Everyday Cognitive Functioning in Cardiac Patients: Relationships Between Self-report,Report of a Significant Other and Cognitive Test Performance

ABSTRACT

Candidates for cardiac bypass surgery often experience cognitive decline. Such decline is likely to affect their everyday cognitive functioning. The aim of the present study was to compare cardiac patients' ratings of their everyday cognitive functioning against significant others' ratings and selected neuropsychological tests. Sixty-nine patients completed a battery of standardised cognitive tests. Patients and significant others also completed the Everyday Function Questionnaire independently of each other. Patient and significant other ratings of patients' everyday cognitive difficulties were found to be similar. Despite the similarities in ratings of difficulties, some everyday cognitive tasks were attributed to different processes. Patients' and significant others' ratings were most closely associated with the neuropsychological test of visual memory. Tests of the patients' verbal memory and fluency were only related to significant others' ratings. Test scores of attention and planning were largely unrelated to ratings by either patients or their significant others.     

Influence of Socio-Demographic Factors on SRAVEN Performance

This exploratory study aimed to investigate the influence of specific socio-demographic variables on a computerized test of non-verbal neuropsychological performance. Six hundred and thirty South African first year students were assessed using the University of Pennsylvania Computerized Neuropsychological Test Battery (PennCNP). Fluid intelligence was measured by a computerized version of the Raven's Progressive Matrices (SRAVENS). Analysis of variance indicated that gender, home language, quality of schooling, language of schooling and paternal education influenced performance on the SRAVEN. Stepwise multiple regression evidenced the importance of language, paternal education and high school language on SRAVENS responses. The assumption of non-verbal test scores as being independent of socio-demographic factors needs to be revisited as such independence cannot be maintained in light of such evidence.     

The Unintended Outcomes of High-Stakes Testing

SUMMARY

Although it is important to evaluate the intended outcomes of high-stakes testing, it is also important to evaluate the unintended outcomes, which might be as important or more important than the intended outcomes. The purpose of this paper is to examine some of the unintended outcomes of high-stakes testing, including those related to: (a) using tests as a means to hold educators accountable, (b) the effects on instruction, (c) the effects on student and teacher motivation, and (d) the effects on students who are at-risk of school failure. In examining the evidence, I conclude that while some unintended outcomes of high-stakes testing have been positive, many of the unintended outcomes have been negative. Hopefully, through a greater awareness of the unintended outcomes, school psychologists can work to minimize the negative effects of testing on students and educators.     

When Words Are No Longer Necessary: The Gift of Ritual

SUMMARY

This study is an exploration of non-verbal forms of communication which have become ritualised, particularly m the care of people with dementia. Rituals, which are culturally determined, may be inclusive or exclusive; they may lose their meaning or send out mixed messages, but m general they uphold the structure of society. There is a strong link between religion and ritual and for people with dementia, ritual may be extremely important m maintaining their sense of belonging within the community of faith. It looks at some of the issues to be addressed when worshipping with people with dementia.     

The Flynn effect in South Africa

This is a study of secular score gains in South Africa. The findings are based on representative samples from datasets utilized in norm studies of popular mainstream intelligence batteries such as the WAIS as well as widely used test batteries which were locally developed and normed in South Africa. Flynn effects were computed in three ways. First, studies where two different groups take the same test, with several years in between, using representative or comparable samples were used. Second, studies where the same group takes two different test batteries at a specific time were used. Third, the score differences between English- and Afrikaans-speaking Whites in South Africa in the 20th century were compared. The Flynn effect in White groups in South Africa is somewhat smaller than the Flynn effect in Western, industrialized countries (total N = 6534), and the Flynn effect in Indian groups is substantially smaller (total N = 682). Non-verbal IQ scores surpassed increases in verbal IQ scores. The findings from English- and Afrikaans-speaking Whites evidence a leveling out of differences in score gains over the 20th century (total N = 79,310). A meta-regression analysis showed no clear support for the moderators a) method used for computing the Flynn effect gain, b) type of test battery, c) time span, d) quality of the sample, and e) average age of sample.     

Poor Imitative Performance of Unlearned Gestures in Children with Probable Developmental Coordination Disorder

It has been hypothesized that deficits in imitation, linked to abnormal functioning of the mirror neuron system (MNS), may contribute to the motor impairments associated with developmental coordination disorder (DCD). The authors aimed to examine imitation of complex novel postures and sequences of gestures in children with and without probable DCD (pDCD), using the postural praxis and sequencing praxis subtests of the Sensory Integration and Praxis Tests (Ayres, 1989 Ayres, A. J. (1989). Sensory Integration and Praxis Tests: SIPT manual. Los Angeles, CA: Western Psychological Services. [Google Scholar]). Participants were 29 boys with pDCD between 6.08 and 13.33 years old, and 29 group age-matched typically developing boys between 6.08 and 13.83 years old. Responses of children with pDCD on both imitation tasks were less accurate than controls, with group differences more apparent with increasing task complexity. Furthermore, as a group, children with pDCD were slower and had a higher number of non–mirror-imitated responses. There was considerable variability within the pDCD group, with some children displaying imitation scores within the normative range. Given the importance of imitation and visual learning for motor development, the difficulties in imitation displayed by some children with pDCD have the potential to impact on movement acquisition. Interventions to target imitation may be beneficial for these children. The results show that children with pDCD had difficulty imitating complex novel postures, children with pDCD had difficulty imitating gesture sequences, children with pDCD had slower responses than controls, group differences in imitation performance increased with task complexity, and not all children with pDCD displayed imitation deficits.     

Predictors of decision-making on the Iowa Gambling Task: independent effects of lifetime history of substance use disorders and performance on the Trail Making Test

Poor decision-making and executive function deficits are frequently observed in individuals with substance use disorders (SUDs), and executive deficits may contribute to poor decision-making in this population. This study examined the influence of lifetime history of an alcohol, cocaine, heroin, or polysubstance use disorder on decision-making as measured by the Iowa Gambling Task (IGT) after controlling for executive ability, demographic characteristics, and current substance use. Participants (131 with lifetime history of SUD and 37 controls) completed the IGT and two neuropsychological tests: the Trail Making Test and the Controlled Oral Word Association Test. Control participants performed significantly better than those with a lifetime SUD history on the IGT, but performance on the neuropsychological tests was comparable for the two groups. A lifetime SUD diagnosis was associated with performance on the IGT after controlling for covariates, and Trail Making Test performance was associated with IGT performance in both SUD and control participants.     

The Inwald Personality Inventory (IPI) and Hilson Research inventories: Development and rationale

This article provides a “behind-the-scenes” account of how and why the Inwald/ Hilson tests were developed. Since the 1970s, personality testing has been adapted and customized for use in selecting applicants for different occupations, including police, public safety, fire and emergency services personnel. The author developed the Inwald Personality Inventory (IPI) in 1979 as the first comprehensive behaviorally-based personality measure designed and validated specifically for use in high risk occupations, such as law enforcement. Over time, studies consistently demonstrated that the IPI was a better predictor of poor job performance than were traditional tests of psychopathology. While antisocial behavior patterns and characteristics measured by the IPI predicted poor job performance, there also developed a need for measures that would predict above-average/excellent performance in the workplace. In 1988, the author designed and validated the first comprehensive test of “positive” work-related characteristics or “emotional IQ,” the Hilson Personnel Profile/Success Quotient (HPP/SQ). Other instruments followed, including the Inwald Survey 5 — Revised (IS5-R) with questions added on domestic violence. This article describes the theoretical rationale, development and validation of several instruments developed by the author and now widely used for high risk occupations and for screening corporate managers and key personnel in occupational settings.