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Secondary Influences on Neuropsychological Test Performance (Hardcover)
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Secondary Influences on Neuropsychological Test Performance (Hardcover)
Series: National Academy of Neuropsychology: Series on Evidence-Based Practices
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It has long been appreciated among clinical neuropsychologists that
both primary and secondary factors contribute to cognitive
dysfunction in neurological patients. Primary influences are the
direct result of the extent and location of damage to the brain.
Secondary influences stem from something associated with brain
injury or disease besides the specific areas of the brain affected.
For example, a patient with a neurological disease may develop
depression, something which in turn often impacts cognitive
functioning. Other secondary factors associated with disease
besides depression can also negatively impact cognitive
functioning, including anxiety, pain, fatigue, and motor
impairments, to name a few. Despite the widespread appreciation of
the importance of such secondary factors on cognitive functioning
in clinical neuropsychology, there has never been a single source
for this information that is readily available to clinicians and
researchers. The present volume provides such a source, using an
evidence-based framework comprised of two broad sections. The first
section includes chapters that comprehensively address particular
secondary influences, independent of any particular neurological
disorder. For example, there are chapters on the impact on
cognitive functioning of depression, anxiety, fatigue, pain,
diagnosis threat, and symptom invalidity. The second section has
chapters that focus on specific neurological conditions and the
most salient secondary factors that need to be considered in these
conditions. Multiple Sclerosis, HIV, Parkinson's Disease, Traumatic
Brain Injury, Alzheimer's Disease/MCI/Stroke, and Epilepsy are all
considered. The chapters include vivid case studies that illustrate
the principles outlined in the chapters to help clinicians consider
how such principles can apply to particular patients. Chapters also
include evidence-based guidelines for clinical practice. The final
chapter highlights some areas especially in need of further
research and study that will be of particular interest and
importance to clinicians.
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