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Effort Testing in Dementia Assessment: A Systematic Review
Author(s) -
Claire V. McGuire,
Stephanie Crawford,
Jonathan J. Evans
Publication year - 2018
Publication title -
archives of clinical neuropsychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 98
eISSN - 1873-5843
pISSN - 0887-6177
DOI - 10.1093/arclin/acy012
Subject(s) - dementia , checklist , psychology , context (archaeology) , neuropsychology , test (biology) , critical appraisal , systematic review , cognition , neuropsychological assessment , cognitive impairment , clinical psychology , applied psychology , medline , cognitive psychology , psychiatry , medicine , alternative medicine , pathology , disease , paleontology , political science , law , biology
Interpretation of neuropsychological test data is only valid when appropriate effort has been exerted. Research, however, suggests that neuropsychologists do not always formally test for effort and that this may especially be the case in the context of dementia assessment. This review systematically examined the literature that has investigated the use of both purpose-built and embedded effort-sensitive indices in dementia, mild cognitive impairment (MCI), and healthy control samples. The aim was to determine which tests of effort are most sensitive to suboptimal effort and least sensitive to the type of cognitive impairment seen in dementia.

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