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  1. Article ; Online: Factor analysis of the neurobehavioral symptom inventory in veterans with PTSD and no history of mild TBI.

    Scimeca, Lauren M / Cothran, Thomas / Larson, Jon E / Held, Philip

    Applied neuropsychology. Adult

    2021  Volume 31, Issue 2, Page(s) 173–180

    Abstract: It is well established that long-term postconcussive symptoms following a mild traumatic brain injury (mTBI) are associated with underlying physical, emotional, and behavioral conditions. The Neurobehavioral Symptom Inventory (NSI) is a measure used to ... ...

    Abstract It is well established that long-term postconcussive symptoms following a mild traumatic brain injury (mTBI) are associated with underlying physical, emotional, and behavioral conditions. The Neurobehavioral Symptom Inventory (NSI) is a measure used to assess neurobehavioral symptoms that can occur following a mTBI and has demonstrated a 3- or 4-factor structure in veterans. The present study aimed to investigate the factor structure of veterans with PTSD without a history of mTBI. A confirmatory factor analysis (CFA) was conducted on a sample of 221 treatment-seeking veterans and service members with PTSD and without a history of mTBI. Results supported a 4-factor structure comprised of vestibular, somatic, cognitive, and affective domains in veterans with PTSD. Subsequent, correlational analyses between the four NSI factors and the four subscales of the Posttraumatic Stress Disorder Checklist - Fifth Edition (PCL-5) revealed high correspondence between the cognitive and affective factors of the NSI and the negative alterations in mood and cognitions and hyperarousal symptom subscales of PTSD. Collectively, findings demonstrated that the NSI functions similarly in veterans with PTSD with or without a history of mTBI. Findings suggest that neurobehavioral symptoms assessed by the NSI appear to be nonspecific and not explicitly associated with mTBI.
    MeSH term(s) Humans ; Veterans/psychology ; Post-Concussion Syndrome/etiology ; Post-Concussion Syndrome/complications ; Stress Disorders, Post-Traumatic/etiology ; Stress Disorders, Post-Traumatic/complications ; Brain Concussion/complications ; Brain Concussion/diagnosis ; Brain Concussion/psychology ; Factor Analysis, Statistical
    Language English
    Publishing date 2021-12-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2673736-X
    ISSN 2327-9109 ; 2327-9095
    ISSN (online) 2327-9109
    ISSN 2327-9095
    DOI 10.1080/23279095.2021.2007386
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cognitive Performance and Psychiatric Self-Reports Across Adult Cognitive Disengagement Syndrome and ADHD Diagnostic Groups.

    Cerny, Brian M / Reynolds, Tristan P / Chang, Fini / Scimeca, Lauren M / Phillips, Matthew S / Ogram Buckley, Caitlin M / Leib, Sophie I / Resch, Zachary J / Pliskin, Neil H / Soble, Jason R

    Journal of attention disorders

    2022  Volume 27, Issue 3, Page(s) 258–269

    Abstract: Objective: Cognitive disengagement syndrome (CDS) is characterized by inattention, under-arousal, and fatigue and frequently co-occurs with attention-deficit/hyperactivity disorder (ADHD). Although CDS is associated with cognitive complaints, its ... ...

    Abstract Objective: Cognitive disengagement syndrome (CDS) is characterized by inattention, under-arousal, and fatigue and frequently co-occurs with attention-deficit/hyperactivity disorder (ADHD). Although CDS is associated with cognitive complaints, its association with objective cognitive performance is less well understood.
    Method: This study investigated neuropsychological correlates of CDS symptoms among 169 adults (
    Results: There were no differences in cognitive performance, significant differences in self-reported psychiatric symptoms (greater CDS symptomatology, impulsivity among the high CDS groups; greater inattention among the positive ADHD/high CDS groups; greater hyperactivity among the positive ADHD groups), significant intercorrelations within cognitive and self-report measures, nonsignificant correlations between cognitive measures and self-report measures.
    Conclusion: Findings support prior work demonstrating weak to null associations between ADHD and CDS symptoms and cognitive performance among adults.
    MeSH term(s) Humans ; Adult ; Self Report ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Attention Deficit Disorder with Hyperactivity/psychology ; Neuropsychological Tests ; Cognition ; Impulsive Behavior
    Language English
    Publishing date 2022-11-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2004350-8
    ISSN 1557-1246 ; 1087-0547
    ISSN (online) 1557-1246
    ISSN 1087-0547
    DOI 10.1177/10870547221136216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Masking effect of high IQ on the Rey Auditory Verbal Learning Test in an adult sample with attention deficit/hyperactivity disorder.

    Keezer, Richard D / Leib, Sophie I / Scimeca, Lauren M / Smith, Justin T / Holbrook, Lindsey R / Sharp, Dillon W / Jennette, Kyle J / Ovsiew, Gabriel P / Resch, Zachary J / Soble, Jason R

    Applied neuropsychology. Adult

    2021  Volume 31, Issue 1, Page(s) 1–9

    Abstract: Objective: High intelligence (IQ) adults with attention-deficit/hyperactivity disorder (ADHD) often perform better on neuropsychological tests relative to average IQ adults with ADHD, despite commensurate functional impairment. This study compared ... ...

    Abstract Objective: High intelligence (IQ) adults with attention-deficit/hyperactivity disorder (ADHD) often perform better on neuropsychological tests relative to average IQ adults with ADHD, despite commensurate functional impairment. This study compared adults with ADHD and high versus average IQ on the Rey Auditory Verbal Learning Test (RAVLT) to specifically assess this proposed masking effect of IQ on verbal learning/memory performance among those undergoing neuropsychological evaluation.
    Method: RAVLT performance between patients with ADHD and average versus high Test of Premorbid Function-estimated IQ were compared. Latent growth curve modeling (LGCM) evaluated learning acquisition across trials.
    Results: RAVLT total learning, immediate, and delayed free recall performances were significantly better in the high IQ relative to the average IQ group. LGCM showed similar quadradic growth trajectories for both IQ groups. Both groups reported equivalent symptom severity and functional complaints in childhood and adulthood.
    Conclusions: Adults with ADHD and high IQ performed normally on a verbal learning/memory test compared to adults with average IQ, who scored 0.5-1.0 standard deviations below the mean. These results suggest a masking of performance-based memory deficits in the context of higher IQ in adults with ADHD, supporting growing evidence that higher IQ masks neurocognitive deficits during the assessment of adults with ADHD.
    MeSH term(s) Adult ; Humans ; Attention Deficit Disorder with Hyperactivity/complications ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Attention Deficit Disorder with Hyperactivity/psychology ; Memory ; Memory Disorders ; Cognition ; Memory and Learning Tests ; Neuropsychological Tests ; Verbal Learning
    Language English
    Publishing date 2021-10-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2673736-X
    ISSN 2327-9109 ; 2327-9095
    ISSN (online) 2327-9109
    ISSN 2327-9095
    DOI 10.1080/23279095.2021.1983575
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Examining Conners Continuous Performance Test-3 (CPT-3) Embedded Performance Validity Indicators in an Adult Clinical Sample Referred for ADHD Evaluation.

    Scimeca, Lauren M / Holbrook, Lindsey / Rhoads, Tasha / Cerny, Brian M / Jennette, Kyle J / Resch, Zachary J / Obolsky, Maximillian A / Ovsiew, Gabriel P / Soble, Jason R

    Developmental neuropsychology

    2021  Volume 46, Issue 5, Page(s) 347–359

    Abstract: This study evaluated multiple previously-identified Continuous Performance Test-Third Edition (CPT-3) scores as embedded validity indicators (EVIs) among 201 adults undergoing neuropsychological evaluation for Attention-Deficit/Hyperactivity Disorder ( ... ...

    Abstract This study evaluated multiple previously-identified Continuous Performance Test-Third Edition (CPT-3) scores as embedded validity indicators (EVIs) among 201 adults undergoing neuropsychological evaluation for Attention-Deficit/Hyperactivity Disorder (ADHD) divided into valid (n = 169) and invalid (n = 32) groups based on seven criterion measures. Although 6/10 CPT-3 scores accurately detected invalidity, only two reached minimally acceptable classification accuracy of ≥0.70. The remaining four had unacceptably low accuracy (AUCs = 0.62-0.69) with 0.19-0.41 sensitivity at ≥0.90 specificity. Composite scores did not provide better classification accuracy than individual CPT-3 scores. In sum, CPT-3 individual and composite scores generally are not accurate PVTs among adults undergoing clinical evaluation for ADHD.
    MeSH term(s) Adult ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Humans ; Neuropsychological Tests ; Reproducibility of Results
    Language English
    Publishing date 2021-07-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 632665-1
    ISSN 1532-6942 ; 8756-5641
    ISSN (online) 1532-6942
    ISSN 8756-5641
    DOI 10.1080/87565641.2021.1951270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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