Secondary Influences on Neuropsychological Test Performance (National Academy of Neuropsychology: Series on Evidence-Based Practices)

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9780199838615: Secondary Influences on Neuropsychological Test Performance (National Academy of Neuropsychology: Series on Evidence-Based Practices)

It has long been appreciated among clinical neuropsychologists that both primary and secondary factors contribute to cognitive dysfunction in neurological patients. Primary influences are the direct result of the extent and location of damage to the brain. Secondary influences stem from something associated with brain injury or disease besides the specific areas of the brain affected. For example, a patient with a neurological disease may develop depression, something which in turn often impacts cognitive functioning. Other secondary factors associated with disease besides depression can also negatively impact cognitive functioning, including anxiety, pain, fatigue, and motor impairments, to name a few.
Despite the widespread appreciation of the importance of such secondary factors on cognitive functioning in clinical neuropsychology, there has never been a single source for this information that is readily available to clinicians and researchers. The present volume provides such a source, using an evidence-based framework comprised of two broad sections. The first section includes chapters that comprehensively address particular secondary influences, independent of any particular neurological disorder. For example, there are chapters on the impact on cognitive functioning of depression, anxiety, fatigue, pain, diagnosis threat, and symptom invalidity. The second section has chapters that focus on specific neurological conditions and the most salient secondary factors that need to be considered in these conditions. Multiple Sclerosis, HIV, Parkinson's Disease, Traumatic Brain Injury, Alzheimer's Disease/MCI/Stroke, and Epilepsy are all considered. The chapters include vivid case studies that illustrate the principles outlined in the chapters to help clinicians consider how such principles can apply to particular patients. Chapters also include evidence-based guidelines for clinical practice. The final chapter highlights some areas especially in need of further research and study that will be of particular interest and importance to clinicians.

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About the Author:


Peter Arnett, PhD
Director of Clinical Training
Associate Professor of Psychology
The Pennsylvania State University

Review:


"The need to heighten awareness in the field of non-neurological influences on neuropsychological test scores is critical and this is an estimable attempt to broach the topic. Readers will find this book enlightening and critical to implement in their practice. There are some weaknesses that stop the book short of its pinnacle, but these hopefully will be addressed in the next edition." -- Doody's


"This is a very good book on the influence of the secondary factors on the results obtained in a neuropsychological assessment, as well as secondary factors most important to watch for a variety of neurological diseases and disorders. Several chapters using both the case studies and of the useful for clinicians summary tables (ex: recommendations of specific tools according to the evidence). We should also remember that this would be the first book devoted exclusively to the influence of secondary factors." -Simon Charbonneau, PhD, Quebec Association of Neuropsychologists


"This book should be required reading for every neuropsychologist. A better understanding of all the factors that contribute to cognitive test performance will not only help us to separate the true signal from the noise, but might even hold the key to finding better ways to improve functioning for our patients. With this book we now have an excellent compilation of empirical data to better understand the "noise," and in doing so, our patients." --Naomi Chaytor, The Clinical Neuropsychologist


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