Secondary Influences on Neuropsychological Test Performance

ISBN : 9780199838615

Peter Arnett
444 Pages
162 x 245 mm
Pub date
Jan 2013
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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.


Preface to the National Academy of Neuropsychological Series on Evidence-Based Practices
Preface to the Second Volume in the National Academy of Neuropsychological Series on Evidence-Based Practices: Secondary Influences on Neuropsychological Test Performance
Contributors 1. Introduction to secondary influences of neuropsychological test performance
Peter Arnett
Part I: Relationship of Affective Disorders, Anxiety Disorders, Fatigue, Motor Impairments, Diagnosis Threat, and Effort to Cognitive Functioning
2. Symptom Invalidity on Neuropsychological Testing
3. Depression and affective disorders: Impact on the level of cognitive functioning
3. Neuropsychological Deficits in Major Depressive Disorder: Correlates and Conundrums of cognitive functioning
Michael Basso, Ashely Miller, Eduardo Estevis and Dennis Combs
4. The Allure of Emotion: How Affective Stimuli Impact Cognitive Processing Among Patients with Mood Disorders content of cognitive functioning
Bruce Christiansen and Matthew Kiing
5. The Anxiety on Cognitive Task Performance
6. Fatigue
6. Fatigue: Its Influence on Cognition and Assessment
7. Pain
7. The Impact of Pain and Pain-Related Factors on Cognitive Functioning
8. Motor Impairments
8. The Influence of Motor Impairments on Cognitive Functioning
Peter Arnett, Gray Vargas, Dede Ukueberuwa and Amanda Rabinowitz
9. Response Expectancies and Their Potential Influence in Neuropsychological Evaluation
Julie Suhr and Christina Wei
Part II: Complexities in Assessing Secondary Influences in Specific Neurologic Conditions
10. Secondary Influences in Multiple Sclerosis
Jared Bruce, Holly Westervelt, and Joanie Thelen
11. The Role of Secondary Factors in HIV-Associated Neurocognitive Disorders
12. Parkinson's Disease. Alexander Troster, Lindsay P. Prizer, and Amber Baxley
12. Parkinson's Disease: Secondary Influences on Cognition
Alexander Troster, Lindsay Prizer and Amber Baxley
13. Traumatic Brain Injury and the Impact of Secondary Influences
14. Alzheimer's Disease/MCI/Stroke
14. Secondary Influences in Alzheimer's Disease, Mild Cognitive Impairment, and Stroke
Stephen Miller and Antonio Nicholas Puente
15. Secondary Influences on Neuropsychological Test Performance in Epilepsy
Bruce Hermann, David Loring, Dalin Pulsioher, Brian Bell, and Michael Seidenberg
16. Assessing Secondary Influences and Their Impact on Neuropsychological Test Performance: Summing Things up and Where We Need to Go From Here

About the author: 

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

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