Traumatic Brain Injury (TBI) is a major concern for health professionals as it is a leading cause of death and disability in the United States. Patients can experience difficulties that include intellectual impairment, memory impairment, and executive functioning deficits. Psychometric tests have been used to assist in the diagnosis of head injuries. Specifically, the Wechsler scales are recognized in the scientific and medical communities as the most widely utilized measure of general intellectual function in older adolescents and adults. The recently published Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) is a revision of the WAIS-III. No studies have been published to date relevant to the effects of head trauma or other neurological disorders due to the recent introduction of the test. The purpose of the study was to understand the immediate intellectual consequences of head injury in adults along a continuum of severity, evaluate whether new additions to the WAIS-IV provide additional information about the effects of head trauma, and determine if the length of recovery affects the WAIS-IV indices differently. A total of 47 participants between the ages of 18-89 were selected from inpatient and outpatient admissions at a major trauma center. Participants who had sustained a closed-head injury were selected and tested between 1 month and 36 months post-injury (once any post traumatic amnesia had resolved). Patients were administered the Galveston Orientation Amnesia Test, Wechsler Test of Adult Reading, and WAIS-IV. The main question addressed by the current study was the extent to which brain injured adults display intellectual deficits and if these were consistent with those observed on prior versions of the Wechsler scales. An examination of the pattern of intellectual impairments and the effects of demographic corrections on the WAIS-IV was also conducted. Results indicated that the WAIS-IV IQ and indexes were reduced significantly by traumatic brain injury, and that more severe injuries were likely to show the most pronounced effect on the Processing Speed Index. Abnormalities visualized by brain CT or MRI scans were associated with lower IQ's and index scores than were shown by patients with traumatic head injury that had normal CT scans. There was no evidence that corrections for educational level, ethnicity, and gender improved the sensitivity of the WAIS-IV to injury severity beyond that obtained by corrections for age.

The Wechsler Memory Scale (WMS) is the most extensively used battery for memory assessment of adults. The third edition of the WMS (WMS-111) represents a substantial revision of previous versions. Accordingly, issues of validity of the revised instrument need to be addressed. The purpose of these studies was to contribute to the validation of the scale in the assessment of patients with temporal lobe epilepsy WE). An important role of the neuropsychological evaluation in TLE is to aid in the localization and lateralization of dysfunction. This is based on the premise that the temporal lobes are specialized for the acquisition of material-specific information, with dysfunction in the left and right mesial temporal regions being associated with verbal and nonverbal memory impairment, respectively. Since the WMS is utilized by the vast majority of epilepsy centres, evaluation of its meaning and utility in this population is essential. In Study 1, the utility of the WMS-I11 in detecting lateralized impairment was examined in a sample of patients with left (n = 55) or right (n = 47) TLE. Methods of analysis included evaluation of group means on the various indexes and subtest scores, the use of ROC curves, and an examination of Auditory-Visual Index discrepancy scores. The Auditory- Visual Delayed Index difference score appeared most sensitive to side of temporal dysfunction, although patient classification rates were not within an acceptable range to have clinical utility. The ability to predict laterality based on statistically significant index score differences was particularly weak for those with left temporal dysfunction. The use of unusually large discrepancies led to improved prediction; however, the rarity of such scores limits their usefulness. ill In Study 2, five competing models specifying the factor structure underlying the WMS- 111 primarysubtest scores were evaluated in a large sample of patients with TLE (N = 254). Models specifying separate immediate and delayed constructs resulted in inadmissible parameter estimates and model specification error. There were negligible goodness-of-fit differences between a 3-factor model of working memory, auditory memory, and visual memory, and a nested- more parsimonious- 2-factor model of working memory and general memory. The results suggested that specifying a separate visual memory factor provided little advantage for this sample- an unexpected finding in a population with lateralized dysfunction, for which one might have predicted separate auditory and visual memory dimensions. These findings add to a growing literature which suggests that the WMS-I11 has little utility in detecting lateralized dysfunction in TLE. This has important implications for the preoperative assessment of epilepsy patients.

No description available.

Thesis (D. Psych.)--Victoria University (Melbourne, Vic.), 2007.

Thesis (M.A.)--University of Detroit, 1953. / "June, 1953." Includes bibliographical references (p. 33-37).

Thesis (M.A.)--University of Detroit, 1953. / "June 1953." Includes bibliographical references (p. 34-37).

Thesis (M.A.)--University of Detroit, 1952. / "April 1952." Includes bibliographical references (p. 33-36).

Thesis (M.A.)--University of Detroit, 1958. / "June 1958." Includes bibliographical references (p. 33-35).

Thesis--PlanB (M.S.)--University of Wisconsin--Stout, 2004. / Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin--Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 33-35).