Acute Intellectual Effects of Pediatric Head Trauma

The current study compared Wechsler Intelligence Scale for Children-III (WISC-III) performances of 30 children who sustained head injury with the performance of orthopedic controls matched on gender, age, race, and parental education and occupational attainment. Children were followed during initial hospitalization, trauma severity variables were recorded, and duration of posttraumatic amnesia (PTA) was determined by serial testing of mental status. The WISC-III was administered immediately following resolution of amnesia. Although the majority of patients sustained mild injuries, children with head injuries obtained significantly lower IQ and factor scores than nonneurologically injured children. Consistent with past research, performance-based scores including Performance IQ, Perceptual Organization, and Processing Speed were more sensitive to head trauma than their verbal counterparts. Standardized measurement of PTA appeared to be a better predictor of IQ status following injury than Glasgow Coma Scale score on admission or length of unconsciousness.     

Diffuse Lewy Body Disease: Clinical,Pathological, and Neuropsychological Review

The pathophysiological etiologies and clinical presentations of neurodegenerative dementias have been found to be complex and heterogeneous. Recently, Lewy body inclusions have been identified as an etiological factor in 20–34% of autopsied dementia cases. The term diffuse Lewy body disease (DLBD) is generally accepted as the diagnostic term representative of this currently under-reported and under-recognized disease. This article reviews the literature on the clinical, pathological, and neuropsychological features of this disorder. Differential diagnostic issues are discussed as well as current pharmacological treatment. Nine confirmed cases of DLBD are presented to demonstrate the various features of this disorder. The diagnostic implications of neuropsychological examination results are discussed in relation to other common dementing neurologic diseases.     

Validation of the Holtzman anxiety scale by vasomotor biofeedback

The Holtzman Inkblot Technique (HIT) and the State-Trait Anxiety Inventory were administered to 81 undergraduates who later received biofeedback training for increases in index finger skin temperature. The Holtzman anxiety measure correlated significantly with voluntary temperature increase and the High Anxiety Group, identified by the HIT, was able to achieve significant increases in digital temperature. No significant relationships were found between State-Trait Anxiety measures and either Holtzman anxiety scores or vasomotor control, nor were there significant increases in temperature among State-Trait anxiety groups. The results supported the validity of the HIT as a measure of anxiety, but failed to characterize this anxiety as either state or trait in nature.     

A Structural Equation Analysis of the Wide Range Assessment of Memory and Learning in a Clinical Sample

A maximum likelihood confirmatory factor analysis was performed by applying LISREL VII to the Wide Range Assessment of Memory and Learning (WRAML) in a clinical sample (N = 271). Analyses were designed to determine which of 10 hypothesized oblique factor solutions could best explain memory as measured by the WRAML. Competing latent variable models were identified in previous studies and monographs on memory. Findings supported a three-factor model including Verbal Memory, Visual Memory, and Attention/Concentration factors. Our results are consistent with previous studies suggesting that attention is an important component of memory as measured by the WRAML. This study replicates previous research in which the Learning Index was not empirically supported.