ARCHIVES OF CLINICAL NEUROPSYCHOLOGY

Worrying about Concussions and Brain Health is Strongly Associated with Psychological Distress in Former Elite Rugby League Players
Iverson GL, Smith OJ, Terry DP and Gardner AJ
Former collision sport athletes may worry and ruminate about their brain health, which might contribute to psychological distress. We hypothesized there would be a strong association between being very worried about this and current psychological distress.
The MINT Sprint 2.0: a Picture Naming Test for Detection of Naming Impairments in ΜCI Due or Not to AD, Greek Version
Alopoudi A, Moraitou D, Tegos T and Tsolaki M
Naming impairments are among the earliest cognitive deficits in Alzheimer's disease (ad), particularly affecting semantic memory and lexical retrieval. This study evaluated the diagnostic utility of the Greek adaptation of the MINT Sprint 2.0, a culturally tailored picture-naming test, in identifying naming deficits in preclinical and early ad.
Validation of a Web-Based Digit Symbol Substitution Task for Detection of Mild Cognitive Impairment in Older Adults
Fernandez DA, Scott BM, Kheradbin N, Guadagno L, Gade S, Schmitz S, Keller JN and Hilsabeck RC
Given the global aging of society and projected increases in cognitive impairment, rapid and sensitive cognitive screening tests are needed to facilitate early detection of mild cognitive impairment (MCI) in older adults. The purpose of this study was to explore the effectiveness of a web-based digit symbol substitution task, Speeded Matching (SM), including a second administration within-session to determine the added utility of practice effects, for potential use as a cognitive screening measure in older adult populations.
Trends in Public Knowledge Pertaining to Traumatic Brain Injury From 2016 to 2025
Merz ZC, Van Patten R, Lace J, Hoots JK, Chan L and Cook NE
Prior literature suggests that misconceptions surrounding traumatic brain injury (TBI) definition, short-term impact, and long-term implications are common. The current study sought to replicate and expand a previous survey to provide updated estimates regarding the frequency of TBI misconceptions within lay individuals from the United States.
A Cross-Sectional Examination of the Relationship between Subjective Self-Regulatory Difficulties and Functional Outcomes among Veterans with and without Traumatic Brain Injury
McDonald MA, Kimbrel N, Hurley RA, Kennerly R and Shura R
To test if subjective self-regulatory difficulties correlate with functional outcomes, and to test for group differences in self-regulatory abilities and functional outcomes between Veterans with and without a history of traumatic brain injury (TBI).
Evaluating an Adaptive, Web-Based Training Program for Teaching Older Adults Experiencing Cognitive Difficulties to Use an Electronic Memory and Management Aid
Li X, Beech BF, Hales T, Van Son C, Chilton R, Lujan C, Duell B, DeSmet C, Cook D, Johnson RK and Schmitter-Edgecombe M
Older adults with cognitive concerns can benefit from technology-based compensatory strategies to support independent functioning, but in-person training can be costly and difficult to scale. Web-based training offers a promising alternative to scale technology adaptation and increase access of digital tools. This paper describes the iterative development and evaluation of an adaptive, web-based training program designed to help older adults learn to use an Electronic Memory and Management Aid.
Investigating the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Executive Errors Scale in Adults With Schizophrenia Spectrum Disorders
Raudeberg R and Iverson GL
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a brief neuropsychological screening battery that measures aspects of attention, immediate and delayed memory, and verbal and visuospatial-constructional abilities. An embedded measure of executive functions, the RBANS Executive Errors Scale (RBANS EE), has been developed as a supplementary RBANS scale. The RBANS EE reportedly has good concurrent validity and is useful for screening for executive dysfunction in U.S. military veterans, but its usefulness has not been investigated in other clinical samples. The aim of the current study is to investigate the RBANS EE scores in people with schizophrenia spectrum disorders.
Sex Differences and Executive Function Profiles in Childhood Attention-Deficit/Hyperactivity Disorder: Evidence from Digital Neurocognitive Assessment
Díaz-Moreno E and Heredia-Jimenez J
To test sex differences and executive-function (EF) heterogeneity in childhood attention-deficit/hyperactivity disorder (ADHD) using a standardized digital battery.
Interpreting Scores from Adolescents with Attention-Deficit/Hyperactivity Disorder on Sway Medical System Balance and Cognitive Modules
Maietta JE, Santangelo JM, Cook NE and Iverson GL
Many high schools in the United States conduct preseason "baseline" cognitive and balance testing as part of their concussion management procedures. Prior research has identified differences in cognitive and balance test scores between youth with and without attention-deficit/hyperactivity disorder (ADHD). The present study examined whether preseason baseline scores on the Sway Medical System Balance and Cognitive Modules differed between adolescent athletes with self-reported ADHD and those without ADHD.
Handedness and Working Memory: Exploring Modality-Specific Effects
Heled E, Asher G, Kenigsbuch M, Yossef S, Shimon AS, Spiegelman S and Nataf H
Working memory (WM) distinctions between right- and left-handers show inconsistent results in visual and verbal modalities. However, the tactual modality has not yet been assessed. The aim of the current study was to compare right- and left-handers across the three modalities. Thirty-two right handers and thirty left handers participants performed the Digit Span, Visuospatial Span, and Tactual Span tasks, encompassing forward and backward recalls. Results showed no difference between left- and right-handers on overall WM ability, and Tactual Span scores were lower compared to the other tasks. Left-handers performed better on the forward Visuospatial Span but worse than right-handers on the backward Tactual Span. Findings indicate that hemispheric lateralization patterns associated with handedness yield modality-specific advantages, highlighting the importance of considering both modality and handedness in interpreting WM performance, with implications for refining neuropsychological assessment.
High Risk of Mild Cognitive Impairment in Elderly Patients with Cardiovascular Disease
Mata M, González-Colaço Harmand M, Prada-Arrondo PC, Domínguez-Rodríguez A, Barroso J and Galtier I
Cardiovascular diseases (CVD) are showing an increasing incidence in the older adults and are frequently associated with higher risk of neurological complications in this population. Research on mild cognitive impairment (MCI) in elderly patients with CVD is extremely scarce. The aims of this research were to: (a) examine the frequency of MCI in CVD patients (aged 65 years or older) and explore their clinical and cognitive characteristics compared to healthy controls (HC); (b) investigate which components of the cognitive performance and clinical characteristics are better predictors of MCI.
Gerstmann's Syndrome and Limb Apraxia: A Single Case Study
Bertagnoli S, Beccherle M, Danese R, Bulgarelli C, Gobbetto V, Vianello G, Rossato E and Moro V
Gerstmann's syndrome (GS) represents a still debated clinical condition, in terms of both symptoms' evolution and neural correlates. In depth, repeated neuropsychological assessments along with advanced methods of lesion analysis can contribute to a better understanding of the syndrome and clinical diagnosis.
Can Frontal Assessment Battery Discriminate between Patients with Alzheimer's and Frontotemporal Dementia?
Grandi F, Olavarría L, Parra MA, Martínez-Pernía D, Serey C, Lema J, Delgado C, Ramos T, Lillo P, García AM, Muniz-Terrera G and Slachevsky A
The Frontal Assessment Battery (FAB) is a widely used tool for assessing executive function. However, its ability to distinguish between Alzheimer's disease dementia (ADD) and behavioural variant frontotemporal dementia (bvFTD) remains under debate. This study assessed the diagnostic utility of the Chilean version of the FAB (FAB-Ch) in differentiating ADD from bvFTD and used data-driven cluster analysis to explore dysexecutive profiles.
Precision Neuromodulation for Diabetes-Associated Cognitive Decline: a Transcranial Electrical Stimulation Approach
Mohammadi R and Alipour A
Type 3 Diabetes (T3DM), marked by brain insulin resistance, is increasingly linked to neurocognitive decline and Alzheimer's pathogenesis, necessitating novel non-pharmacological interventions. This study investigated anodal transcranial direct current stimulation (tDCS) targeting the left DLPFC (F3 region) to improve cognitive deficits in insulin-dependent diabetic patients with diabetes-associated cognitive decline (DACD).
A Guide to the Interpretation and Reliability of Annual Collegiate ImPACT Baselines by Sex
Quigley KG, Szekely B, Fenner M, Pavilionis P and Murray NG
To create a sex-specific clinicians guide to evaluating significant immediate post-concussion assessment and cognitive testing (ImPACT) score changes using minimal detectable change (MDC) ranges, to evaluate the sex-specific test-retest reliability using intraclass correlation coefficients (ICCs), and to compare male and female performance across all composite and subtest scores.
Differential Associations Between Perceived Social Support and Cognition in Older Adults With and Without Multiple Sclerosis
Cohen HR and Holtzer R
In persons with multiple sclerosis (MS), perceived social support (PSS) is linked with better mental health, physical well-being, and quality of life. As MS becomes more prevalent in older adults, research on the effects of MS on cognition remains limited. The present study examined the impact of PSS total and domain scores on processing speed and memory in older adults with MS (OAMS) and healthy controls.
Normative Data of an Argentinean Color Naming Test
Vivas LY, Paolantonio P, Andreotti D, Garavaglia M, Lamenza M, Aragonés A, Fabiani A and Manoiloff L
To develop normative data for the Psycholinguistic Picture Naming Test in Color (PAPDIC) for Spanish-speaking Argentinians, in order to establish reliable cut-off scores and examine the impact of color on test performance.
Abnormal Forgetting Rate from the Recency Portion of a Word-List in Patients with Subjective Cognitive Decline
Leonardi C, Di Palma V, De Simone MS, Stanzione A, Rodini M, Caruso G, Covino S, Pugliese M, Caltagirone C and Carlesimo GA
Subjective cognitive decline (SCD) is a self-perceived decline in cognitive functioning, considered at risk for Mild Cognitive Impairment (MCI) and Alzheimer's Disease (AD).
TQ-DAV: Action Naming Test with Videos for Quebec French
Spigarelli M, Bergeron-Houde L, Taillon R and Wilson MA
The difficulty to retrieve verbs (verb anomia) is common in people with post-stroke aphasia. Verb anomia assessment often relies on picture oral naming task. However, oral naming of videos better captures the intrinsic dynamics of actions.
Screening for Acquired Cognitive Impairment and Dementia in Deaf Users of German Sign Language: The Cognition Test German Sign Language
Stockleben L, Woll B and Atkinson J
There is a lack of appropriate cognitive assessment tools to detect acquired cognitive impairment or dementia in deaf sign language users in Germany. To address this, the British Sign Language Cognitive Screening Test (BSL-CST) was culturally and linguistically adapted to German Sign Language and the German Deaf community, to be administered using a standardized video format.
Normative Performance for the Emory Complex Figure Scoring System and Recognition Task
Hale AC, Spencer RJ, Lah JJ, Goldstein FC and Loring DW
This study establishes normative data for the Emory Complex Figure-Loring Scoring (CF-LS) and Recognition task, a streamlined alternative to traditional CF measures designed to improve clinical efficiency and utility. Using a large healthy adult sample, we provide regression-based, demographically adjusted norms to support accurate interpretation in clinical and research settings.
Validation of the Turkish Version of the DDQ-30: Norms and Clinical Utility for Detecting Lexical-Semantic Impairments
Karalı FS, Tosun S, Eskioğlu Eİ, Dicle M, Çavdar D, Çınar N and Macoir J
This study adapted the Definition-based Naming Test (DDQ-30) into Turkish (DDQ-30 TR) and assessed its psychometric properties.
Cognitive and Motor Improvements Correlated with Sleep and Activity Following Community-Based Non-contact Boxing in Patients with Parkinson Disease
Leguizamon M, Trujillo P, Hett K, McKnight CD, Ponzo T, Elenberger J, Song AK, Bridges C, Yan B, Kang H, Donahue MJ, Claassen DO and Considine CM
To evaluate the feasibility of a 12-week community-based, non-contact rock-steady-boxing (RSB) program in individuals with Parkinson disease (PD) and to assess potential improvements in motor and cognitive functioning after intervention.
Practice Effects and Long Delays: A Case Report Exploring a Novel Approach to Detecting Accelerated Long-Term Forgetting
Gaskell C, Keeling-Ball C, Furniss C and Evans J
Accelerated Long-Term Forgetting (ALF) is when newly learned information "decays" faster than expected over an extended period and is associated with temporal-lobe epilepsy (TLE). There is no well-established method for assessing ALF despite its apparent prevalence. We hypothesized that evidencing an absence of practice effects may represent an effective approach to detecting ALF. We sought to determine if this method, along with the long-delay memory tests, could evidence ALF in a single case.
Cultural Adaptation and Validation of the CALMS Questionnaire in an Arabic-Speaking MS Population
Al-Qerem W, Khdair S, Basem D, Jarab A and Eberhardt J
Multiple sclerosis (MS) is a chronic neurological condition that often results in language and communication difficulties, significantly affecting patients' quality of life. While several tools have been developed internationally to assess these impairments, few are validated for Arabic-speaking populations. This study aimed to translate, culturally adapt, and validate the Arabic version of the Communication and Language Assessment for Multiple Sclerosis (CALMS) questionnaire, designed to evaluate communication difficulties in individuals with MS. A cross-sectional study was conducted with 307 MS patients recruited from Al-Bashir Hospital in Amman, Jordan. Participants completed the Arabic CALMS (A-CALMS) via an online survey. Psychometric evaluation included Rasch analysis and Confirmatory Factor Analysis (CFA). Model fit, internal consistency (Cronbach's alpha), person/item reliability, threshold ordering, and Differential Item Functioning (DIF) by sex were assessed. The partial credit model (sign) provided a better fit than the rating scale model. After reordering, all threshold parameters were properly ordered, and item/person fit statistics were acceptable. Internal consistency was excellent (α = 0.935); CFA supported a one-factor solution with good model fit (χ2/df = 1.82, RMSEA = 0.052, CFI = 0.987, TLI = 0.984). No significant DIF was found across sexes. A moderate positive correlation was observed between CALMS and MSIS-29 scores (r = 0.534, p < .001), supporting construct validity. The A-CALMS demonstrated strong psychometric properties and cultural relevance, making it a reliable, valid instrument for assessing communication and language difficulties in Arabic-speaking individuals with MS. Its use in clinical and research settings may enhance diagnostic precision and inform tailored interventions.
Assessing Limb Apraxia in Quebec: Normative Study of the Brief Battery for the Evaluation of Praxis in Healthy French-Speaking Adults
Macoir J, Landry M and Hudon C
This study presents normative data for the Batterie Brève d'Évaluation des Praxies (BBEP), a brief screening tool developed to assess symbolic gestures, pantomimes, and imitation of meaningless gestures-three domains commonly impaired in limb apraxia. While the BBEP was originally validated in a French population, no normative data have been available for French-speaking adults in Quebec. Given that cultural, linguistic, and demographic factors may influence gesture production and interpretation, the current study aimed to generate region-specific reference values to support accurate clinical assessment.
Rumination, but Not Reflection, Predicts the Reporting of Post-concussive Symptoms in a Non-clinical Sample
Deng MJ, Budd NJ, Strutt PA and Wearne TA
Although traditionally associated with mild head trauma, post-concussive symptoms are commonly reported across both healthy and other clinical populations. Existing research indicates that individuals with depression report high levels of post-concussive symptoms, though the underlying causes of this association remain unknown. The current study aimed to explore potential factors underlying this relationship: specifically, how maladaptive and adaptive self-focused cognitive coping styles, namely, rumination and reflection, respectively, differentially contribute to post-concussive symptoms.
Factors Associated with Cognitive Performance in Post-COVID Condition: a Multivariate Analysis
Delgado-Alonso C, Díez-Cirarda M, Pérez-Izquierdo C, Oliver-Mas S, Gil-Moreno MJ, Valiente-Gordillo E, López-Carbonero JI, Alcalá Ramírez Del Puerto JM, Cuevas C, Barroso Y, Fernández-Romero L, Matias-Guiu J and Matias-Guiu JA
Contributing factors on cognitive dysfunction in post-COVID condition (PCC) remain unclear. We aimed to examine the influence of clinical variables (such as disease severity, time since onset, waves, and reinfections), demographic factors (age, years of education, and sex), and comorbidities (fatigue and depression) on cognitive performance.
Apolipoprotein E e4 Status Predicts Memory Performance and Daily Functioning in Aging Hispanic/Latino Adults
Lozano J, Hernandez E, Beacham D and Graves LV
The Hispanic/Latino population is projected to have the steepest increase in cases of Alzheimer's disease (AD) and related dementias (ADRD) by 2060. Although the apolipoprotein (APOE) e4 allele and family history of AD are potent risk factors for dementia, their predictive role in AD/ADRD-related cognitive and functional outcomes in this population remains unclear.
Psychometric Properties of the Spanish Version of the Self-Report Teenage Executive Functioning Inventory (TEXI)
Costa-López B, Ruiz-Robledillo N, Cañas-Pardo E and Ferrer-Cascales R
The purpose of the present study was to validate the Spanish version of the Teen Executive Functioning Inventory (TEXI) and to investigate its psychometric properties. The TEXI was translated and back-translated into Spanish, and administered by high schools to adolescents aged 14-18 years (N = 902). The findings presented a bifactor structure (inhibition, working memory, and the general factor of Executive Functioning) with adequate fit indexes (Comparative Fit Index = 0.94, Root Mean Square Error of Approximation = 0.07, Standardized Residual Mean Squared Ratio = 0.03), which confirmed the original structure of the test. Also, it showed good reliability for the general factor and its subscales (α/ω > 0.90). The invariance analysis indicated differences for the interpretation of the instrument based on gender. Specifically, girls significantly pointed out a worse scoring in most of the items of the TEXI (p < .05). In conclusion, the Spanish version of the TEXI is a short, valid, reliable, and easy-to-fulfill screening for measuring working memory, inhibition, and executive functions in Spanish adolescents.