Psychological and neuropsychological testing

Question 1

Clinical psychologists in mental health are:

Answer 1

Scientists: dev now measuring tools, add to knowledge on normal and pathologic mental health and testing of efficacy of interventions
Psychotherapists
Consultants: contribution to measuring and diagnosing mental dysfunction and tracking it’s evolution over time

Question 2

Psychology training and expertise

Answer 2

Laws and theories governing how people perceive, think, feel and behave

Question 3

Personality

Answer 3

traits/ characteristics that influence feelings, thoughts, behavior

Question 4

Social psychology

Answer 4

How these are modified in the presence of others

Question 5

Abnormal psychology

Answer 5

extreme or pathological variations

Question 6

Neuropsychology

Answer 6

seeks to apply knowledge of human brain-behaviour relationships to clinical problems

Question 7

Neuropsychology training

Answer 7

neuroanatomy and pathology
functional specialization of brain regions
develop, administer, score and interpret tests that measure ability in particular cognitive domains
infer causal attributions to various patterns of cognitive test scores.

Question 8

dx

Answer 8

classification of qualities ex: are you depressed

Question 9

measurement

Answer 9

quantification of severity ex: how depressed are you

Question 10

prerequisites for accurate, precise, useful measurement

Answer 10

well defined construct based on strong theoretical and empirical grounds
internal validity
external validity
precision: how many lines on a ruler, how big of a change do we want to see
equal interval spacing of possible scores
invariant across users and across clinically meaningless time intervals ex: gender, age, culture, education

Question 11

Avoid making conclusions too quickly

Answer 11

test 2nd hypothesis

try to disconfirm 1st hypothesis

Question 12

Scales depression

Answer 12

Beck depression inventory
Hamilton depression rating scale
montgomery -asperg DRS: same issues as young mania rating scale
hospital anxiety and depression scale
geriatric depression scale
clinically useful depression scale: self report, 16 questions

Question 13

What to consider practically when using scales

Answer 13

language, simplicity, precision

Question 14

Scales anxiety

Answer 14

clinically useful anxiety scale

geriatric anxiety inventory (20, 5)

Question 15

how many questions

Answer 15

less than 20

Question 16

short versions of scales

Answer 16

sx get thrown out the window

but can help to get an overall view

Question 17

mania

Answer 17

young mania rating scale

Question 18

young mania scale issues

Answer 18

non contributing content
redundant content
limited in bread of construct covered
differential item functioning for most items: variable responses across users depending on age, sex, education

Question 19

OCD

Answer 19

Yale-Brown OCD scale (YBOCS)

Question 20

Psychosis

Answer 20

positive and negative symptoms scale

Question 21

positive and negative symptoms scale issue

Answer 21

long, training

Question 22

Cognitive ability

Answer 22

Mini mental exam
Clock drawing test
MOCA

Question 23

Mini mental exam

Answer 23

screening fo classification of dementia
$
psychometric issues: sensitivity to mild cognitive impairment, content, dimensionality (doesn’t measure one single thing)

Question 24

Clock drawing test

Answer 24

screening for possible problem

Question 25

MOCA

Answer 25

classification: sever to mild impairment measurement: good in validated contexts multiple languages free, conditional to training

Question 26

Neuropsychological assessment

Answer 26

bringing meaning to a test score

Question 27

multidimensionality

Answer 27

what we don't want | measure many things that don't have to do with subject

Question 28

areas of expertise as consultants

Answer 28

``` assessment of psychopathology personnalité assessment diagnosis of developmental disorders diagnosis of learning disabilities neuropsychological assessment ```

Question 29

personality

Answer 29

Minnesota multiphasic personality inventory

Question 30

What neuropsychologists do

Answer 30

Interview focused on neurodevelopment, academic and occupational history clarify pattern of objective strengths and weaknesses across domains: verbal, visual, memory, attention, executive functions clarify association between objective cognitive performance and presenting complaints specify possible dx Recommend appropriateness of specific healthcare interventions, probable areas of functional impairment, strategies for managing/ reducing functional impairment

Question 31

Executive functions in psychiatric populations

Answer 31

Lack of flexibility: OCD, SUD, eating disorders, gambling disorders Decision making difficulties: depression, anx, SUD Difficulty initiating and completing projects: ADHD, dep Affective dysregulation: BPD, anxiety, BAD