Background: Menopause is associated with physical and emotional symptoms, and subjective cognitiv... more Background: Menopause is associated with physical and emotional symptoms, and subjective cognitive concerns that are generally not borne out on objective cognitive measures. This discrepancy suggests that a psychological rather than biological mechanism likely mediates the cognitive concerns of women in menopause. The current study assessed the feasibility and effectiveness of a cognitive remediation intervention with the goal of reducing subjective perceptions of cognitive difficulty during the menopause. Methods: Twenty-seven menopausal women (M age = 53.74, SD = 4.14) completed a 5-week group-based intervention (with a post-group booster) consisting of 2-h weekly sessions. Participants completed pre-and post-intervention measures capturing subjective cognitive ability, mood, anxiety, stress, personality, and objective cognitive tests. The primary variable of interest was self-reported cognitive confidence measured by the Memory and Cognitive Confidence Scale (MACCS). Results: All but one MACCS subscale significantly decreased over the course of treatment (with lower scores associated with higher confidence) and effect sizes ranged from small to large (d = −0.39 to −0.91) with gains maintained at 1-month follow-up. Interestingly, no change in objective cognitive test performance was observed, indicating increases in subjective cognitive confidence in the absence of objective cognitive improvement. There was no change in mood, anxiety, or stress scores. Two-level HLM analyses revealed that those with higher baseline neuroticism, as measured by the NEO Personality Inventory, had smaller decreases in post-group MACCS High Standards subscale relative to those with lower baseline neuroticism (p = 0.027, d = −0.45). Those with higher baseline depression scores on the Depression Anxiety Stress Scale (DASS-21) had a smaller decrease in post-intervention MACCS Total Score relative to those with lower depression ratings. Conclusion: To our knowledge, this is the first feasibility study of its kind targeting perceptions of cognitive impairment during menopause. Although generally well-tolerated, recruitment and scheduling difficulties were flagged as challenges to engagement while a small sample size and lack of control group limit conclusions about Ballantyne et al. Cognitive Remediation for Menopause efficacy. Providing current results could be replicated with enhanced methods, these results provide support that cognitive remediation is a feasible and credible treatment, and may improve quality of life for women in menopause.
This chapter reviews common types of stress that are often encountered during residency training ... more This chapter reviews common types of stress that are often encountered during residency training in medical settings. The authors highlight the detrimental effects of unmanaged psychological stress to both physical and mental health and how it can contribute to physician burn out, decrease work-satisfaction and performance, and reduce overall resilience to successfully manage work-life demands. Strategies that can be implemented to help residents both recognize and manage the occupational stress encountered in medical training settings are reviewed.
Introduction: This study frames anomalous functional brain organization among persons with Schizo... more Introduction: This study frames anomalous functional brain organization among persons with Schizophrenia (SCZ) within an evolutionary model of brain development, the Dual Trends Theory (DTT). The DTT argues that neural architecture develops along two separate pathways: the dorsal 'archicortical' trend and the ventral 'paleocortical' trend. The DTT dovetails with visual system organization, which is also comprised of two independent pathways: a visuomotor dedicated dorsal stream and a perceptual dedicated ventral stream. Objectives: The present study examined the integrity of these pathways using a size-contrast visual illusion. Prior research has shown that, normally, perceptual estimations of object size are susceptible to visual illusions, whereas goal-directed actions are resistant. We hypothesized that, unlike control participants, SCZ patients' goal-directed actions would be susceptible to the illusion, reflecting selective dorsal stream dysfunction. Methods/results: Here, 42 SCZ patients and 42 healthy control participants grasped and estimated the size of target blocks in both control and illusion conditions. Movement kinematics were measured using a magnetic motion trracking system (Flock of Birds). During estimation, both groups were equally perturbed by the illusion; however, grasping movements of patients alone were influenced by the illusion. Conclusions: These results suggest disrupted dorsal brain circuitry in SCZ but relatively intact ventral brain circuitry.
Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique cha... more Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique challenges within the field of clinical neuropsychology. Adapting neuropsychology services using teleneuropsychology models (e.g. video or telephone assessments) may not always be a viable option for all providers and settings. Based on the existing teleneuropsychology literature, we propose a "contactless" evidence-based inpatient test battery to be used for in-person assessments amenable to physical distancing. Method: In addition to the proposed test battery, we suggest a decision-making workflow process to help readers determine the appropriateness of the proposed methods given their patients' needs. Considerations for special populations (i.e. seniors, patients with brain injury, psychiatric patients), feedback, limitations of the proposed physical distancing approach, and future directions are also discussed. Conclusions: Our aim is that the suggested teleneuropsychology-informed battery and model may inform safe and practical neuropsychological inpatient assessments during the COVID-19 pandemic and other situations requiring contact precautions for infection prevention and control.
This chapter focuses on helping residents increase their awareness of cognitive factors that infl... more This chapter focuses on helping residents increase their awareness of cognitive factors that influence emotional experience, which can contribute to either the development and maintenance of resilience or to an increased risk of burn-out. It highlights that thinking patterns develop and are maintained through experience and influence attributions and expectations that are important determinants of how one interprets experiences and interpersonal interactions. Incorporating mindfulness to increase tolerance of emotional experiences that cannot be shifted by changing cognition is discussed as a complementary approach to building resilience.
The burgeoning field of health psychology is rooted in the understanding and application of psych... more The burgeoning field of health psychology is rooted in the understanding and application of psychological theories and empirical findings to promote and maintain physical health (Friedman & Adler, 2011). With the growing interest and increasing understanding of the nuanced operations of the brain, the application of clinical neuropsychology to further understand aspects of physical health has become a topic of increasing interest. The practice of neuropsychological assessment involves creating a contextualized understanding of the cognitive profile of individuals, and studying the impact of such alterations in cognitive functioning on functional status and treatment prognosis. Thus, in contrast to the symptom-‐focused medical model used by physicians, neuropsychological assessment provides a framework for the understanding of cognitive decline and impairment within a person-‐centered context (Lezak, Howieson, & Loring, 2004). In this chapter, our goal is to briefly introduce the field of neuropsychological assessment, specifically discussing its relevance for research and clinical practice in health psychology. We also introduce the various domains of functioning that comprise a comprehensive neuropsychological assessment. Much of this is presented using examples from the multiple sclerosis and breast cancer literatures, both of which provide substantial research-‐based evidence for the functional significance of cognitive impairment. The assessment of neuropsychological functioning, however, is also critical for several other chronic health conditions, such as in individuals with a variety of cardiovascular diseases, who show increased risk of cognitive impairment (Eggermont et al., 2012), resulting in poor management of the chronic disease and increased mortality rates (Zuccalà,
Humanism and Resilience in Residency Training, 2020
This chapter reviews common types of stress that are often encountered during residency training ... more This chapter reviews common types of stress that are often encountered during residency training in medical settings. The authors highlight the detrimental effects of unmanaged psychological stress to both physical and mental health and how it can contribute to physician burn out, decrease work-satisfaction and performance, and reduce overall resilience to successfully manage work-life demands. Strategies that can be implemented to help residents both recognize and manage the occupational stress encountered in medical training settings are reviewed.
The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is ... more The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is commonly used in the assessment of psychiatric disorders. The original WCST, consisting of 128 cards, has been criticized as being too lengthy for patients experiencing significant distress. Consequently, a shortened version consisting of a single 64-card deck (WCST-64) was created. The purpose of this study was to examine the comparability of the WCST and WCST-64 in 99 patients with first-episode psychosis. Findings showed the WCST-64 yielded a mean T score for perseverative responses (PR) that was 4.08 points lower than the corresponding variable from the WCST, and the correlation between the variables was r = .65. The mean discrepancy was only 2.34 for nonperseverative error (NPE) T scores and the correlation was also stronger, r = .82. Nearly half the sample (44%) had a T score discrepancy between the respective PR indexes that was greater than 1 SD, whereas this discrepancy was observed in only 4% of the sample for NPE. Based on a cut point of <40T to define impaired versus normal performance for PR, 80% of the sample received the same classification. These findings suggest that NPE scores may be comparable across both tests. Conversely, whereas the PR score from the WCST-64 and WCST can be used as a gross measure of impairment, this score should not be used interchangeably to characterize the severity of perseverative tendencies in first-episode patients on a case-by-case basis.
The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is ... more The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is commonly used in the assessment of psychiatric disorders. The original WCST, consisting of 128 cards, has been criticized as being too lengthy for patients experiencing significant distress. Consequently, a shortened version consisting of a single 64-card deck (WCST-64) was created. The purpose of this study was to examine the comparability of the WCST and WCST-64 in 99 patients with first-episode psychosis. Findings showed the WCST-64 yielded a mean T score for perseverative responses (PR) that was 4.08 points lower than the corresponding variable from the WCST, and the correlation between the variables was r = .65. The mean discrepancy was only 2.34 for nonperseverative error (NPE) T scores and the correlation was also stronger, r = .82. Nearly half the sample (44%) had a T score discrepancy between the respective PR indexes that was greater than 1 SD, whereas this discrepancy was observed in only 4% of the sample for NPE. Based on a cut point of <40T to define impaired versus normal performance for PR, 80% of the sample received the same classification. These findings suggest that NPE scores may be comparable across both tests. Conversely, whereas the PR score from the WCST-64 and WCST can be used as a gross measure of impairment, this score should not be used interchangeably to characterize the severity of perseverative tendencies in first-episode patients on a case-by-case basis.
Objective The effectiveness of ECT under naturalistic conditions has not been well-studied. The c... more Objective The effectiveness of ECT under naturalistic conditions has not been well-studied. The current study aimed to 1) characterize a naturalistic sample of ECT patients; and 2) examine the long-term outcomes of ECT on depressive symptoms (Beck Depression Inventory-II; BDI-II) and functional disability symptoms (WHO Disability Assessment Schedule 2.0) in this sample. Methods Participants were adults who received ECT for a major depressive episode at an ambulatory ECT clinic between September 2010 and November 2020. Clinical and cognitive assessments were completed at baseline ( n = 100), mid-ECT ( n = 94), 2–4 weeks post-ECT ( n = 64), 6-months post-ECT ( n = 34), and 12-months post-ECT ( n = 19). Results At baseline, participants had severe levels of depressive symptoms (BDI-II: M = 41.0, SD = 9.4), and 62.9% screened positive for multiple psychiatric diagnoses on the MINI International Neuropsychiatric Interview. Depressive symptoms ( F(4,49.1) = 49.92, P < 0.001) and disab...
Humanism and Resilience in Residency Training, 2020
This chapter focuses on helping residents increase their awareness of cognitive factors that infl... more This chapter focuses on helping residents increase their awareness of cognitive factors that influence emotional experience, which can contribute to either the development and maintenance of resilience or to an increased risk of burn-out. It highlights that thinking patterns develop and are maintained through experience and influence attributions and expectations that are important determinants of how one interprets experiences and interpersonal interactions. Incorporating mindfulness to increase tolerance of emotional experiences that cannot be shifted by changing cognition is discussed as a complementary approach to building resilience.
doi: 10.3389/fpsyg.2013.00401 Noise as a mechanism of anomalous face processing among persons wit... more doi: 10.3389/fpsyg.2013.00401 Noise as a mechanism of anomalous face processing among persons with Schizophrenia
Background: Menopause is associated with physical and emotional symptoms, and subjective cognitiv... more Background: Menopause is associated with physical and emotional symptoms, and subjective cognitive concerns that are generally not borne out on objective cognitive measures. This discrepancy suggests that a psychological rather than biological mechanism likely mediates the cognitive concerns of women in menopause. The current study assessed the feasibility and effectiveness of a cognitive remediation intervention with the goal of reducing subjective perceptions of cognitive difficulty during the menopause.Methods: Twenty-seven menopausal women (M age = 53.74, SD = 4.14) completed a 5-week group-based intervention (with a post-group booster) consisting of 2-h weekly sessions. Participants completed pre- and post-intervention measures capturing subjective cognitive ability, mood, anxiety, stress, personality, and objective cognitive tests. The primary variable of interest was self-reported cognitive confidence measured by the Memory and Cognitive Confidence Scale (MACCS).Results: All ...
The burgeoning field of health psychology is rooted in the understanding and application of psych... more The burgeoning field of health psychology is rooted in the understanding and application of psychological theories and empirical findings to promote and maintain physical health (Friedman & Adler, 2011). With the growing interest and increasing understanding of the nuanced operations of the brain, the application of clinical neuropsychology to further understand aspects of physical health has become a topic of increasing interest. The practice of neuropsychological assessment involves creating a contextualized understanding of the cognitive profile of individuals, and studying the impact of such alterations in cognitive functioning on functional status and treatment prognosis. Thus, in contrast to the symptom-‐focused medical model used by physicians, neuropsychological assessment provides a framework for the understanding of cognitive decline and impairment within a person-‐centered context (Lezak, Howieson, & Loring, 2004). In this chapter, our goal is to briefly introduce the f...
Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique cha... more Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique challenges within the field of clinical neuropsychology. Adapting neuropsychology services using teleneuropsychology models (e.g. video or telephone assessments) may not always be a viable option for all providers and settings. Based on the existing teleneuropsychology literature, we propose a "contactless" evidence-based inpatient test battery to be used for in-person assessments amenable to physical distancing. Method: In addition to the proposed test battery, we suggest a decision-making workflow process to help readers determine the appropriateness of the proposed methods given their patients' needs. Considerations for special populations (i.e. seniors, patients with brain injury, psychiatric patients), feedback, limitations of the proposed physical distancing approach, and future directions are also discussed. Conclusions: Our aim is that the suggested teleneuropsychology-informed battery and model may inform safe and practical neuropsychological inpatient assessments during the COVID-19 pandemic and other situations requiring contact precautions for infection prevention and control.
Background: Menopause is associated with physical and emotional symptoms, and subjective cognitiv... more Background: Menopause is associated with physical and emotional symptoms, and subjective cognitive concerns that are generally not borne out on objective cognitive measures. This discrepancy suggests that a psychological rather than biological mechanism likely mediates the cognitive concerns of women in menopause. The current study assessed the feasibility and effectiveness of a cognitive remediation intervention with the goal of reducing subjective perceptions of cognitive difficulty during the menopause. Methods: Twenty-seven menopausal women (M age = 53.74, SD = 4.14) completed a 5-week group-based intervention (with a post-group booster) consisting of 2-h weekly sessions. Participants completed pre-and post-intervention measures capturing subjective cognitive ability, mood, anxiety, stress, personality, and objective cognitive tests. The primary variable of interest was self-reported cognitive confidence measured by the Memory and Cognitive Confidence Scale (MACCS). Results: All but one MACCS subscale significantly decreased over the course of treatment (with lower scores associated with higher confidence) and effect sizes ranged from small to large (d = −0.39 to −0.91) with gains maintained at 1-month follow-up. Interestingly, no change in objective cognitive test performance was observed, indicating increases in subjective cognitive confidence in the absence of objective cognitive improvement. There was no change in mood, anxiety, or stress scores. Two-level HLM analyses revealed that those with higher baseline neuroticism, as measured by the NEO Personality Inventory, had smaller decreases in post-group MACCS High Standards subscale relative to those with lower baseline neuroticism (p = 0.027, d = −0.45). Those with higher baseline depression scores on the Depression Anxiety Stress Scale (DASS-21) had a smaller decrease in post-intervention MACCS Total Score relative to those with lower depression ratings. Conclusion: To our knowledge, this is the first feasibility study of its kind targeting perceptions of cognitive impairment during menopause. Although generally well-tolerated, recruitment and scheduling difficulties were flagged as challenges to engagement while a small sample size and lack of control group limit conclusions about Ballantyne et al. Cognitive Remediation for Menopause efficacy. Providing current results could be replicated with enhanced methods, these results provide support that cognitive remediation is a feasible and credible treatment, and may improve quality of life for women in menopause.
This chapter reviews common types of stress that are often encountered during residency training ... more This chapter reviews common types of stress that are often encountered during residency training in medical settings. The authors highlight the detrimental effects of unmanaged psychological stress to both physical and mental health and how it can contribute to physician burn out, decrease work-satisfaction and performance, and reduce overall resilience to successfully manage work-life demands. Strategies that can be implemented to help residents both recognize and manage the occupational stress encountered in medical training settings are reviewed.
Introduction: This study frames anomalous functional brain organization among persons with Schizo... more Introduction: This study frames anomalous functional brain organization among persons with Schizophrenia (SCZ) within an evolutionary model of brain development, the Dual Trends Theory (DTT). The DTT argues that neural architecture develops along two separate pathways: the dorsal 'archicortical' trend and the ventral 'paleocortical' trend. The DTT dovetails with visual system organization, which is also comprised of two independent pathways: a visuomotor dedicated dorsal stream and a perceptual dedicated ventral stream. Objectives: The present study examined the integrity of these pathways using a size-contrast visual illusion. Prior research has shown that, normally, perceptual estimations of object size are susceptible to visual illusions, whereas goal-directed actions are resistant. We hypothesized that, unlike control participants, SCZ patients' goal-directed actions would be susceptible to the illusion, reflecting selective dorsal stream dysfunction. Methods/results: Here, 42 SCZ patients and 42 healthy control participants grasped and estimated the size of target blocks in both control and illusion conditions. Movement kinematics were measured using a magnetic motion trracking system (Flock of Birds). During estimation, both groups were equally perturbed by the illusion; however, grasping movements of patients alone were influenced by the illusion. Conclusions: These results suggest disrupted dorsal brain circuitry in SCZ but relatively intact ventral brain circuitry.
Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique cha... more Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique challenges within the field of clinical neuropsychology. Adapting neuropsychology services using teleneuropsychology models (e.g. video or telephone assessments) may not always be a viable option for all providers and settings. Based on the existing teleneuropsychology literature, we propose a "contactless" evidence-based inpatient test battery to be used for in-person assessments amenable to physical distancing. Method: In addition to the proposed test battery, we suggest a decision-making workflow process to help readers determine the appropriateness of the proposed methods given their patients' needs. Considerations for special populations (i.e. seniors, patients with brain injury, psychiatric patients), feedback, limitations of the proposed physical distancing approach, and future directions are also discussed. Conclusions: Our aim is that the suggested teleneuropsychology-informed battery and model may inform safe and practical neuropsychological inpatient assessments during the COVID-19 pandemic and other situations requiring contact precautions for infection prevention and control.
This chapter focuses on helping residents increase their awareness of cognitive factors that infl... more This chapter focuses on helping residents increase their awareness of cognitive factors that influence emotional experience, which can contribute to either the development and maintenance of resilience or to an increased risk of burn-out. It highlights that thinking patterns develop and are maintained through experience and influence attributions and expectations that are important determinants of how one interprets experiences and interpersonal interactions. Incorporating mindfulness to increase tolerance of emotional experiences that cannot be shifted by changing cognition is discussed as a complementary approach to building resilience.
The burgeoning field of health psychology is rooted in the understanding and application of psych... more The burgeoning field of health psychology is rooted in the understanding and application of psychological theories and empirical findings to promote and maintain physical health (Friedman & Adler, 2011). With the growing interest and increasing understanding of the nuanced operations of the brain, the application of clinical neuropsychology to further understand aspects of physical health has become a topic of increasing interest. The practice of neuropsychological assessment involves creating a contextualized understanding of the cognitive profile of individuals, and studying the impact of such alterations in cognitive functioning on functional status and treatment prognosis. Thus, in contrast to the symptom-‐focused medical model used by physicians, neuropsychological assessment provides a framework for the understanding of cognitive decline and impairment within a person-‐centered context (Lezak, Howieson, & Loring, 2004). In this chapter, our goal is to briefly introduce the field of neuropsychological assessment, specifically discussing its relevance for research and clinical practice in health psychology. We also introduce the various domains of functioning that comprise a comprehensive neuropsychological assessment. Much of this is presented using examples from the multiple sclerosis and breast cancer literatures, both of which provide substantial research-‐based evidence for the functional significance of cognitive impairment. The assessment of neuropsychological functioning, however, is also critical for several other chronic health conditions, such as in individuals with a variety of cardiovascular diseases, who show increased risk of cognitive impairment (Eggermont et al., 2012), resulting in poor management of the chronic disease and increased mortality rates (Zuccalà,
Humanism and Resilience in Residency Training, 2020
This chapter reviews common types of stress that are often encountered during residency training ... more This chapter reviews common types of stress that are often encountered during residency training in medical settings. The authors highlight the detrimental effects of unmanaged psychological stress to both physical and mental health and how it can contribute to physician burn out, decrease work-satisfaction and performance, and reduce overall resilience to successfully manage work-life demands. Strategies that can be implemented to help residents both recognize and manage the occupational stress encountered in medical training settings are reviewed.
The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is ... more The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is commonly used in the assessment of psychiatric disorders. The original WCST, consisting of 128 cards, has been criticized as being too lengthy for patients experiencing significant distress. Consequently, a shortened version consisting of a single 64-card deck (WCST-64) was created. The purpose of this study was to examine the comparability of the WCST and WCST-64 in 99 patients with first-episode psychosis. Findings showed the WCST-64 yielded a mean T score for perseverative responses (PR) that was 4.08 points lower than the corresponding variable from the WCST, and the correlation between the variables was r = .65. The mean discrepancy was only 2.34 for nonperseverative error (NPE) T scores and the correlation was also stronger, r = .82. Nearly half the sample (44%) had a T score discrepancy between the respective PR indexes that was greater than 1 SD, whereas this discrepancy was observed in only 4% of the sample for NPE. Based on a cut point of <40T to define impaired versus normal performance for PR, 80% of the sample received the same classification. These findings suggest that NPE scores may be comparable across both tests. Conversely, whereas the PR score from the WCST-64 and WCST can be used as a gross measure of impairment, this score should not be used interchangeably to characterize the severity of perseverative tendencies in first-episode patients on a case-by-case basis.
The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is ... more The Wisconsin Card Sorting Test (WCST) was designed as a measure of executive functioning and is commonly used in the assessment of psychiatric disorders. The original WCST, consisting of 128 cards, has been criticized as being too lengthy for patients experiencing significant distress. Consequently, a shortened version consisting of a single 64-card deck (WCST-64) was created. The purpose of this study was to examine the comparability of the WCST and WCST-64 in 99 patients with first-episode psychosis. Findings showed the WCST-64 yielded a mean T score for perseverative responses (PR) that was 4.08 points lower than the corresponding variable from the WCST, and the correlation between the variables was r = .65. The mean discrepancy was only 2.34 for nonperseverative error (NPE) T scores and the correlation was also stronger, r = .82. Nearly half the sample (44%) had a T score discrepancy between the respective PR indexes that was greater than 1 SD, whereas this discrepancy was observed in only 4% of the sample for NPE. Based on a cut point of <40T to define impaired versus normal performance for PR, 80% of the sample received the same classification. These findings suggest that NPE scores may be comparable across both tests. Conversely, whereas the PR score from the WCST-64 and WCST can be used as a gross measure of impairment, this score should not be used interchangeably to characterize the severity of perseverative tendencies in first-episode patients on a case-by-case basis.
Objective The effectiveness of ECT under naturalistic conditions has not been well-studied. The c... more Objective The effectiveness of ECT under naturalistic conditions has not been well-studied. The current study aimed to 1) characterize a naturalistic sample of ECT patients; and 2) examine the long-term outcomes of ECT on depressive symptoms (Beck Depression Inventory-II; BDI-II) and functional disability symptoms (WHO Disability Assessment Schedule 2.0) in this sample. Methods Participants were adults who received ECT for a major depressive episode at an ambulatory ECT clinic between September 2010 and November 2020. Clinical and cognitive assessments were completed at baseline ( n = 100), mid-ECT ( n = 94), 2–4 weeks post-ECT ( n = 64), 6-months post-ECT ( n = 34), and 12-months post-ECT ( n = 19). Results At baseline, participants had severe levels of depressive symptoms (BDI-II: M = 41.0, SD = 9.4), and 62.9% screened positive for multiple psychiatric diagnoses on the MINI International Neuropsychiatric Interview. Depressive symptoms ( F(4,49.1) = 49.92, P < 0.001) and disab...
Humanism and Resilience in Residency Training, 2020
This chapter focuses on helping residents increase their awareness of cognitive factors that infl... more This chapter focuses on helping residents increase their awareness of cognitive factors that influence emotional experience, which can contribute to either the development and maintenance of resilience or to an increased risk of burn-out. It highlights that thinking patterns develop and are maintained through experience and influence attributions and expectations that are important determinants of how one interprets experiences and interpersonal interactions. Incorporating mindfulness to increase tolerance of emotional experiences that cannot be shifted by changing cognition is discussed as a complementary approach to building resilience.
doi: 10.3389/fpsyg.2013.00401 Noise as a mechanism of anomalous face processing among persons wit... more doi: 10.3389/fpsyg.2013.00401 Noise as a mechanism of anomalous face processing among persons with Schizophrenia
Background: Menopause is associated with physical and emotional symptoms, and subjective cognitiv... more Background: Menopause is associated with physical and emotional symptoms, and subjective cognitive concerns that are generally not borne out on objective cognitive measures. This discrepancy suggests that a psychological rather than biological mechanism likely mediates the cognitive concerns of women in menopause. The current study assessed the feasibility and effectiveness of a cognitive remediation intervention with the goal of reducing subjective perceptions of cognitive difficulty during the menopause.Methods: Twenty-seven menopausal women (M age = 53.74, SD = 4.14) completed a 5-week group-based intervention (with a post-group booster) consisting of 2-h weekly sessions. Participants completed pre- and post-intervention measures capturing subjective cognitive ability, mood, anxiety, stress, personality, and objective cognitive tests. The primary variable of interest was self-reported cognitive confidence measured by the Memory and Cognitive Confidence Scale (MACCS).Results: All ...
The burgeoning field of health psychology is rooted in the understanding and application of psych... more The burgeoning field of health psychology is rooted in the understanding and application of psychological theories and empirical findings to promote and maintain physical health (Friedman & Adler, 2011). With the growing interest and increasing understanding of the nuanced operations of the brain, the application of clinical neuropsychology to further understand aspects of physical health has become a topic of increasing interest. The practice of neuropsychological assessment involves creating a contextualized understanding of the cognitive profile of individuals, and studying the impact of such alterations in cognitive functioning on functional status and treatment prognosis. Thus, in contrast to the symptom-‐focused medical model used by physicians, neuropsychological assessment provides a framework for the understanding of cognitive decline and impairment within a person-‐centered context (Lezak, Howieson, & Loring, 2004). In this chapter, our goal is to briefly introduce the f...
Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique cha... more Objective: The COVID-19 pandemic is a global health crisis that has created sudden and unique challenges within the field of clinical neuropsychology. Adapting neuropsychology services using teleneuropsychology models (e.g. video or telephone assessments) may not always be a viable option for all providers and settings. Based on the existing teleneuropsychology literature, we propose a "contactless" evidence-based inpatient test battery to be used for in-person assessments amenable to physical distancing. Method: In addition to the proposed test battery, we suggest a decision-making workflow process to help readers determine the appropriateness of the proposed methods given their patients' needs. Considerations for special populations (i.e. seniors, patients with brain injury, psychiatric patients), feedback, limitations of the proposed physical distancing approach, and future directions are also discussed. Conclusions: Our aim is that the suggested teleneuropsychology-informed battery and model may inform safe and practical neuropsychological inpatient assessments during the COVID-19 pandemic and other situations requiring contact precautions for infection prevention and control.
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Papers by Jelena King