Comprehensive Assessment

Bergquist, Thomas F.; Yutsis, Maya; Micklewright, Jackie L.

doi:10.1007/978-1-4939-0784-7_4

Cited by 3 publications

(4 citation statements)

References 47 publications

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“…Given the correlations between awareness, mood and psychosocial disability, and long-term outcomes following brain injury, it stands to reason that it is important to address these psychosocial variables when conducting a comprehensive neuropsychological evaluation, particularly for the purpose of treatment planning (Bergquist et al, 2014). Assessment of mood and psychosocial functioning may be best acquired through a patient and family interview, which can be complemented by using standardized measures of psychological functioning.…”

Section: Assessmentmentioning

confidence: 99%

Rehabilitation of neuropsychological deficits: The role of restorative approaches.

Bergquist¹,

Sullan²,

Alden³

2023

APA Handbook of Neuropsychology, Volume 2: Neuroscience and Neuromethods (Vol. 2).

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This chapter examines the role of restorative approaches within cognitive rehabilitation. These approaches are discussed in the broader context of patient functioning, as articulated in the International Classification of Functioning, Disabilities, and Health (ICF) model. We discuss domains of cognitive functioning, including memory, attention, communication, visuospatial functioning, executive functioning, and emotional regulation/ control, and the impact of these domains individually and collectively on day-to-day activities. Conducting assessments for treatment planning is discussed with measurement of cognitive domains along with important historical, psychosocial, and environmental factors and assessment of key areas of functioning in order to accurately understand the nature of dysfunction in an individual' s day-to-day life and plan effective treatments. We discuss specific rehabilitation interventions and the importance of using restorative interventions together with compensatory interventions, such as are outlined in greater detail in Chapter 17 of this volume, to achieve the best treatment outcomes. Evolving areas of cognitive rehabilitation are also discussed, including the role of telerehabilitation, computer-based cognitive retraining, virtual reality, aerobic exercise, and pharmacologic interventions. BACKGROUND Basic Neuroanatomy and Neuropathology of Brain Injury/IllnessAcquired brain injury (ABI) encompasses a broad range of both traumatic and nontraumatic illnesses that can produce neurological and neurocognitive deficits. The underlying etiology is variable, and multiple conditions can result in ABI, including cerebrovascular accident/stroke, brain tumors, traumatic brain injury (TBI), and autoimmune or infectious encephalopathies. Therefore, depending on pathology, the anatomical lesion may be focal or diffuse in nature. In the case of TBI, damage often occurs via diffuse injury impacting structural integrity and changes in underlying metabolic processes, which can cause white matter shearing, glial injury, and disrupted synaptic communication (Blennow et al., 2012;Hemphill et al., 2015). Although stroke typically produces more focal deficits, strokes occurring in watershed regions can cause deficits that affect multiple cognitive domains and motor functions (Kapasi et al., 2018). Brain tumors may impact both cortical gray matter and underlying white matter tracts, but they often produce more focal injuries (Taphoorn & Klein, 2004). However, unlike those with stroke and TBI, individuals with primary brain tumors and brain metastases can

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Section: Assessmentmentioning

confidence: 99%

Rehabilitation of neuropsychological deficits: The role of restorative approaches.

Bergquist¹,

Sullan²,

Alden³

2023

APA Handbook of Neuropsychology, Volume 2: Neuroscience and Neuromethods (Vol. 2).

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“…Likewise, the need for endocrine profiling and replacement in subjects with hypopituitarism deserves further attention, including the definition of criteria regarding indication of hormone replacement and evaluation of treatment efficacy (see [ 58 ]). The latter will require comprehensive cognitive and affective assessments of individuals using standardized and robust neuropsychological tests ([ 3 , 59 ]; cf. Table 1 and Table 2 ).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…Given the multifactorial nature of TBI, it is imperative that an interdisciplinary approach is developed to improve clinical outcomes [ 59 , 60 ]. However, management and prognosis for patients with TBI-induced hypopituitarism are confounded by “the marked variability in type, location and degree of pathological changes following a TBI, as well as the equally ubiquitous variability in pre-morbid organic and psychological functioning …” [ 60 ].…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

Neuropsychology of Neuroendocrine Dysregulation after Traumatic Brain Injury

Zihl

Almeida

2015

JCM

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Endocrine dysfunction is a common effect of traumatic brain injury (TBI). In addition to affecting the regulation of important body functions, the disruption of endocrine physiology can significantly impair mental functions, such as attention, memory, executive function, and mood. This mini-review focuses on alterations in mental functioning that are associated with neuroendocrine disturbances in adults who suffered TBI. It summarizes the contribution of hormones to the regulation of mental functions, the consequences of TBI on mental health and neuroendocrine homeostasis, and the effects of hormone substitution on mental dysfunction caused by TBI. The available empirical evidence suggests that comprehensive assessment of mental functions should be standard in TBI subjects presenting with hormone deficiency and that hormone replacement therapy should be accompanied by pre- and post-assessments.

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“…Neuropsihologijska (NP) procjena osoba nakon TOM već je dulji niz godina standardna praksa u dijagnostici, kao i nezaobilazna komponenta programa za rehabilitaciju osoba nakon TOM (Braun i sur., 2011;Girard i sur., 1996). U rehabilitacijskoj literaturi o ishodima TOM također postoji slaganje o važnosti kognitivnih oštećenja, pri čemu još od ranih istraživanja autori naglašavaju primjenu NP testova kao mjere tih oštećenja (Bergquist, Yutsis i Micklewright, 2014;Jennett i Bond, 1975;Jennett i sur.,1981;Mandleberg i Brooks, 1975). Prednost je takve procjene, budući da su testovi objektivni instrumenti, da je po definiciji preciznija i pouzdanija od navedenih globalnih i funkcionalnih mjera ishoda (Chu i sur., 2007;Dikmen, Machamer, Winn i Temkin, 1995;Hellawell i sur., 1999;Lannoo i sur., 2001;Mansour i Lajiness-O'Neill, 2015;Millis i sur., 2001;Spikman i sur., 1999) ( Pilski i Tršinski, 2019) ili pak kod testova poput TMT-a.…”

Section: Neuropsihologijski Testovi Kao Mjere Ishodaunclassified

Validation of the cognitive reserve theory in patients with traumatic brain injury

Tršinski¹

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rezultatima na CIQ-u. Naši su rezultati, posebno kod dugoročnih participacijskih ishoda, potvrdili važnost mjera KP u predikciji ishoda TOM te tako ukupno predstavljaju još jedan prilog teoriji KP.Ključne riječi: Kognitivna pričuva, traumatska ozljeda mozga, neuropsihologijski testovi, uključenost u zajednicu, povratak u produktivnost Validation of the Cognitive reserve theory in patients with traumatic brain injury

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Comprehensive Assessment

Cited by 3 publications

References 47 publications

Rehabilitation of neuropsychological deficits: The role of restorative approaches.

Rehabilitation of neuropsychological deficits: The role of restorative approaches.

Neuropsychology of Neuroendocrine Dysregulation after Traumatic Brain Injury

Validation of the cognitive reserve theory in patients with traumatic brain injury

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