A statistical interpretive method for neuropsychological test data

The accurate interpretation of large numbers of neuropsychological tests within a flexible battery approach is a difficult and sometimes controversial process. We present a statistically based method of interpretation (Rohling's Interpretive Method or RIM) and evaluation of neuropsychological d...

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Bibliographic Details
Published in:Neuropsychology review 2001-09, Vol.11 (3), p.143-169
Main Authors: Miller, L S, Rohling, M L
Format: Article
Language:English
Subjects:
Alcohol
Alzheimer's disease
Bias
Data Interpretation, Statistical
Dementia
Humans
Mathematical Computing
Memory
Neuropsychological Tests - statistics & numerical data
Neuropsychology
Patients
Psychometrics
Weddings
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Summary:The accurate interpretation of large numbers of neuropsychological tests within a flexible battery approach is a difficult and sometimes controversial process. We present a statistically based method of interpretation (Rohling's Interpretive Method or RIM) and evaluation of neuropsychological data that allows for varying numbers of tests along a varying number of cognitive domains, yet remains psychometrically based. This method requires informed clinical judgment in that the level of confidence for tests, cognitive domains, and global indices are used as the backdrop for interpretive decisions. Specific procedures for use are presented in a systematic, detailed fashion to allow the interested reader to replicate the method. Two case examples are presented: a straightforward case of cerebrovascular insult and a more complicated case of mixed etiology. Examples include a variety of different neuropsychological tests commonly used in a flexible battery approach. A discussion of the practicality, ease of use, and potential limitations of this method are further presented.
ISSN:1040-7308
1573-6660
DOI:10.1023/A:1016602708066