Relation of the Repeatable Battery for Assessment of Neuropsychological Status to measures of daily functioning in dementia

In the present study were examined relations of scores on the Repeatable Battery for the Assessment of Neuropsychological Status (Randolph, 1998) with measures of daily functioning in a sample with dementia. Participants (N=66) with various forms of dementia were seen at a dementia diagnostic clinic. All participants were administered the battery as part of a larger battery of neuropsychological measures. The participants' functional status was assessed by their primary caregivers, who completed the Physical Self-maintenance Scale and the Instrumental Activities of Daily Living scale (Lawton & Brody, 1969) as part of a social work interview. Analysis indicated that the Repeatable Battery for Assessment of Neuropsychological Status, particularly the Attention, Visuospatial/Constructional, and Immediate Memory indices, strongly correlated with measures of daily functioning. These results were supported by multiple regression analyses showing the RBANS Attention and Immediate Memory indices as significant predictors of functional abilities. One may conclude the RBANS should be favorably considered in understanding the functional problems of probable dementing patients.     

Assessment battery for communication (ABaCo): normative data

The Assessment Battery for Communication (ABaCo) was introduced to evaluate pragmatic abilities in patients with cerebral lesions. The battery is organized into five evaluation scales focusing on separate components of pragmatic competence. In the present study, we present normative data for individuals 15-75?years of age (N = 300). The sample was stratified by age, sex, and years of education, according to Italian National Institute of Statistics indications in order to be representative of the general national population. Since performance on the ABaCo decreases with age and lower years of education, the norms were stratified for both age and education. The ABaCo is a valuable tool in clinical practice; the normative data provided here will enable clinicians to determine different kinds and specific levels of communicative impairments more precisely.     

Australian normative data for the Overall Assessment of the Speaker's Experience of Stuttering

People who stutter often report negative impacts on their wellbeing as a result of their chronic fluency disorder. The need for a comprehensive assessment of the wellbeing and experience of stuttering should be a prime consideration when measuring treatment outcomes. One such measure designed to evaluate wellbeing and aspects of the individual's experience of his or her stuttering is the Overall Assessment of the Speaker's Experience of Stuttering (OASES). Normative data for the OASES Adult version (OASES-A; and hereafter referred to simply as the OASES) has begun to be collected over the past 10 years, though none are available for an Australian population. This paper presents Australian normative data for the OASES for 200 adult males and females who stutter, aged between 18 and 85 years. Additionally, the influence of age, sex, and frequency of stuttering on the Australian OASES scores are also presented. No significant relationships between OASES scores were found for sex and age, which is in keeping with the USA original dataset. However, those participants who had more severe stuttering were more likely to have higher negative impacts for 'General Information', Communication in Daily Situations,' and for the overall OASES score. Implications for further research are discussed. EDUCATIONAL OBJECTIVES: The reader will be able to: (i) describe the purpose of the Overall Experience of the Speaker's Experience of Stuttering for Adults (OASES), (ii) evaluate the relevance of the OASES to treatment planning and the evaluation of stuttering treatment outcomes in the adult population, and (iii) compare Australian normative dataset with the USA and Dutch normative datasets for the OASES.     

A comparison of normative data for the Trail Making Test from several countries: equivalence of norms and considerations for interpretation

The Trail Making Test may not be equivalent across cultures, i.e., differences in the scores across different cultures may not reveal real differences in the ability of the subjects on the construct being measured. In order to assess this hypothesis, normative samples from ten different countries were compared. Age decade subgroups across samples were ranked based on mean time taken to complete each part of the task. Large Z scores differences were found between these samples when comparing the first with the second, and the last in the rank. These differences were significant even when age and education were comparable across samples. Following Van de Vijver & Tanzer (1997), several possible sources of bias were identified. Incomparability of samples and administration differences were the most likely factors accounting for differences. Because of the lack of validity studies in the countries considered, no firm conclusions could be obtained regarding construct bias. Although the TMT may be measuring visual scanning, psychomotor speed and mental flexibility, normative data from different countries and cultures are not equivalent which might lead to serious diagnostic errors.     

Psychometric evaluation and normative data for a Swedish version of the Patient Health Questionnaire 15‐Item Somatic Symptom Severity Scale

The lack of an available Swedish version of the Patient Health Questionnaire 15‐Item Somatic Symptom Severity Scale (PHQ‐15) motivated the present psychometric evaluation of such a version as well as providing normative data for the PHQ‐15. Data from 3,406 individuals who took part in the Västerbotten Environmental Health Study in Sweden were used. The respondents constitute a random sample, aged 18 to 79 years, stratified for age and sex. They responded to a Swedish translation of the PHQ‐15 as well as the Hospital Anxiety and Depression Scale, the Perceived Stress Scale, and the Shirom Melamed Burnout Questionnaire for assessment of convergent validity. The distribution of PHQ‐15 scores was positively skewed and mesokurtic in shape, and the internal consistency of the PHQ‐15 was satisfactory. Correlation coefficients between PHQ‐15 score and the measures of anxiety, depression, stress and mental/physical exhaustion indicate satisfactory validity. Normative data for PHQ‐15 scores as well as for categories of somatic symptom severity are provided. The favorable psychometric properties of the Swedish version of the PHQ‐15 suggest use of this instrument for quantification of somatization in Swedish and similar populations, and has the advantage of available normative data.     

Repeatable battery for the assessment of neuropsychological status (RBANS) may be valid in men ages 18 to 201

The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) provides standardized scores for adults ages 20 to 89 years. However, there are situations in which the use of the RBANS for adults ages 18 to 20 years may be appropriate and have practical advantages. Thus, at present, an examiner who uses the RBANS for adult patients must rely on an entirely different evaluation tool for those adult patients under the age of 20 years. This preliminary investigation suggests the RBANS is a valid measure for men ages 18 to 20 years.     

Use of normative peer data as a standard for evaluating classroom treatment effects

This study illustrated the use of normative behavioral observation data as a standard for evaluating the practicality of treatment effects produced in other settings. Three groups of eight subjects each, displaying relatively low proportions of appropriate classroom behavior when compared with regular classroom peers, were selected for treatment within an experimental classroom setting. The three groups were exposed to intervention procedures designed to reinforce either direct academic performance and/or facilitative nonacademic classroom responses. The treatment was effective in changing levels of appropriate behavior (1) above baseline levels in the experimental classroom, and (2) to within normal peer-defined limits when reintegrated into the regular classroom. Further, the data reflect successful maintenance of these effects for a seven- to 12-week follow-up period. Several applications of a normative model for evaluating treatment, generalization, and maintenance effects were presented and discussed.     

Action verbal fluency normative data for the elderly

An emerging body of literature points to the prominent role of the frontal lobes in the retrieval of verbs, whereas production of common and proper nouns arguably is mediated primarily by posterior and anterior temporal regions, respectively. Although the majority of studies examining the neuroanatomic distinctions between verb and noun retrieval have relied on action naming tasks (naming depicted activities, e.g., running) as indicators of verb retrieval abilities, recent studies have utilized an action (verb) verbal fluency measure, the Action Fluency Test (AFT), to assess verb retrieval. Findings from these studies suggest that action fluency is sensitive to the integrity of fronto-subcortical neural circuitry and that it is a valid measure of executive and language functions. The AFT is an easily administered executive function measure, but no normative data for the AFT or other action fluency tasks has been published. This study was undertaken to provide initial AFT normative data for a sample of 145 healthy elderly subjects. As education is significantly correlated with AFT scores, the normative data are stratified by educational level.     

Psychometric properties and factor structure of the Fear Questionnaire phobia subscale items in two normative samples

Normative data for the Fear Questionnaire (Marks & Mathews, 1979), a popular self-report instrument measuring phobic concerns, were collected from both a community and a collegiate sample. The covariation and internal consistency of the blood-injury phobia (BI), social phobia (SO), and agoraphobia (AG) subscales were assessed in each sample, and the factor structure of the items from these three subscales was examined. Results indicated that, in general, community subjects reported more phobic concerns than did collegiate subjects, and females reported greater phobic concerns than did males. Results from confirmatory factor analyses suggest that the three factors of BI, SO, and AG did not emerge from either data set. Follow-up exploratory factor analyses did identify the general factors of blood-injury phobia and agoraphobia. Normative data from the present study are compared to those obtained previously, and directions for future research are provided.     

No reason for identity: on the relation between motivating and normative reasons

This essay is concerned with the relation between motivating and normative reasons. According to a common and influential thesis, a normative reason is identical with a motivating reason when an agent acts for that normative reason. I will call this thesis the ‘Identity Thesis’. Many philosophers treat the Identity Thesis as a commonplace or a truism. Accordingly, the Identity Thesis has been used to rule out certain ontological views about reasons. I distinguish a deliberative and an explanatory version of the Identity Thesis and argue that there are no convincing arguments to accept either version. Furthermore, I point out an alternative to the Identity Thesis. The relation between motivating and normative reasons can be thought of as one of representation, not identity.     

The Feasibility of Cognitive Screening of Patients with Ischaemic Stroke Using the Preliminary Neuropsychological Battery

In the present study, we assessed the reliability, validity and diagnostic accuracy of the non-verbal Preliminary Neuropsychological Battery (PNB) in a sample of stroke patients (n = 149) without significant aphasia and a sample of similarly aged healthy elderly controls (n = 122). The results indicate that as a brief bedside test of global cognitive function the PNB had satisfactory internal, external reliability and validity in this population and a cut-off point of ≤? 55 on the PNB had a sensitivity of 71% and specificity of 94% to detect significant cognitive impairments. Furthermore, better performance on the non-symbolic section of the PNB was associated improved with executive function. In common with other brief neuropsychological tests, the PNB was susceptible to ceiling, educational, functional capability and depression effects. The results here indicate that further research is needed to determine the utility of the PNB in a longitudinal cohort of aphasic and non-aphasic stroke survivors.     

The psychometric properties of the Quality of Life Inventory in an Australian community sample

The Quality of Life Inventory (QOLI, Frisch) is an importance‐weighted measure of life satisfaction that has been found to possess adequate psychometric properties in US and clinically‐based samples. The current study aimed to investigate the normative distribution, factor structure and key psychometric properties of the QOLI in an Australian general community sample. Results indicated that the Australian sample (n = 259) reported slightly better quality of life than the US‐based standardisation sample. Confirmatory factor analyses showed that a three‐factor model provided the best fit for the data. Psychometric properties were all generally found to be adequate and close to Frisch's reported levels. In conclusion, this study indicated that the QOLI may be used in the Australian context with confidence. Future research could examine the clinical utility of the three‐factor model.     

Australian Norms and Retest Data for the Rey Auditory and Verbal Learning Test

This article presents normative data for the Rey Auditory and Verbal Learning Test (RAVLT). A representative sample of 390 healthy young adults aged between 18 and 34 living within the Sydney metropolitan area, Australia, completed Form AB of the RAVLT as part of the Macquarie University Neurological Normative Study. Retest data were collected from a subsample of 98 participants after an interval of 1 year. Norms were derived for commonly used measures of the RAVLT and are presented for the whole sample as well as separately for males and females with different levels of education. Age was not found to impact significantly on test performance for this group of young adults, and therefore age‐adjusted norms are not provided. An excel program to calculate RAVLT standard scores (mean of 10 and standard deviation of 3) can be downloaded from http://www.psy.mq.edu.au/RAVLT . Poor test–retest reliability raises concerns about the use of the RAVLT in clinical diagnosis.     

Japanese normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) Scales for adults who stutter

PurposeThis study reports Japanese normative data for the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS) scales. We outline the translation process, and evaluate the psychometric properties of the Japanese version of the UTBAS scales.MethodsThe translation of the UTBAS scales into Japanese (UTBAS-J) was completed using the standard forward-backward translation process, and was administered to 130 Japanese adults who stutter. To validate the UTBAS-J scales, scores for the Japanese and Australian cohorts were compared. Spearman correlations were conducted between the UTBAS-J and the Modified Erickson Communication Attitude scale (S-24), the self-assessment scale of speech (SA scale), and age. The test-retest reliability and internal consistency of the UTBAS-J were assessed. Independent t-tests were conducted to evaluate the differences in the UTBAS-J scales according to gender, speech treatment experience, and stuttering self-help group participation experience.ResultsThe UTBAS-J showed good test-retest reliability, high internal consistency, and moderate to high significant correlations with S-24 and SA scale. A weak correlation was found between the UTBAS-J scales with age. No significant relationships were found between UTBAS-J scores, gender and speech treatment experience. However, those who participated in the stuttering self-help group demonstrated lower UTBAS-J scores than those who did not.ConclusionGiven the current scarcity of clinical assessment tools for adults who stutter in Japan, the UTBAS-J holds promise as an assessment tool and outcome measure for use in clinical and research environments.     

Psychometric properties and reference data for Danish versions of Free and Cued Selective Reminding Test,Category Cued Memory Test and Logical Memory

Memory assessment is a key element in neuropsychological testing. Gold standard evaluation is based on updated normative data, but in many small countries (e.g. in Scandinavia) such data are sparse. In Denmark, reference data exist for non‐verbal memory tests and list‐learning tests but there is no normative data for memory tests which capture narrative recall and cued recall. In a nation‐wide study, Free and Cued Selective Reminding Test (FCSRT ), WMS ‐III Logical Memory (LM ) and a newly developed test Category Cued Memory Test (CCMT ‐48) were applied in 131 cognitively intact persons (aged 60–96 years). Regression‐based reference data for Danish versions of FCSRT , CCMT ‐48 and LM adjusted for age, education and gender are provided. Gender and age‐group had a significant impact on the expected scores, whereas the effect of education had a limited effect on expected scores. Test performances were significantly correlated in the range 0.21–0.51. Based on these findings and previous results it may be relevant to assess both free recall, cued recall and recognition to tap the earliest changes associated with neurodegeneration, and this study therefore provides an important supplement to existing Danish normative data. Future studies should investigate the discriminative validity of the tests and the clinical utility of the presented reference data.     

The Sociocultural Attitudes Toward Appearance Questionnaire (SATAQ-3): reliability and normative comparisons of eating disordered patients

The Sociocultural Attitudes Toward Appearance Questionnaire-3 (SATAQ-3) is a measure of one’s endorsement of societal appearance ideals. The measure has received extensive evaluation in normative samples, but only minimal evaluation in clinical groups. In this study, 440 patients with eating disorders completed the SATAQ-3. Internal consistencies were excellent for the four SATAQ-3 subscales. Groups did not differ by diagnosis on the Information subscale, however, individuals with bulimia nervosa scored higher than individuals with both subtypes of anorexia nervosa (restricting and binge eating/purging) on levels of Internalization-General and Internalization-Athlete. The findings provide informative normative data, along with preliminary results indicative of the potentially greater role of media messages and images in the formation and/or maintenance of bulimia nervosa than anorexia nervosa.     

The Personal Disturbance Scale (sAD): normative data and latent structure in a large non-clinical sample

The Personal Disturbance Scale [sAD; Bedford & Foulds (1978) Delusions–Symptoms–States Inventory State of Anxiety and Depression. Windsor: NFER-Nelson] is widely used in diverse settings and yet there are unresolved issues concerning its psychometric properties and normative data for the English speaking version are limited. The sAD was administered to a large sample of the general adult population (N=758). Demographic variables (gender, age, years of education and occupational status) had only very modest influences on sAD scores. Tables are presented for conversion of raw scores on the Anxiety, Depression and Total scales to percentiles. The sAD scales possessed adequate convergent and discriminant validity, as demonstrated by their pattern of correlations with two other measures of depression and anxiety (the DASS and the HADS). Ten competing models of the latent structure of the sAD were derived from theoretical and empirical sources. These models were evaluated using confirmatory factor analysis. The best fitting model (CFI=0.96) had a tripartite structure, and consisted of a general factor of psychological distress/negative affectivity (all items loaded on this factor) plus orthogonal specific factors of anxiety and depression. Correlated errors specified according to previous empirical findings were permitted. The theoretical and practical implications of this latent structure are discussed.