Clinical Neuropsychological Evaluation in Older Adults With Major Depressive Disorder.
Clinical Neuropsychological Evaluation in Older Adults With Major Depressive Disorder.
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DOI：
10.1007/s11920-021-01267-3
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发表时间：
2021-07-13
影响因子：
6.7
通讯作者：
Dotson VM
中科院分区：
文献类型：
--
作者：
McClintock SM;Minto L;Denney DA;Bailey KC;Cullum CM;Dotson VM
患有重度抑郁症的老年人特别容易受到MDD相关的不良认知影响，包括处理速度减慢，注意力下降和执行功能障碍。本综述的目的是描述的方法，以临床神经心理学评估在老年人与抑郁症。具体来说，这篇综述比较和对比神经认知筛查和临床神经心理学评估程序，并详细介绍了临床神经心理学评估的多个组成部分。研究表明，神经认知筛查对于提供对整体认知功能的急性和快速评估具有有用的目的;然而，它的敏感性和特异性有限。临床神经心理学评估过程是多方面的，包括审查可用的医疗记录，神经行为状态和诊断访谈，全面的认知和临床评估，检查包容性和多样性因素以及症状和表现有效性，以及治疗反馈。因此，评估提供了关于多种认知功能的宝贵信息，建立了大脑和行为的关系，澄清了神经精神病学诊断，并可以告知认知障碍的病因。临床神经心理学评估在老年MDD患者的综合医疗保健中发挥着独特而关键的作用。事实上，评估可以作为一个纽带，综合医疗保健提供者的信息，以最大限度地提高基于测量的护理，可以优化个性化医疗和整体健康结果。
Older adults with major depressive disorder are particularly vulnerable to MDD- associated adverse cognitive effects including slowed processing speed, decreased attention, and executive dysfunction. The purpose of this review is to describe the approach to a clinical neuropsychological evaluation in older adults with MDD. Specifically, this review compares and contrasts neurocognitive screening and clinical neuropsychological evaluation procedures, and details the multiple components of the clinical neuropsychological evaluation. Research has shown that neurocognitive screening serves a useful purpose to provide an acute and rapid assessment of global cognitive function; however, it has limited sensitivity and specificity. The clinical neuropsychological evaluation process is multifaceted and encompasses a review of available medical records, neurobehavioral status and diagnostic interview, comprehensive cognitive and clinical assessment, examination of inclusion and diversity factors as well as symptom and performance validity, and therapeutic feedback. As such, the evaluation provides invaluable information on multiple cognitive functions, establishes brain and behavior relationships, clarifies neuropsychiatric diagnoses, and can inform the etiology of cognitive impairment. Clinical neuropsychological evaluation plays a unique and critical role in integrated-healthcare for older adults with MDD. Indeed, the evaluation can serve as a nexus to synthesize information across healthcare providers in order to maximize measurement-based care that can optimize personalized medicine and overall health outcomes.
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DOI：
10.1080/01688639308402566
发表时间：
1993-03-01
影响因子：
2.2
作者：
CULLUM, CM;THOMPSON, LL;SMERNOFF, EN
通讯作者：
SMERNOFF, EN
影响因子：
3.9
作者：
Bailey, K. Chase;Soble, Jason R.;O'Rourke, Justin J. F.
通讯作者：
O'Rourke, Justin J. F.
影响因子：
2.8
作者：
Brewster GS;Peterson L;Roker R;Ellis ML;Edwards JD
通讯作者：
Edwards JD
影响因子：
3.9
作者：
Babikian, T;Boone, KB;Arnold, G
通讯作者：
Arnold, G
影响因子：
2.6
作者：
Denning, John H.
通讯作者：
Denning, John H.