Lec 62 Neuropsychological Assessment Flashcards
What is purpose of psychological testing? two types?
- formal assessment of emotionality, intellectual abilities, personal characteristics and psychopathology
- objective or projective
What is purpose of projective test?
personality test to let person in open-ended way respond to ambiguous stimuli –> to reveal hidden emotions and internal conflict
- responses assumed based on motivational state, analyzed for meaning
What is the purpose of an objective test?
responses are analyzed according to universal standard (ex. multiple choice exam)
score and statistically analyzed
What is the minnesota multiphasic personality inventory [MMPI]?
objective psychological test
- defines normal personality structures and psychopathology based on 567 T/F
- all self-report
What is the rorschach test?
initially developed as IQ test but later as projective personality test to identify thought disorders and defense mechanisms
theory: underlying psych organization and needs will be projected onto ambiguous stimuli such as ink blots
shown 10 cards and asked to free associate
What is thematic apperception test (TAT)?
projective psychology test
subject asked to tell dramatic story about each of pics represented
responses provide info about unconscious views of self, world, interpersonal relationships
What is the sentence completion test (SCT)?
projective pych test
pt completes sentences started by examiner; identify worries, conflicts, motivations, using verbal associations
What are research tools used for psychopathology?
- hamilton depression rating scale
- montgomery asberg depression rating scale
- young mania rating scale
- BPRS
What is the beck depression inventory [BDI]?
21-Q self-report inventory
used clinically
screening + measuring severity of depression
- symptoms of depression - hopelessness, irritability, cognitions such as guilt, feelings of being punished, physical symptoms
What is the PHQ-9?
clinically used
9-item depression scale
in primary care setting used to diagnose depression and select and monitor treatment
score >= 10 have sensitivity/sepcificty 88% for major depressive disorder
What is the PHQ-2?
2 questions initial screen for depressed mood and anhedonia
if positive –> administer PHQ9
used clinically
What is use of neuropsych testing?
inform about integrity/efficacy of the brain through a comprehensive sampling of its behaviors products
covers: sensory-perceptual, attention + concentration, motor, visuospatial, language, abstract thought, new learning/memory, intellectual, executive functsion
What are goes of neuropsych testing?
- diagnosis
- gain better understanding neurocognitive deficit + its impact on individual function
- change in function over time
–> cannot localize lesion or tell cause of the deficit
What does IQ assessment tell you?
WAIS-R or Stanford-Binet
- intelligence defined as measure of innate potential for learning
What is mental age?
person’s level of intellectual functioning
