TY - JOUR
T1 - Following international trends while subject to past traditions
T2 - neuropsychological test use in the Nordic countries
AU - Egeland, Jens
AU - Løvstad, Marianne
AU - Norup, Anne
AU - Nybo, Taina
AU - Persson, Bengt A
AU - Rivera, Diego Fernando
AU - Schanke, Anne-Kristine
AU - Sigurdardottir, Solrun
AU - Arango-Lasprilla, Juan Carlos
PY - 2016
Y1 - 2016
N2 - OBJECTIVE: Historically, the neuropsychological test traditions of the four Nordic countries have spanned from the flexible and qualitative tradition of Luria-Christensen to the quantitative large battery approach of Halstead and Kløve-Matthews. This study reports current test use and discusses whether these traditions still influence attitudes toward test use and choice of tests.METHOD: The study is based on survey data from 702 Nordic neuropsychologists.RESULTS: The average participant used 9 tests in a standard assessment, and 25 tests overall in their practice. Test use was moderated by nationality, competence level, practice profile, and by attitude toward test selection. Participants who chose their tests flexibly used fewer tests than those adhering to the flexible battery approach, but had fewer tests from which to choose. Testing patients with psychiatric disorders was associated with using more tests. IQ, memory, attention, and executive function were the domains with the largest utilization rate, while tests of motor, visual/spatial, and language were used by few. There is a lack of academic achievement tests. Screening tests played a minor role in specialized assessments, and symptom validity tests were seldom applied on a standard basis. Most tests were of Anglo-American origin.CONCLUSIONS: New test methods are implemented rapidly in the Nordic countries, but test selection is also characterized by the dominating position of established and much researched tests. The Halstead-Reitan and Luria traditions are currently weak, but national differences in size of test batteries seem to be influenced by these longstanding traditions.
AB - OBJECTIVE: Historically, the neuropsychological test traditions of the four Nordic countries have spanned from the flexible and qualitative tradition of Luria-Christensen to the quantitative large battery approach of Halstead and Kløve-Matthews. This study reports current test use and discusses whether these traditions still influence attitudes toward test use and choice of tests.METHOD: The study is based on survey data from 702 Nordic neuropsychologists.RESULTS: The average participant used 9 tests in a standard assessment, and 25 tests overall in their practice. Test use was moderated by nationality, competence level, practice profile, and by attitude toward test selection. Participants who chose their tests flexibly used fewer tests than those adhering to the flexible battery approach, but had fewer tests from which to choose. Testing patients with psychiatric disorders was associated with using more tests. IQ, memory, attention, and executive function were the domains with the largest utilization rate, while tests of motor, visual/spatial, and language were used by few. There is a lack of academic achievement tests. Screening tests played a minor role in specialized assessments, and symptom validity tests were seldom applied on a standard basis. Most tests were of Anglo-American origin.CONCLUSIONS: New test methods are implemented rapidly in the Nordic countries, but test selection is also characterized by the dominating position of established and much researched tests. The Halstead-Reitan and Luria traditions are currently weak, but national differences in size of test batteries seem to be influenced by these longstanding traditions.
U2 - 10.1080/13854046.2016.1237675
DO - 10.1080/13854046.2016.1237675
M3 - Journal article
C2 - 27670676
SN - 1385-4046
VL - 30
SP - 1479
EP - 1500
JO - Neuropsychology, Development and Cognition. Section D: The Clinical Neuropsychologist
JF - Neuropsychology, Development and Cognition. Section D: The Clinical Neuropsychologist
IS - suppl 1
ER -