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Detecting Cognitive Impairment in Older Adults: a Validation Study of Selected Screening Instruments (open access)

Detecting Cognitive Impairment in Older Adults: a Validation Study of Selected Screening Instruments

The present study investigated the criterion-based validity of the Mini-Mental State Examination (MMSE), the Cognitive Capacity Screening Examination (CCSE), and the Neurobehavioral Cognitive Status Examination (NCSE) in a sample of older adults with suspected cognitive impairment. As cognitive screening tests, the MMSE, CCSE, and NCSE should predict performance relative to a more thorough testing procedure. In the present study, performance on the Halstead-Reitan Neuropsychological Test Battery (HRNTB) was employed as the criterion measure. Scores on the General Neuropsychological Deficit Scale (G-NDS), a global performance measure computed from the HRNTB, served as the standard by which to judge the presence of cognitive impairment. The sensitivity, specificity, and predictive value of each screening test, as well as how well each screening test correlated with the G-NDS, were investigated. Results of this investigation found that, although the MMSE, CCSE, and NCSE were all significantly correlated with the G-NDS, only the NCSE demonstrated an appropriate balance between high sensitivity and specificity. When a rigorous neuropsychological evaluation was employed as the criterion standard, the NCSE accurately detected the presence of cognitive impairment: in 82% of the cases. The MMSE and CCSE, however, failed to detect cognitive deficits in approximately 80% of the cases. These findings …
Date: May 1993
Creator: McBride-Houtz, Patricia (Patricia Ann)
System: The UNT Digital Library
Assessing Adolescent Personality and Interactional Style with the Rorschach and the Personality Inventory for Youth (open access)

Assessing Adolescent Personality and Interactional Style with the Rorschach and the Personality Inventory for Youth

An investigation was undertaken to examine two measures of personality and their utility with adolescent patient populations. The Rorschach, scored using Exner's (1991) Comprehensive System (2nd Ed.), and the Personality Inventory for Youth (PIY; Lachar & Gruber, in press) were explored as to their ability to distinguish inpatients from outpatients, males from females, and diagnostic groups from one another. COP, AG, CDI, DEPI, SCZI, and HVI scores on the Rorschach were utilized, as were the DIS, SOM, FAM, RLTY, WDL, and SSK scores from the PIY.
Date: May 1993
Creator: Wheeler, Ann C.
System: The UNT Digital Library
The Use of Coping Strategies in Depressed and Nondepressed Chronic Pain Patients (open access)

The Use of Coping Strategies in Depressed and Nondepressed Chronic Pain Patients

This study investigated the relationship between preferred coping strategies, and major stressors for nondepressed, and depressed chronic pain patients. The subjects for this study were 67 chronic pain patients who are participating in a pain/spinal rehabilitation program. The information collected from the individuals or their records included: (1) basic demographic information, (2) level of activity, (3) level of perceived pain, (4) medication usage, (5) therapist rating of level of stabilization, (6) scores on three inventories including the Coping Strategies Questionnaire, the Ways of Coping Checklist, and the Beck Depression Inventory. Analyses included an examination of the relationship between level of depression and (1) type of stressors, (2) coping strategies, and (3) level of perceived pain. Further analyses included multiple regression with outcome as defined by therapist ratings at the end of treatment, and patients' ratings at follow up as the criterion variables.
Date: May 1993
Creator: Henson, C. D. (Connie Dee)
System: The UNT Digital Library
The Relationship of Separation and Attachment Processes of Late Adolescence to Career Decision-Making Obstacles (open access)

The Relationship of Separation and Attachment Processes of Late Adolescence to Career Decision-Making Obstacles

The purpose of this study was to explore the relationship of separation-individuation during late adolescence and obstacles to career decision making.
Date: May 1993
Creator: Polk, Nancy E. (Nancy Elizabeth)
System: The UNT Digital Library
The Relationship of Exercise Duration to Disordered Eating, Physical Self-Esteem, and Beliefs About Attractiveness (open access)

The Relationship of Exercise Duration to Disordered Eating, Physical Self-Esteem, and Beliefs About Attractiveness

The purpose of this study was to examine the relationship between exercise duration and level of disordered eating, physical self-esteem, and endorsement of societal mores about attractiveness. Two hundred twenty-nine female college students completed the Bulimia-Test Revised, the Physical Self Perception Profile, the Beliefs About Attractiveness Questionnaire, and a demographic questionnaire. Subjects were classified into one of four levels of exercise duration based on the number of hours they reported engaging in planned exercise per week. Significant differences were identified among the four exercise groups in relation to physical self-esteem. The amount of exercise activity individuals engaged in per week, however, was not indicative of their eating disorder symptomatology or beliefs about attractiveness.
Date: May 1993
Creator: Helmcamp, Annette Marguerite
System: The UNT Digital Library