PubMed Health⌕ Search

Biomedical subjects

B N Axelrod

Publications and source records attributed to B N Axelrod.

At least 37 records · Page 2Linked to original sources
PubMed1998

Effects of practice in repeated administrations of the Wechsler Memory Scale Revised in normal adults.

Practice effects were examined over four administrations of the immediate (I) and delayed (II) portions of three subtests of the WMS-R: Logical Memory (LM), Verbal Paired Associates (VPA), and Visual Reproduction (VR). A repeated measures ANOVA revealed that large and significant (p < .001) increases occurred in the General Memory (GM) and Delayed Recall (DR) indices and in the LMI, LMII, and VPAI subtests (Effect Sizes [ESs] = 0.70-0.87). Small but significant (p < .001) increases occurred in VRI (ES = 0.24) and VRII (ES = 0.43). The greatest increase in scores occurred at the first retest session, whereas increases of smaller magnitudes occurred at Sessions 3 and 4. Ceiling effects occur in subtests (VPAII, VRI, and VRII) on which individuals score most of the total possible points at the first testing session; this makes interpretation of practice effects difficult. Test-retest reliability coefficients, mean change scores from Session 1 to Session 2, standard errors of prediction, and 95% confidence intervals are presented. These score changes need to be taken into consideration when interpreting performance at retest.

Adolescent↗
PubMed1998

Evaluation of two brief and reliable estimates of the WAIS-R.

Performance of 200 mixed neuropsychiatric patients on the WAIS-R were compared to the summary scores for Kaufman's Brief Intelligence Test (K-BIT) and a seven subtest short form of the WAIS-R. Correlations between verbal, non-verbal, and composite of the full WAIS-R with the K-BIT were significantly lower than the correlations with the WAIS-R shore form. The percentage of cases on the short forms that fell within 5 points of the full WAIS-R was higher for the seven subtest version of the WAIS-R than the K-BIT. Specifically, Verbal, Nonverbal/Performance, and Composite/Full Scale scores on the WAIS-R short form feel within 5 points for 89%, 74%, and 92% of the cases while on the K-BIT only 52%, 40%, and 50% fell within 5 points.

Adult↗
PubMed1998

Application of the Postconcussive Syndrome Questionnaire with medical and psychiatric outpatients.

The Postconcussive Syndrome Questionnaire (PCSQ; Lees-Haley, 1992) was previously found (Axelrod, Fox, Lees-Haley, Earnest, Dolezal-Wood, & Goldman, 1996) to produce four factors, named Psychological, Somatic, Cognitive, and Infrequency. These four factors of the questionnaire were evaluated across five groups of medical and psychiatric outpatients. The patients were from neurology, mental health, family practice, and internal medicine clinics as well as from a clinic that evaluated new patients to a health maintenance organization. Mental health patients had greater psychological symptoms and fewer health concerns than the other groups. Neurology patients differed from the other groups by having greater Infrequency symptoms. Patients who were referred for their screening evaluation or were seen by internal medicine had fewer overall symptoms than the other three patient groups. The data from this study provide support for the use of the PCSQ as a multifactorial self-report measure of symptom presentation.

Journal Article↗
PubMed1997

Relationship of IQ to verbal learning and memory: test and retest.

The relationship between Wechsler Adult Intelligence Scale-Revised (WAIS-R) IQ and performance on measures of memory was examined in 64 adults tested twice at a 2-week interval. Repeated measures analyses of variance revealed that individuals with Low-Average WAIS-R Full Scale IQ scores performed significantly more poorly than did individuals with Average and High-Average Full Scale IQs on memory measures including the Wechsler Memory Scale-Revised (WMS-R) General Memory and Delayed Recall indices, as well as California Verbal Learning Test (CVLT) Total Words. Learning Slope, and Discriminability. Although all three groups demonstrated significant practice effects on each memory measure, group differences in performance persisted at retest. Multiple regression analyses revealed that WAIS-R factor scores Verbal Comprehension and Freedom from Distractibility accounted for up to 42% of the variance in WMS-R and CVLT indices. Moreover, WAIS-R performance at initial testing accounted for 22-41% of the variance in memory performance at retest. These results are discussed in the context of the construct stabilities of intelligence and memory, as well as the psychometric precision of the tests used to measure these constructs.

Adult↗
PubMed1997

Gulf War veterans: a neuropsychological examination.

Eighty-two Persian Gulf War veterans seen in clinic were referred for neuropsychological evaluation. Relatedness of neuropsychological and neurological functioning to subjective complaint, exposure, a clinical signs index, and possible interference variables was examined in a subsample of 49 who completed assessment. The subsample was representative of the entire group with respect to symptom severity. Variables representing sustained attention, grip strength, motor coordination, vibratory sense, finger-tip number writing perception, executive functioning, memory functioning, and subjective complaint were considered. Neuropsychological performance appeared to be more related to emotional functioning than demographic variables or variables associated with the war. Individual differences may be contributing to different emotional reactions to illnesses, perceptions of exposure risks and cognitive functioning, and responses to stress.

Adult↗
PubMed1997

Neuropsychological findings in a sample of Operation Desert Storm veterans.

In response to ongoing complaints of memory, attention, and problem-solving difficulties among veterans of Operation Desert Storm and Shield (ODSS), a sample of 44 male veterans of ODSS underwent a comprehensive neuropsychological evaluation. Deficits relative to normative data were observed only on finger dexterity (Grooved Pegboard, bilaterally) and the Stroop Color and Word Test. Those with impaired Pegboard performance had lower performance on other tasks requiring psychomotor speed. Those with impaired Stroop had significantly lower motor and set-shifting performance. Scores of both impaired groups were higher on many clinical and supplemental scales of the MMPI. Despite subjective cognitive complaints reported in 39% of the overall sample, veterans with cognitive complaints differed from their peers primarily in greater psychological distress as depicted on the MMPI. The data are presented as preliminary clinical findings.

Adult↗
PubMed1996

Utility of a Wisconsin Card Sorting Test short form in persons with Alzheimer's and Parkinson's disease.

The utility of administering only the first deck of 64 cards from the Wisconsin Card Sorting Test (WCST-64) in persons with Alzheimer's (AD) and Parkinson's disease (PD) was evaluated. There were 35 elderly subjects matched for gender, age, and education in each of four groups: controls, PD without dementia (PDN), PD with dementia (PDD), and AD. Additionally, the control and PDN subjects were matched for level of cognitive functioning as were the PDD and AD groups. Results revealed that demented persons performed significantly worse than nondemented subjects. The WCST-64 was also sensitive to the subtle executive deficits demonstrated by persons with PD without dementia. The findings support the use of the WCST-64 in elderly persons with AD and PD.

Aged↗
PubMed1996

Discriminability of the Wisconsin Card Sorting Test using the standardization sample.

The four neurological patient groups and the normals from the Wisconsin Card Sorting Test (WCST) standardization sample were used to examine the discriminability of the WCST's indices. Results reveal consistent differentiation of normals from the patient groups on all WCST variables, with classification rates averaging 71% accuracy. However, patient groups with frontal, diffuse, and nonfrontal lesions were not consistently discriminable from each other. The results suggest that the WCST is most usefully conceptualized as a measure of executive abilities that involves the frontal lobes, but should not be considered solely as a marker of isolated frontal lobe pathology.

Adult↗
PubMed1996

WAIS-R verbal-performance IQ discrepancies in persons with lateralized lesions: utility of a seven subtest short form.

WAIS-R Verbal-Performance IQ difference scores for Ward's (1990) seven subtest short form and the complete WAIS-R were examined in patients with lateralized and diffuse lesions. For both versions, the expected Performance > Verbal pattern was observed in the right hemisphere lesion group, while no summary score differences were seen in the left hemisphere group. Verbal-Performance IQ discrepancies for the short form fell within +/- 5 points of the WAIS-R discrepancy scores in about 75%of the cases, regardless of lesion location. Statistically reliable IQ differences between the complete and abbreviated WAIS-R attained 66%, 91%, and 89% agreement for the left, right, and diffuse groups, respectively. The results support the clinical utility of the seven subtest short form.

Journal Article↗
PubMed1995

Modifiability of neuropsychological dysfunction in schizophrenia.

Schizophrenia is often characterized by compromised neuropsychological functioning, especially on tasks sensitive to frontal and temporohippocampal functions but the extent to which cognitive dysfunction can be modified in schizophrenics remains unclear. Twenty-four inpatient schizophrenics and 24 intellectually and demographically matched, inpatient mood-disordered controls were randomly assigned to one of two conditions. Subjects assigned to the cued condition received instructional cues on measures of visual and semantic memory, executive function, and constructional ability. Subjects in the standard condition performed the same neuropsychological measures without cues. The present study revealed some degree of plasticity of neurobehavioral function in schizophrenia.

Adult↗
PubMed1995

Construct validity of the WCST in normal elderly and persons with Parkinson's disease.

Separate principle component analyses of the WCST were conducted on 187 normal elderly and 181 persons with Parkinson's disease (PD). Adequate construct validity was found for "conceptualization/problem solving" and "failure to maintain set" factors in both groups. Perseverative and nonperseverative errors were related for the normal group, but not for the PD subjects. This may reflect the frontal systems deficit observed in PD. Additional principle component analyses were conducted with the WCST and measures of memory and attention. In neither the normal nor the PD group did the WCST significantly load with the memory and attention measures. This suggests that the WCST provides information about problem solving relatively independent of memory and attention functions for elderly persons.

Journal Article↗
PubMed1994

Factor structure of the negative symptom assessment.

The factor structure of the Negative Symptom Assessment (NSA), a standardized negative symptoms rating scale, was systematically evaluated in a group of 223 inpatients with schizophrenia. Confirmatory factor analyses found that a six-factor model best described the NSA. More specifically, the domains of Communication, Emotion/Affect, Social Involvement, Motivation, Gross Cognition, and Retardation characterized the rating scale. This latent structure of the NSA is consistent with a multidimensional conceptualization of negative symptoms.

Adult↗
PubMed1994

Concurrent validity of the MAE visual naming test.

Deficient confrontation naming has been observed in a number of neurological illnesses, as well as in aphasia and normal aging. The Visual Naming Test (VNT) of the Multilingual Aphasia Examination (MAE) is a standardized measure of confrontation naming. One hundred patients, consecutively referred for neuropsychological evaluation, were administered the VNT, Boston Naming Test (BNT), and WAIS-R. Concurrent validity of the two confrontation naming measures was demonstrated by their high intertest agreement. Performance on the VNT was found to be related to a unique ability separate from general intellectual functioning. Suggestions regarding the clinical use of the VNT are discussed.

Journal Article↗
PubMed1993

Training novice raters on the Negative Symptom Assessment Scale.

The Negative Symptom Assessment (NSA), a scale for rating negative symptoms of schizophrenia, has been shown to have high interrater and test-retest reliabilities as well as high concurrent validity with similar instruments. In this study, the facility of clinicians unfamiliar with the NSA to learn this scale was evaluated. After attending a 30-min training lecture, 27 experienced researchers, who had never previously used the NSA, viewed and rated a videotaped, semi-structured NSA interview of a schizophrenic patient. These ratings were compared with those of an experienced rater. Scores for most items met our criteria for learning with this level of training. These data demonstrate that high levels of agreement with experienced raters can be achieved on the NSA after brief periods of training.

Arousal↗
PubMed1993

Neuropsychological prediction of treatment efficacy and one-year outcome in schizophrenia.

The present study was conducted to establish the degree of interrelationship between neuropsychological functioning in the acute phase of the schizophrenic illness, clinical measures of treatment response (positive and negative symptoms), and 1-year outcome. Nineteen SADS/RDC schizophrenic inpatients were clinically rated during a 2-week drug washout period and again following 4 weeks of neuroleptic treatment. The findings revealed that reduced attentional ability in the baseline phase significantly predicted the presence of higher residual negative symptoms following 4 weeks of treatment, while neurocognitive status was unrelated to positive symptom response. With respect to prediction of the 1-year outcome, poor functional status of this schizophrenic population was significantly associated with the presence of baseline memory dysfunction.

Adult↗
PubMed1993

Neuropsychological sequelae of heatstroke.

Two patients were evaluated three and six years, respectively, following episodes of heatstroke. Both patients demonstrated neuropsychological deficits in novel learning, intellectual functioning, and sustained attention. Left-sided sensory and motor functioning were also deficient. Severe retrograde amnesia for all factual information prior to the heatstroke was observed in one of the patients. Personality testing revealed aspects of dissociative disorders for both individuals. The results are discussed in relation to current cognitive theories of memory. In addition, neurological and psychological etiologies of dissociative disorders are hypothesized.

Adult↗
PubMed1992

Sensitivity of the Mini-Mental State Examination to frontal lobe dysfunction in normal aging.

The present study examined the sensitivity of the Mini-Mental State Examination (MMSE) in detecting the frontal lobe dysfunction that occurs with normal aging. Eighty normal, independently living older adults in four age groupings from 50 to 89 were administered the MMSE along with three neurocognitive measures sensitive to frontal lobe functioning. Results revealed age-related cognitive decline on frontal lobe tasks that also was detected by the MMSE. These findings are noteworthy because the MMSE was intended as a measure of gross cognitive status rather than of frontal lobe functioning.

Aged↗