes para este fin. Como punto de partida, debemos establecer hipótesis sobre la condición del paciente utilizando la información que hemos recopilado de varias fuentes. Adicionalmente, es necesario utilizar información sobre las propiedades psicométricas de las pruebas, los valores predictivos y las tasas base de los trastornos neurocognitivos y de las puntuaciones bajas. En ausencia de esta información, la interpretación de los resultados debe ser cautelosa. En este artículo se discuten varias estrategias que pueden contribuir a mejorar la precisión diagnóstica.
False positives and false negatives in neuropsychological assessment can occur due to different reasons and they could have serious consequences such as the administration of an unnecessary treatment that may cause adverse effects and failure to provide timely treatment to patients. Therefore, it is important to know how confident we can be in the diagnosis. Tests scores are insufficient to this end. As a starting point, we need to establish hypotheses about the patient’s condition using the information we have collected from several sources. We also need to use information about the psychometric properties of the tests, predictive values and base rates of neurocognitive disorders and low scores. Whenever this information is lacking the interpretation of performance should be cautious. Several strategies are discussed that may contribute to improve diagnostic accuracy.
Ortega Marin, Jeniffer
Hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
Evaluación basada en hipótesis
sensibilidad
especificidad
falsos positivos
falsos negativos
tasas base
valores predictivos
sesgos
heurísticas
Avaliação orientada por hipóteses
sensibilidade
especificidade
falso-positivo
falsos negativos
taxas de base
valores preditivos
vieses
heurística
12
2
Núm. 2 , Año 2019 : Neuropsicología y Neurociencia: Investigaciones en torno a las bases biológicas del comportamiento
Artículo de revista
Journal article
2020-02-20T19:05:20Z
2020-02-20T19:05:20Z
2020-02-20
application/pdf
Bogotá: Corporación Universitaria Iberoamericana
Revista Iberoamericana de Psicología
2027-1786
2500-6517
https://reviberopsicologia.ibero.edu.co/article/view/rip.12203
10.33881/2027-1786.rip.12203
https://doi.org/10.33881/2027-1786.rip.12203
eng
https://creativecommons.org/licenses/by-nc-sa/4.0/
29
38
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
Binder, L., Iverson, G., & Brooks, B. (2009). To err is human: “abnormal” neuropsychological scores and variability. Archives of Clinical Neuropsychology, 24, 31-46. doi:10.1093/arclin/acn001
Blakesley, R., Mazumdar, S., Dew, M., Houck, P., Tang, G., Reynolds III, C., & Butters, M. (2009). Comparisons of methods for multiple hypothesis testing in neuropsychological research (Vol. 23). Neuropsychology. doi:doi:10.1037/a0012850
Brooks, B., Sherman, E., Iverson, G., Slick, D. J., & Strauss, E. (2011). sychometric foundations for the interpretation of neuropsychological test results. In J. Glenn, & M. Schoenberg, The little black book of neuropsychology: A syndrome-based approach (pp. 893-992). New York: Springer. doi:https://psycnet.apa.org/doi/10.1007/978-0-387-76978-3_16
Crawford, J. R., Garthwaite, P. H., & Gault, C. B. (2007). Estimating the percentage of the population With abnormally low scores (or abnormally large score differences) on standardized neuropsychological test batteries: A generic method with applications. Neuropsychology, 21(4), 419-430. doi:10.1037/0894-4105.21.4.419
Decker, S., Schneider, J., & Hale, J. (2012). Estimating base rates of impairment in neuropsychological test batteries: a comparison of quantitative models. Archives of Clinical Neuropsychology, 27, 69–84. doi:10.1093/arclin/acr088
Duarte, L. (2017). Lenguaje, memoria y habilidades visuoconstructivas en el envejecimiento normal: Datos normativos con la Batería Neuronorma Colombia (Tesis de maestría). Bogotá, Colombia: Universidad Nacional de Colombia. Retrieved from http://www.bdigital.unal.edu.co/56804/
Duff, K. (2012). Evidence-based indicators of neuropsychological change in the individual patient: Relevant concepts and methods. Archives of Clinical Neuropsychology, 27(3), 248-261. doi:10.1093/arclin/acr120
Espitia, A. (2017). Funciones ejecutivas en el envejecimiento normal: Datos normativos con la batería Neuronorma.Colombia (Tesis de maestría). Bogotá, Colombia: Universidad Nacional de Colombia. Retrieved from http://www.bdigital.unal.edu.co/56861/
Fellows, R., & Schmitter-Edgecombe, M. (2015). Between-domain cognitive dispersion and functional abilities in older adults. Journal of Clinical and Experimental Neuropsychology, 37(10), 1013-1023. doi:10.1080/13803395.2015.1050360
Frerichs, R., & Tuokko, H. (2005). A comparison of methods for measuring cognitive change in older adults. Archives of Clinical Neuropsychology, 20(3), 321-333. doi:10.1016/j.acn.2004.08.002
Glaros, A., & Kline, R. (1988). Understanding the accuracy of tests with cutting scores: The sensitivity, specificity, and predictive value model. Journal of Clinical Psychology, 44(6), 1013-1023. doi:10.1002/1097-4679(198811)44:6<1013::AID-JCLP2270440627>3.0.CO;2-Z
Godefroy, O., Fickl, A., Roussel, M., Auribault, C., Bugnicourt, J. M., Lamy, C., . . . Petitnicolas, G. (2011). Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation. Stroke, 42, 1712-1716. doi:10.1161/STROKEAHA.110.606277
Hebben, N., & Milberg, W. (2009). Essentials of neuropsychological assessment (Second ed.). Hoboken, New Jersey: John Wiley & Sons. Retrieved from https://www.wiley.com/en- us/Essentials+of+Neuropsychological+Assessment-p-9780471215899
Hinton-Bayre, A. (2010). Deriving reliable change statistics from test–retest normative data: Comparison of models and mathematical expressions. Archives of Clinical Neuropsychology, 25(3), 244-256. doi:10.1093/arclin/acq008
Huizenga, H., Agelink van Rentergem, J., Grasman, R., Muslimovic, D., & Schmand, B. (2016). Normative comparisons for large neuropsychological test batteries: User-friendly and sensitive solutions to minimize familywise false positives. Journal of Clinical and Experimental Neuropsychology, 38(6), 611-629. doi:10.1080/13803395.2015.1132299
Iverson, G., Brooks, B., Langenecker, S., & Young, A. (2011). Identifying a cognitive impairment subgroup in adults with mood disorders. Journal of Affective Disorders, 132, 360–367. doi:10.1016/j.jad.2011.03.001
Jurado, M., & Pueyo, R. (2012). Doing and reporting a neuropsychological assessment. International Journal of Clinical and Health Psychology, 12(1), 123-141. Retrieved from https://www.redalyc.org/pdf/337/33723707009.pdf
Kahneman, D. (2011). Thinking fast and slow. London: Penguin Group. Retrieved from https://www.penguin.co.uk/books/563/56314/thinking--fast-and-slow/9780141033570.html
Kent, P., & Hancock, M. (2016). Interpretation of dichotomous outcomes: sensitivity, specificity, likelihood ratios, and pre-test and post-test probability. Journal of Physiotherapy, 62(4), 231-233. doi:10.1016/j.jphys.2016.08.008
Mercier, H. (2017). Confirmation bias - Myside bias. In R. F. Pohl (Ed.), Cognitive illusions: Intriguing phenomena in thinking, judgment and memory (Second ed., pp. 99-114). New York: Routledge.
Mistridis, P., Egli, S. C., Iverson, G. L., Berres, M., Willmes, K., Welsh-Bohmer, K. A., & Monsch, A. U. (2015). Considering the base rates of low performance in cognitively healthy older adults improves the accuracy to identify neurocognitive impairment with the Consortium to Establish a Registry for Alzheimer’s DiseaseNeuropsychological Assessment Battery. European Archives of Psychiatry and Clinical Neuroscience, 265, 07–417. doi:10.1007/s00406-014-0571-z
Nickerson, R. S. (1998). Confirmation bias: A ubiquitous phenomenon in many guises. Review of General Psychology, 2(2), 175-220. doi:10.1037/1089-2680.2.2.175
Pardo, A., & Ferrer, R. (2013). Significación clínica: falsos positivos en la estimación del cambio individual. Anales de Psicología, 29(2), 301-310. doi:10.6018/analesps.29.2.139031
Ruff, R. M. (2003). A friendly critique of neuropsychology: facing the challenges of our future. Archives of Clinical Neuropsychology, 18(8), 847-864. doi:10.1016/j.acn.2003.07.002
Russell, E. W., Russell, S. L., & Hill, B. (2005). The fundamental psychometric status of neuropsychological batteries. Archives of Clinical Neuropsychology, 20(6), 785-794. doi:10.1016/j.acn.2005.05.001
Sánchez-Benavides, G., Peña-Casanova, J., Casals-Coll, M., Gramunt, N., Manero, R. M., Puig-Pijoan, A., . . . Blesa, R. (2016). One-year reference norms of cognitive change in spanish old adults: Data from the NEURONORMA sample. Archives of Clinical Neuropsychology, 31(4), 378-388. doi:10.1093/arclin/acw018
Slick, D. J. (2006). Psychometrics in neuropsychological assessment. In E. Strauss, E. M. Sherman, & O. Spreen (Eds.), A Compendium of neuropsychological tests: Administration, norms, and commentary (Third ed., pp. 3-32). New York: Oxford University Press.
Sohlberg, M. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychologcial approach. New York: The Guilford Press.
Spores, J. M. (2013). Clinician’s guide to psychological assessment and testing: With forms and templates for effective practice. New York: Springer.
Stein, J., Luppa, M., Brähler, E., König, H.-H., & Riedel-Heller, S. G. (2010). The assessment of changes in cognitive functioning: Reliable change indices for neuropsychological instruments in the elderly – A systematic review. Dementia and Geriatric Cognitive Disorders, 29(3), 275-286. doi:10.1159/000289779
Tanner-Eggen, C., Balzer, C., Perrig, W. J., & Gutbrod, K. (2015). The neuropsychological assessment of cognitive deficits considering measures of performance variability. Archives of Clinical Neuropsychology, 30, 217–227. doi:10.1093/arclin/acv008
Teigen, K. H. (2017). Judgments by representativeness. In R. F. Pohl (Ed.), Cognitive illusions: Intriguing phenomena in thinking, judgment and memory (Second ed.). Oxon, United Kingdom: Routledge.
Thambirajah, M. S. (2005). Chapter 8: Psychological measurements: Their uses and misuses. In Psychological Basis of Psychiatry (pp. 181-201). New York: Churchill Livingstone.
Urbina, S. (2014). Essentials of psychological testing (Second ed.). Hoboken, New Jersey: Wiley.
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country_str Colombia
collection Revista Iberoamericana de Psicología
title Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
spellingShingle Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
Ortega Marin, Jeniffer
Hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
Evaluación basada en hipótesis
sensibilidad
especificidad
falsos positivos
falsos negativos
tasas base
valores predictivos
sesgos
heurísticas
Avaliação orientada por hipóteses
sensibilidade
especificidade
falso-positivo
falsos negativos
taxas de base
valores preditivos
vieses
heurística
title_short Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_full Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_fullStr Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_full_unstemmed Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_sort neuropsychological diagnostic accuracy: factors that might lead to a wrong diagnosis and how to avoid them
title_eng Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
description Los falsos positivos y los falsos negativos en la evaluación neuropsicológica pueden ocurrir debido a diferentes razones y pueden tener consecuencias graves tales como la administración de un tratamiento innecesario que puede causar efectos adversos y la incapacidad de proporcionar un tratamiento oportuno a los pacientes. Por lo tanto, es importante saber qué tanto podemos confiar en el diagnóstico. Los resultados de las pruebas son insuficientes para este fin. Como punto de partida, debemos establecer hipótesis sobre la condición del paciente utilizando la información que hemos recopilado de varias fuentes. Adicionalmente, es necesario utilizar información sobre las propiedades psicométricas de las pruebas, los valores predictivos y las tasas base de los trastornos neurocognitivos y de las puntuaciones bajas. En ausencia de esta información, la interpretación de los resultados debe ser cautelosa. En este artículo se discuten varias estrategias que pueden contribuir a mejorar la precisión diagnóstica.
description_eng False positives and false negatives in neuropsychological assessment can occur due to different reasons and they could have serious consequences such as the administration of an unnecessary treatment that may cause adverse effects and failure to provide timely treatment to patients. Therefore, it is important to know how confident we can be in the diagnosis. Tests scores are insufficient to this end. As a starting point, we need to establish hypotheses about the patient’s condition using the information we have collected from several sources. We also need to use information about the psychometric properties of the tests, predictive values and base rates of neurocognitive disorders and low scores. Whenever this information is lacking the interpretation of performance should be cautious. Several strategies are discussed that may contribute to improve diagnostic accuracy.
author Ortega Marin, Jeniffer
author_facet Ortega Marin, Jeniffer
topic Hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
Evaluación basada en hipótesis
sensibilidad
especificidad
falsos positivos
falsos negativos
tasas base
valores predictivos
sesgos
heurísticas
Avaliação orientada por hipóteses
sensibilidade
especificidade
falso-positivo
falsos negativos
taxas de base
valores preditivos
vieses
heurística
topic_facet Hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
Evaluación basada en hipótesis
sensibilidad
especificidad
falsos positivos
falsos negativos
tasas base
valores predictivos
sesgos
heurísticas
Avaliação orientada por hipóteses
sensibilidade
especificidade
falso-positivo
falsos negativos
taxas de base
valores preditivos
vieses
heurística
topicspa_str_mv Evaluación basada en hipótesis
sensibilidad
especificidad
falsos positivos
falsos negativos
tasas base
valores predictivos
sesgos
heurísticas
Avaliação orientada por hipóteses
sensibilidade
especificidade
falso-positivo
falsos negativos
taxas de base
valores preditivos
vieses
heurística
citationvolume 12
citationissue 2
citationedition Núm. 2 , Año 2019 : Neuropsicología y Neurociencia: Investigaciones en torno a las bases biológicas del comportamiento
publisher Bogotá: Corporación Universitaria Iberoamericana
ispartofjournal Revista Iberoamericana de Psicología
source https://reviberopsicologia.ibero.edu.co/article/view/rip.12203
language eng
format Article
rights https://creativecommons.org/licenses/by-nc-sa/4.0/
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
references_eng American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
Binder, L., Iverson, G., & Brooks, B. (2009). To err is human: “abnormal” neuropsychological scores and variability. Archives of Clinical Neuropsychology, 24, 31-46. doi:10.1093/arclin/acn001
Blakesley, R., Mazumdar, S., Dew, M., Houck, P., Tang, G., Reynolds III, C., & Butters, M. (2009). Comparisons of methods for multiple hypothesis testing in neuropsychological research (Vol. 23). Neuropsychology. doi:doi:10.1037/a0012850
Brooks, B., Sherman, E., Iverson, G., Slick, D. J., & Strauss, E. (2011). sychometric foundations for the interpretation of neuropsychological test results. In J. Glenn, & M. Schoenberg, The little black book of neuropsychology: A syndrome-based approach (pp. 893-992). New York: Springer. doi:https://psycnet.apa.org/doi/10.1007/978-0-387-76978-3_16
Crawford, J. R., Garthwaite, P. H., & Gault, C. B. (2007). Estimating the percentage of the population With abnormally low scores (or abnormally large score differences) on standardized neuropsychological test batteries: A generic method with applications. Neuropsychology, 21(4), 419-430. doi:10.1037/0894-4105.21.4.419
Decker, S., Schneider, J., & Hale, J. (2012). Estimating base rates of impairment in neuropsychological test batteries: a comparison of quantitative models. Archives of Clinical Neuropsychology, 27, 69–84. doi:10.1093/arclin/acr088
Duarte, L. (2017). Lenguaje, memoria y habilidades visuoconstructivas en el envejecimiento normal: Datos normativos con la Batería Neuronorma Colombia (Tesis de maestría). Bogotá, Colombia: Universidad Nacional de Colombia. Retrieved from http://www.bdigital.unal.edu.co/56804/
Duff, K. (2012). Evidence-based indicators of neuropsychological change in the individual patient: Relevant concepts and methods. Archives of Clinical Neuropsychology, 27(3), 248-261. doi:10.1093/arclin/acr120
Espitia, A. (2017). Funciones ejecutivas en el envejecimiento normal: Datos normativos con la batería Neuronorma.Colombia (Tesis de maestría). Bogotá, Colombia: Universidad Nacional de Colombia. Retrieved from http://www.bdigital.unal.edu.co/56861/
Fellows, R., & Schmitter-Edgecombe, M. (2015). Between-domain cognitive dispersion and functional abilities in older adults. Journal of Clinical and Experimental Neuropsychology, 37(10), 1013-1023. doi:10.1080/13803395.2015.1050360
Frerichs, R., & Tuokko, H. (2005). A comparison of methods for measuring cognitive change in older adults. Archives of Clinical Neuropsychology, 20(3), 321-333. doi:10.1016/j.acn.2004.08.002
Glaros, A., & Kline, R. (1988). Understanding the accuracy of tests with cutting scores: The sensitivity, specificity, and predictive value model. Journal of Clinical Psychology, 44(6), 1013-1023. doi:10.1002/1097-4679(198811)44:6<1013::AID-JCLP2270440627>3.0.CO;2-Z
Godefroy, O., Fickl, A., Roussel, M., Auribault, C., Bugnicourt, J. M., Lamy, C., . . . Petitnicolas, G. (2011). Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststroke cognitive impairment? A study with neuropsychological evaluation. Stroke, 42, 1712-1716. doi:10.1161/STROKEAHA.110.606277
Hebben, N., & Milberg, W. (2009). Essentials of neuropsychological assessment (Second ed.). Hoboken, New Jersey: John Wiley & Sons. Retrieved from https://www.wiley.com/en- us/Essentials+of+Neuropsychological+Assessment-p-9780471215899
Hinton-Bayre, A. (2010). Deriving reliable change statistics from test–retest normative data: Comparison of models and mathematical expressions. Archives of Clinical Neuropsychology, 25(3), 244-256. doi:10.1093/arclin/acq008
Huizenga, H., Agelink van Rentergem, J., Grasman, R., Muslimovic, D., & Schmand, B. (2016). Normative comparisons for large neuropsychological test batteries: User-friendly and sensitive solutions to minimize familywise false positives. Journal of Clinical and Experimental Neuropsychology, 38(6), 611-629. doi:10.1080/13803395.2015.1132299
Iverson, G., Brooks, B., Langenecker, S., & Young, A. (2011). Identifying a cognitive impairment subgroup in adults with mood disorders. Journal of Affective Disorders, 132, 360–367. doi:10.1016/j.jad.2011.03.001
Jurado, M., & Pueyo, R. (2012). Doing and reporting a neuropsychological assessment. International Journal of Clinical and Health Psychology, 12(1), 123-141. Retrieved from https://www.redalyc.org/pdf/337/33723707009.pdf
Kahneman, D. (2011). Thinking fast and slow. London: Penguin Group. Retrieved from https://www.penguin.co.uk/books/563/56314/thinking--fast-and-slow/9780141033570.html
Kent, P., & Hancock, M. (2016). Interpretation of dichotomous outcomes: sensitivity, specificity, likelihood ratios, and pre-test and post-test probability. Journal of Physiotherapy, 62(4), 231-233. doi:10.1016/j.jphys.2016.08.008
Mercier, H. (2017). Confirmation bias - Myside bias. In R. F. Pohl (Ed.), Cognitive illusions: Intriguing phenomena in thinking, judgment and memory (Second ed., pp. 99-114). New York: Routledge.
Mistridis, P., Egli, S. C., Iverson, G. L., Berres, M., Willmes, K., Welsh-Bohmer, K. A., & Monsch, A. U. (2015). Considering the base rates of low performance in cognitively healthy older adults improves the accuracy to identify neurocognitive impairment with the Consortium to Establish a Registry for Alzheimer’s DiseaseNeuropsychological Assessment Battery. European Archives of Psychiatry and Clinical Neuroscience, 265, 07–417. doi:10.1007/s00406-014-0571-z
Nickerson, R. S. (1998). Confirmation bias: A ubiquitous phenomenon in many guises. Review of General Psychology, 2(2), 175-220. doi:10.1037/1089-2680.2.2.175
Pardo, A., & Ferrer, R. (2013). Significación clínica: falsos positivos en la estimación del cambio individual. Anales de Psicología, 29(2), 301-310. doi:10.6018/analesps.29.2.139031
Ruff, R. M. (2003). A friendly critique of neuropsychology: facing the challenges of our future. Archives of Clinical Neuropsychology, 18(8), 847-864. doi:10.1016/j.acn.2003.07.002
Russell, E. W., Russell, S. L., & Hill, B. (2005). The fundamental psychometric status of neuropsychological batteries. Archives of Clinical Neuropsychology, 20(6), 785-794. doi:10.1016/j.acn.2005.05.001
Sánchez-Benavides, G., Peña-Casanova, J., Casals-Coll, M., Gramunt, N., Manero, R. M., Puig-Pijoan, A., . . . Blesa, R. (2016). One-year reference norms of cognitive change in spanish old adults: Data from the NEURONORMA sample. Archives of Clinical Neuropsychology, 31(4), 378-388. doi:10.1093/arclin/acw018
Slick, D. J. (2006). Psychometrics in neuropsychological assessment. In E. Strauss, E. M. Sherman, & O. Spreen (Eds.), A Compendium of neuropsychological tests: Administration, norms, and commentary (Third ed., pp. 3-32). New York: Oxford University Press.
Sohlberg, M. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychologcial approach. New York: The Guilford Press.
Spores, J. M. (2013). Clinician’s guide to psychological assessment and testing: With forms and templates for effective practice. New York: Springer.
Stein, J., Luppa, M., Brähler, E., König, H.-H., & Riedel-Heller, S. G. (2010). The assessment of changes in cognitive functioning: Reliable change indices for neuropsychological instruments in the elderly – A systematic review. Dementia and Geriatric Cognitive Disorders, 29(3), 275-286. doi:10.1159/000289779
Tanner-Eggen, C., Balzer, C., Perrig, W. J., & Gutbrod, K. (2015). The neuropsychological assessment of cognitive deficits considering measures of performance variability. Archives of Clinical Neuropsychology, 30, 217–227. doi:10.1093/arclin/acv008
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