The current study examined the efficacy of various neuropsychological measures for differentiating ADHD and comorbid ADHD from malingered ADHD in a large state university sample. The sample consisted of 23 nonclinical individuals assigned to malinger ADHD (NLM), 9 nonclinical individuals responding honestly (NLH), 22 individuals with diagnoses of ADHD only (ADHD-H), 9 individuals with comorbid ADHD/Learning Disorder presentations (ADHD-LD), and 13 individuals with comorbid ADHD/Anxiety presentations (ADHD-ANX). Due to limited sample sizes, the ADHD-LD and ADHD-ANX participants were pooled to create a comorbid ADHD group (ADHD-CO n = 22). The study utilized a simulation design with a NLM group instructed to feign ADHD while the other groups responded under standard instructions. The TOMM, LMT, NV-MSVT, and CTIP variables performed well, but the DMT did not. The WAIS-IV and WJ-III variables did not adequately differentiate malingered and comorbid ADHD.

Background: Whiplash associated disorders (WAD) account for a large proportion of the overall impairment and disability from traffic injuries and causes substantial bio psychosocial consequences for some individuals. Aims: To increase the knowledge about factors described in terms of either function /impairment, activity/disability and life satisfaction in acute and chronic WAD as well as possible implications for rehabilitation. Within this aim the incidence and recovery rate of whiplash injury and prognostic factors of interest for early rehabilitation have been studied. Subjects and Methods: Fifty-five healthy controls and 34 WAD subjects were analysed within and between groups concerning a) biomechanical out put, endurance, fatigue and muscle tension (EMG activity of trapezius, infraspinatus and deltoideus) during repetitive shoulder forward flexion b) impairments and activity/disability and life satisfaction.356 subjects seeking medical attention due to whiplash trauma, 296 were available at follow up, mean 16 months post injury. Incidence and odds ratio of accident and other background factors on disability were determined. Thirty-four out of 43 patients with whiplash injury were investigated through quantitative sensory tests at six weeks and 71 months after injury. 62 WAD participated in an interdisciplinary rehabilitation program (a pilot study) designed to evaluate such rehabilitation program for patients with chronic (in relatively early stage) WAD. Program evaluation of impairment, disability and life satisfaction (prospective and retrospective) was carried out before and after program and at 6 months. Results: No significant effects of sex or age on the ability to relax between repetitive r muscle contractions (SAR) were found in healthy subjects (study I). Significantly higher inability to relax between contractions was found for the two portions of trapezius and infraspinatus in the WAD group compared to the healthy group (study II). Significantly lower levels of activity preferences were noted for three out of five indices in females with WAD The WAD group had significantly higher prevalence of neropsychological and emotional symptoms. Both pain related symptoms and neropsychological symptoms were of significant importance for aspects of disability and life satisfaction in this group (study IV). Sensory disturbances over the trigeminal skin area persisted over the years. At follow-up a significant correlation was found between the sensory disturbances and the symptoms related to the central nervous system while no significant relationship was found with the musculoskeletal symptoms (study HI) .The annual incidence according to the grading of the Quebec Task Force on Whiplash-Associated Disorders (WAD 1-3) was 3.2/1000 and 4.2/1000 when WAD 0 was included. Sixty-eight percent of the patients recovered during the follow-up Pre-traumatic neck pain, low educational level, female gender and WAD grade E-Ill were significantly associated with a poor prognosis (study IV). . Participants in the rehabilitation program reported increased coping ability. Stress reactions seemed rather frequent (32 %). Pain intensity in the neck and upper back were significantly decreased at 6 months follow-up. However, for most of the functional and psychological markers, no significant changes were found (study V). Conclusion: The higher prevalence of musculoskeletal complaints of the neck shoulder region in females cannot be explained by higher muscle tension and clinical assumption of increased muscle tension seems correct in whiplash patients Results indicate heterogeneity among WAD subjects. Females are at risk after a whiplash trauma but the severity of initial symptoms and signs also affect outcome as well as low education. High levels of neuropsychological symptoms and pain, signs of posttraumatic stress, fear and avoidance, loss of control, anxiety, bio-mechanical and psychosocial factors at work (studies) and social support are potential factors to be aware of. Extensive and costly investigations are in most cases not necessary. However most persons will recover a whiplash injury. Multidisciplinary/interdisciplinary assessment should be considered at three months if substantial negative effect on the person’s ability to function and health situation exists. / <p>Diss. (sammanfattning) Umeå : Umeå universitet, 2001, härtill 6 uppsatser.</p> / digitalisering@umu

The purpose of this study was to examine the utility of the Dean-Woodcock Sensory Motor Battery (DWSMB) as a diagnostic tool for identifying individuals with and without closed-head injury, comparing the predictive power of a two- and three-factor representation (DWSMB; Dean & Woodcock, 2003). The current study's major research questions focused on the predictive utility of the structure of the DWSMB. The simplified two-factor model (Total Sensory and Total Motor), based on the DWSMB manual (Dean & Woodcock), was compared to a three-factor theoretical model (Basic Sensory, Higher Sensory and Motor Functions) (R.S.Dean, personal communication, March 29, 2006) for this study. Logistic Regression was used to analyze the data. Results from this study demonstrate that when using the two-factor solution, the overall correct prediction of group membership was 73.8 % (59.4% for CHI and 85.2% for normals). The Total Motor Impairment variable was the only meaningful predictor. The results from the three-factor solution show an 84.2 % overall correct prediction rate (71.4 % for CHI and 95.1 % for normals). The significant contributors for identifying CHI when using the three-factor model included Basic Sensory and Motor Functions. Everything favors the three-factor model as being more precise. All indicators of prediction accuracy and goodness of fit favored the three-factor model. Based on these results, the DWSMB was determined to be a good screening instrument for identifying children in school contexts who should be referred for a neuropsychological examination to confirm pre-existing CHI that interfere with school functioning. / Department of Educational Psychology

The purpose of this study was to add to the body of psychometric evidence underlying the Dean-Woodcock Sensory Motor Battery (DWSMB) and the theory of sensory motor functioning. Secondly, this study added to the body of literature concerning the role of both cortical and subcortical areas of the brain in motor functioning.The DWSMB is a new battery designed to meet the emerging trends in neuropsychology. It combines the qualitative functionality of the sensory and motor tests used by clinical neurologists with the quantitative, performance-driven sensory motor tests found in traditional neuropsychological assessment batteries. The DWSMB consists of eight tests of sensory functions, seven tests of cortical motor functions, and three tests of subcortical motor functions.A population sample of 441 participants were administered the DWSMB, 340 of which had no reported neurological or psychiatric history. These data were analyzed using an exploratory factor analysis to determine the number of constructs underlying the DWSMB. The study found three factors: a Complex Sensory Motor Factor, a Simple Sensory Factor, and a Subcortical Motor Factor. The three constructs found in this study provided empirical support for the underlying theory of the DWSMB, which will allow neuropsychologists to make inferences about the resulting scores. / Department of Educational Psychology

The purpose of the study was to examine the utility of profile analysis using the SCAD index of the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) and behavioral rating scales as brief and accessible elements of a standard neuropsychological battery by which to screen for deficits or assets within the interface between attention, executive functions, and working memory. An ancillary purpose was to examine the further role and diagnostic efficacy of using a continuous performance test of vigilance as a discriminating measure between specific clinical groups. Three subtypes of individuals referred to a diagnostic assessment clinic were identified by means of a three-stage cluster analysis in a sample of 86 children and adolescents on the basis of scores attained on specific neuropsychological, cognitive, and behavioral variables. It was also found that the assigned clusters exhibited a high degree of consistency with the individual diagnoses ultimately rendered during the evaluation. The variables which best discriminated the three subtypes were identified through a forward stepwise discriminant analysis and subjected to multiple validation procedures. The significant and discriminating variables included the SCAD Index, the Attention Problems and Hyperactivity scales of the Behavioral Assessment System for Children (BASC) and the Perceptual Organization factor of the WISC-III. It was also determined that the overall index and a time-related measure from the Conners' Continuous Performance Test (CCPT) were indeed able to differentiate clinical groups. Functional and theoretical implications were addressed in terms of their relevance for examining the interface between attention, executive functions, and working memory as well as for the identification and treatment of those diagnosed with ADHD and LD, or individuals considered to be gifted or intellectually advanced. / Department of Educational Psychology

This cross-sectional study evaluated the trend in sensory and motor skill development for an archival dataset used in the standardization of the Dean-Woodcock Sensory Motor Battery (D-WSMB). Measures from the D-WSMB were organized into three broad categories according to a factor model identified by Davis, Finch, Dean and Woodcock (2006). Three primary hypotheses were evaluated: a confirmatory factor analysis would support the Davis et al. model for the current dataset, performance on sensory and motor tasks would exhibit a pattern of development and decline across age levels, and gender would not be a significant factor in variability in performance. CFA results indicated the Davis et al. factor model was a poor fit for the current dataset but that each measure loaded significantly on the factor to which it was assigned. Curve estimation identified a significant quadratic relationship between age and performance on each of the skill categories. A significant age and gender interaction was noted for each skill category. The statistically poor fit of the Davis et al. factor model was thought to be due to potential correlations between factors and between measures within the factors, although further research is needed to evaluate the impact of these relationships on model fit. Results confirmed the hypothesis that sensory and motor skill exhibit a pattern of development and decline across age levels, which can guide the interpretation of performance in a clinical setting. Further research is needed on the nature of the age and gender interaction to clarify the impact on performance on measures of sensory and motor skills. In an addendum to this study, performance on individual measures of the D-WSMB was plotted to provide further guidance in the interpretation of results in clinical settings. / Department of Educational Psychology

The Neuropsychological Symptom Inventory (NSI; Rattan, Dean, & Rattan, 1989), a self report measure of psychiatric and neurological symptoms, was revised to be presented in an electronic format. This revised instrument, the Neuropsychological Symptom Scale (Dean, 2010), was administered to 1,141 adult volunteers from a medium-sized Midwestern university. The collected data was subjected to exploratory factor analysis which suggested three primary factors related to emotional, cognitive, and somatosensory functioning. The items on the NSS were then organized into three subscales reflecting these areas of functioning. A fourth experimental subscale was also created to facilitate the collection of data on items that did not load on any of the three primary subscales. Item Response Theory (IRT) analysis and Classical Test Theory (CTT) approaches were then applied and compared as means of developing standard scores on the three primary subscales of the NSS. The results of these analyses are provided along with recommendations related to the further development of the NSS as an assessment tool. / Department of Educational Psychology

The primary purpose of this study was to determine the kind of neuropsychological information that can be obtained from an investigation of the Wechsler Adult Intelligence Scale (WAIS) subtests. Additionally, there was an examination of the shared variance between the WAIS and the Halstead-Reitan Neuropsychological Battery (HRNB). The archival data collected from the files of '220 females and 188 males from a large midwestern medical center were used. They had been originally diagnosed with objective research criteria.All eleven subtests of the WAIS and the HalsteadReitan Neuropsychological Battery were administered to the subjects in the years between 1981 and 1983. Thirteen scores were obtained from the HRNB measures. Statistical analyses of the results made use of the techniques of multiple regression and canonical correlation.The individual WAIS subtests were examined for the neuropsychological information they provided. Globally, three HRNB measures, APHASIA, RHY, AND CAT-TOT contributed significantly to a majority of the regression equations for the WAIS subtests. Their presence suggested that language skills, an auditory attention factor, and a general intellective factor were being tapped (Dean, 1985a).A canonical correlation was computed. The results yielded one significant correlation between the linear components of the WAIS and the HRNB tests. Only canonical variates with weights of +/- .2 were considered large enough for interpretation. The WAIS subtests meeting the .2 criteria included Block Design, Digit Symbol, and Similarities, while the HRNB measures meeting criteria were APHASIA and CAT-TOT. Therefore, it would appear that the significant variables measured the general (g) factor as in Spearman's research (1927). According to the Stewart and Love formula (cited in Pedhazur, 1982), the variability of the WAIS did overlap with the HRNB, and their relationship was symmetrical.This research demonstrated that the measured tasks from the WAIS were a complex of underlying constructs. The verbal portion of the WAIS was shown to be less highly related to the HRNB variables than the performance portion of the scale. The WAIS and HRNB do offer nonredundant information concerning the impaired and unimpaired adult's cognitive functioning.

Access to abstract permanently restricted to Ball State community only / Access to thesis permanently restricted to Ball State community only / Department of Educational Psychology

Given the broad public health concern, lack of reliability of diagnosis across providers and substantial resources needed to support individuals with Autism Spectrum Disorder, the current study serves to contribute to the field in informing the contexts of both research and clinical service. The utility of a standardized sensory-motor battery was investigated in regards to its ability (1) to determine what, if any, differences exist between ASD diagnoses or subgroups in both sensory functioning and motor functioning; and (2) to determine whether such discrepancies, if they exist, are capable of differentiating groups. Results from the quadratic discriminant analysis demonstrated that the factor scores derived from the Dean-Woodcock Sensory-Motor Battery significantly differentiated the ASD and nonclinical comparison groups. Factor 1 (Simple Sensory Skills) exhibited the strongest relationship, followed by Factor 2 (Cortical Motor and Complex Sensory Skills), then Factor 3 (Subcortical Motor Tasks and Auditory/Visual Acuity Skills). Findings from the study lend initial evidence of the use of the DWSMB as a potential measure to include within the two-stage diagnostic process for ASD. Use of the DWSMB as a screening measure may facilitate access to early intervention services given the primitive nature of sensory-motor tasks. In addition, the availability of the DWSMB as a standardized measure of sensory and motor functioning may promote increased sensitivity and specificity among diagnostic providers thus improving outcomes of individuals with ASD who can access services more readily with earlier, more reliable diagnoses. / Access to thesis permanently restricted to Ball State community only. / Department of Educational Psychology