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The Differential Influence of Computerized Neuropsychological Assessment Across Psychopathology
Title
The Differential Influence of Computerized Neuropsychological Assessment Across Psychopathology
Creator
Singh, Shifali
Date
2020
Description
The method of administering neuropsychological assessments has transformed with the advent of novel technologies. The present study examined...
Show moreThe method of administering neuropsychological assessments has transformed with the advent of novel technologies. The present study examined how the manual versus computerized administration of the Wisconsin Card Sorting Test (WCST) influenced the relation between psychological symptom severity and performance on the WCST, using perseverative responses and failures to maintain set (FMS) subscales. The Dot Counting Test, Depression Anxiety Stress Scales, and SUPPS-P Impulsive Behavior Scale were used to measure performance validity, depression and anxiety, and impulsivity. Eighty-five participants were recruited from the Chicagoland area. Participants reported their age, gender, handedness, education, ethnicity, computer and smartphone familiarity, and medication use. Age ranged from 18 to 66 years (mean (SD) = 34.3 (15.8)), and 49.4% were recruited from an outpatient facility. For perseverative responses, both method of administration of the WCST were equivalent regardless of psychological symptom severity. For FMS, method of administration itself influenced performance, and particularly the impact of impulsivity symptom severity on FMS. Specifically, method of administration significantly moderated the relationship between FMS and Lack of Perseverance, Sensation Seeking, and Positive Urgency. There were also significant main effects between FMS, Lack of Perseverance, and Positive Urgency. The findings from this study suggest that the equivalence between the manual and computerized versions of the WCST depends on the WCST subscale and the type of psychological symptom. New normative data need to be developed for the computerized WCST, along with a more consistent method of scoring and interpreting WCST subscales.
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Distinctive Categorization Deficits in Repeated Sorting of Common Household Objects in Hoarding Disorder
Title
Distinctive Categorization Deficits in Repeated Sorting of Common Household Objects in Hoarding Disorder
Creator
Hamilton, Catharine Elizabeth
Date
2022
Description
The present study examines sorting techniques and deficits among individuals with hoarding disorder (n = 34) compared to age- and gender...
Show moreThe present study examines sorting techniques and deficits among individuals with hoarding disorder (n = 34) compared to age- and gender-matched adults (n = 35) in the general population. Performance was compared on the Booklet Category Test (BCT), selected other neuropsychological measures, and an ecologically valid sorting task designed for the study to model the Delis-Kaplan Executive Function System (D-KEFS) Sorting subtest but with common household objects as stimuli. Contrary to predictions, individuals with hoarding disorder did not perform significantly worse than controls on the BCT or the sorting task designed for the present study. Also contrary to predictions, the hoarding group performed significantly better when initiating their own sorts of the objects than when tasked with naming categories grouped by the researcher. These findings are discussed as well as exploratory analyses suggesting participants with hoarding put forth more mental effort sorting the household objects (shoes and mail). They provided significantly more individual responses on the task with significantly more description errors. IQ and performance on other selected neuropsychological measures were not significantly different between groups. These findings provide preliminary evidence there may be specific types of real-life sorting difficulties associated with hoarding disorder that are subtle and beyond what existing neuropsychological tests can measure. Given that current CBT treatments for hoarding presuppose a certain level of competency in sorting (e.g., recognizing and naming different categories of household items to complete a personal organizing plan), it is important to clarify potential sorting and categorization deficits in this group as one possible avenue to help improve treatment response among individuals struggling with hoarding disorder.
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