Prediction of driving ability after stroke and the effect of behind-the-wheel training

The aim of this study was to examine the predictive value of a neuropsychological test battery relating to an on-the-road driving evaluation and to determine whether patients who failed the driving test could improve their driving through behind-the-wheel training. Thirty-four stroke patients were compared with 20 healthy, matched controls. Patients who failed the driving test were offered driving practice at a driving school and were then reassessed (neuropsychologically and practically). On most of the cognitive tests, patients performed significantly less well than control subjects. Almost 50% of the controls and the patients failed the driving evaluation. None of the neuropsychological tests was able to predict the driving outcome. Of the patients who failed the first driving evaluation, 85% passed the second evaluation after driving practice. There are few controlled studies focusing on the stroke population and the effect of behind-the-wheel training. It is suggested that more controlled studies are needed with more homogenous patient-groups and reliable and quantitative outcome measures.     

Cognitive specificity and affective confounding in social anxiety and dysphoria in children

Cognitive features of social anxiety and dysphoria were examined with a design that allowed for evaluation of each state alone and in combination. From a community sample of 211 8 to 12 year olds, four groups of children were defined based on previous researcher's criteria: mixed (high socially anxious-dysphoric;n= 14), socially anxious (high socially anxiousnondysphoric;n= 14), dysphoric (non-socially anxious-dysphoric;n= 13), and control (non-socially anxious-nondysphoric;n= 14). The negative cognitive triad and negative cognitions pertaining to the self were associated with both dysphoria and social anxiety. Both dysphoric and socially anxious groups reported significantly more cognitive distortions than the control group, yet cognitive distortions of overgeneralizing and personalizing were specific to social anxiety and not dysphoria. Both dysphoric and socially anxious groups reported significantly more depressive cognitions than the control group, and evidence of cognitive content-specificity emerged only for anxiety, although there was some evidence for depressive content-specificity in the mother's ratings. The mixed group was the most dysfunctional on all of the cognitive measures. This study provided some evidence of cognitive-specificity as well as the confounding between the affective states of dysphoria and social anxiety. Methodological, theoretical, and treatment implications are highlighted.     

The Impact of Neuropsychological Deficits on Functional Stroke Outcomes

This review examines the available literature on neuropsychological outcomes of stroke and the literature on the ability of specific areas of neuropsychological deficit to predict functional stroke outcome. The literature reviewed indicates that post-stroke deficits in executive function, memory, language, and speed of processing are common, with those identified as having progressive ‘post-stroke dementia’ presenting with a similar, though more impaired profile, with increased impairments particularly noted in the area of memory. It is clear that some aspects of neuropsychological functioning (e.g., presence of neglect, aphasia, anosognosia; and verbal memory and attention deficits) show promise as a means of predicting post-stroke functional outcomes. Examining the available literature, it becomes evident that there is a need for long-term, large scale (i.e., population based) follow-up studies, evaluating likely long-term neuropsychological outcomes of stroke and their prognostic utility.     

KNOWING WHEN TO SAY WHEN: A SIMPLE ASSESSMENT OF ALCOHOL IMPAIRMENT

The use of writing samples as indices of alcohol impairment was explored. Students at a campus fraternity party wrote a sentence and their signatures before and after consuming alcohol (in beer and mixed drinks). Later, undergraduate and graduate students attempted to discriminate between pre- and postparty handwriting samples. The average percentage of correct discriminations of entrance and exit writing samples was 83.7% for sentences and 67.5% for signatures, and the percentage of correct discriminations increased directly with the blood alcohol concentration of the partier who gave the writing sample. When a partier's blood alcohol concentration reached 0.15, all of the judges accurately discriminated 90% or more of the sentences, and 25 of the 28 judges correctly discriminated at least 80% of the signatures. All of the judges correctly discriminated at least 90% of the 18 sentences written by partiers with a blood alcohol concentration of 0.12 or more. Implications of these findings for reducing the risk of driving while intoxicated are discussed, as well as directions for follow-up research.     

海员认知能力测评

本研究采用反应时、速度判断、深度知觉、记忆力和注意力等5项认知能力指标,对129名海员的认知能力进行了测试。通过专家咨询法确定了各项指标的权重系数,构建了海员认知能力评价模型,并提出了评价标准。     

MicroCog: Assessment of Cognitive Functioning

MicroCog: Assessment of Cognitive Functioning version 2.1 (Powell, D. H., Kaplan, E. F., Whitla, D., Catlin, R., and Funkenstein, H. H. (1993). The Psychological corporation, San Antonio, TX.) is one of the first computerized assessment batteries commercially developed to detect early signs of cognitive impairment. This paper reviews its psychometric characteristics and relates them to its clinical utility. It concludes that MicroCog provides an accurate, cost-effective screen for early dementia among elderly subjects living in the community and that it can distinguish dementia from depression. Its ability to detect cognitive decline at other ages or to discriminate dementia from other mental disorders has not been established. MicroCog measures different constructs than do traditional neuropsychological tests, making it difficult to relate test performance to current models of cognitive functioning. The review recommends further development of MicroCog and discusses its implications for the future of computer-based neuropsychological assessment.     

Cognitive Event-Related Potentials in Neuropsychological Assessment

Neuropsychology is a behavioral approach to studying the brain, and an integration of neuropsychology with on-line processing measures of brain function is important for advancing the understanding of brain–behavior relationships. Cognitive event-related potentials (ERPs) are on-line processing measures that are of interest to neuropsychologists because they are linked to familiar neuropsychological test paradigms and because they have reached a degree of standardization sufficient to make them applicable in individual assessment. A selective review of cognitive ERPs is given, focusing on studies of attention in the oddball paradigm and arguing that an adequate assessment of attention is basic in understanding higher order cognitive functions. General principles for using ERP data to supplement and clarify neuropsychological analysis are discussed, and available evidence on dementia and traumatic head injury is reviewed. It is concluded that ERPs are a useful supplement to neuropsychological assessment. Although diagnostic use of ERPs must be guarded because of limited standardization and validation, information-processing analysis with ERPs may aid significantly in interpretation of behavioral data.     

The Order of Dominance Among Conceptual Capacities: An Experimental Test of Heidbreder'S Hypothesis

College freshmen in an educational opportunity program were trained in an orientation program by behavior rehearsal techniques to cope with the social demands of some in-class and out-of-class situations. At the end of their freshman year, data were available on 48 male and 51 female black students and 23 male and 21 female white students. Trainees earned better grades than controls on the campus where training was offered but not at smaller branch campuses. Results suggest the importance of para-academic skills of meeting assignments and knowing when, where, and how to seek help. Academic performance may be enhanced by training in campus and classroom social skills.     

A Neuropsychological Normative Database for Lung Transplant Candidates

Psychologists are increasingly asked to make decisions regarding patient candidacy for transplantation. Despite the growing incidence of lung transplantation, normative research regarding cognitive functioning and end-stage obstructive lung disease is lacking. Hence, data are presented on 100 consecutively referred candidates for lung transplantation. The group data suggest essentially normal functioning on most cognitive tests for the majority of transplant candidates. Exceptions were seen on measures of attentional set shifting and short-term visual memory, which were impaired in nearly one fourth of this population. Additionally, one half of the patients displayed deficient performance on the Buschke Selective Reminding Test, with subjects at greater risk for severe rather than mild deficits. Unlike prior research, our group data suggest that there is potential risk of short-term noncontextual verbal memory difficulties because of end-stage pulmonary disease. Personality testing data, e.g., elevations on MMPI-2 scales measuring depression and anxiety, are also discussed.     

母亲评价与幼儿数学认知发展的关系

母亲对幼儿数学能力的评价是母亲教育观念的重要组成部分。研究运用问卷法与个别测查法,考察母亲对子女数学能力的评价与幼儿数学认知能力,并通过二者的一致程度揭示母亲评价其子女数学能力的准确性。研究发现,母亲对子女数学能力的评价存在明显的高估倾向;与母亲受教育水平及子女性别等因素不同,子女前期的数学成绩对母亲评价其数学能力的准确性存在显著影响;母亲对子女数学能力评价的准确性与子女数学认知发展水平存在显著的正相关,适当的高估对子女未来数学认知的发展最为有利     

自闭症儿童行为评定与社会认知发展的研究

本研究用自闭症儿童发展评定量表,自闭症儿童基本社会认知问卷以及“ＴｏＭ”实验,对４９名自闭症儿童及３０名弱智儿童进行了行为评定与社会认知的研究。研究结果为目前国内自闭症的诊断和治疗提供了新的有效工具及进一步明确化的理论依据,并为其教育训练提供了标准的新的启示。     

Assessment of cognition in an adolescent Indigenous population

The assessment of cognition in Indigenous populations is often complicated by cultural and language differences and unfamiliarity with the assessment process. Cognitive tasks are being developed that reduce the impact of these factors. These processes need to be evaluated in different cultural and ethnic groups to determine whether they are appropriate. Such an assessment was recently used in two studies of cognition of 237 Indigenous Australian adolescents (age: M = 16.06 ± 2.16 years). The tasks were completed appropriately, with response times and error rates increasing for difficult tasks. Duration and error rates decreased for the round‐based tasks, in line with performance in non‐Indigenous samples. There were no gender effects. Age associations occurred in some tasks, but significant correlations were only of a small magnitude. Although the battery appeared to be completed appropriately in this study, more work needs to be conducted examining the influence of demographic factors to ensure that control data can be most appropriately matched in future studies.     

基于认知诊断测评的个性化补救教学效果分析：以“一元一次方程”为例

基于“为学习而测评”理念,以促进学生学习为目的,本研究进行了基于认知诊断测评的个性化补救教学效果分析。首先,以“一元一次方程”章节为例,编制两份平行的认知诊断测评试卷。然后,通过对不同地区（城市和农村）七年级学生的施测与分析,发现城市学生对属性的掌握情况优于农村学生对属性的掌握情况。之后,选择农村学生为补救对象,通过对比基于认知诊断测评和传统教学两种个性化补救教学的效果,发现两种补救教学方法均能提高学习成绩,但前者的补救效果显著优于后者的。总之,本研究结果表明采用基于认知诊断测评的个性化补救教学能够有效促进学生学习,为实践者应用认知诊断测评促进学生学习提供了实践依据。     

A Neuropsychological Approach to Intelligence

This paper proposes that current psychometric intelligence tests are limited in evaluating cognitive activity. From a neuropsychological perspective, they fail to measure some fundamental cognitive abilities such as executive functions, memory, and visuospatial abilities. The analysis of the Wechsler Intelligence Scale presented shows that the original rationale for selecting the specific subtests included in the WAIS was unclear. The concept of a g factor in cognition is also analyzed, with the conclusion that the g factor continues to be controversial. The value of intelligence tests in predicting school performance is also criticized. It is proposed that the psychometric concept of general intelligence should be deleted from cognitive and neurological sciences. Finally, it is proposed that, in the future, neuropsychological instruments sensitive to more specific cognitive abilities replace current psychometric intelligence tests.