The Neuropsychological Assessment of Culturally and Linguistically Diverse Epilepsy Patients

Bender, H. Allison

doi:10.1007/978-0-387-92826-5_15

Cited by 4 publications

(6 citation statements)

References 105 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Naming deficits are commonly reported in patients with TLE 52 ; however, rates of impairment with the BNT are thought to be inflated due to limitations of the test that have been globally recognized and that we highlight in McDonald et al 20 including outdated stimuli, skewed distribution, and overestimation of impairment in non‐native English speakers. Despite Pontón et al's 35 important attempts to ensure cultural relevance and appropriateness of the original BNT in Spanish‐speaking populations, in cultures with languages comprised of regional dialects (e.g., Spanish in Hispanics), it is highly unlikely to capture all existing correct synonymous options for a test item in confrontation naming tests like the BNT 27 . Thus, it is possible that dialectical differences among our sample also contribute to the high impairment rates on the P‐S BNT.…”

Section: Discussionmentioning

confidence: 99%

“…Despite Pontón et al's 35 important attempts to ensure cultural relevance and appropriateness of the original BNT in Spanish-speaking populations, in cultures with languages comprised of regional dialects (e.g., Spanish in Hispanics), it is highly unlikely to capture all existing correct synonymous options for a test item in confrontation naming tests like the BNT. 27 Thus, it is possible that dialectical differences among our sample also contribute to the high impairment rates on the P-S BNT. As efforts to apply the IC-CoDE to linguistically diverse samples continue, it is important to take into account the limitation of naming tests and their impact on phenotype classification and to consider other naming tests that have been shown to be more culturally sensitive, such as the Multilingual Naming Test.…”

Section: Patterns Of Impairmentmentioning

confidence: 95%

“…Furthermore, Hispanic/Latinx individuals are impacted by disparities in access to care, epilepsy treatments, and epilepsy outcomes 7,24,25 . Disparities in access to neuropsychological services are further exacerbated by the dearth of neuropsychological resources (e.g., culturally adapted tests, appropriate norms) available for evaluating Spanish‐speaking patients 26,27 and the lack of validated diagnostic frameworks 28 . In epilepsy specifically, Spanish‐speaking populations have been underrepresented in all areas of research, with only a few studies examining the clinical utility of neuropsychological tests in this population 29–32 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Establishing the cross‐cultural applicability of a harmonized approach to cognitive diagnostics in epilepsy: Initial results of the International Classification of Cognitive Disorders in Epilepsy in a Spanish‐speaking sample

et al. 2023

View full text Add to dashboard Cite

Objective This study was undertaken to evaluate the cross‐cultural application of the International Classification of Cognitive Disorders in Epilepsy (IC‐CoDE) to a cohort of Spanish‐speaking patients with temporal lobe epilepsy (TLE) living in the United States. Methods Eighty‐four Spanish‐speaking patients with TLE completed neuropsychological measures of memory, language, executive function, visuospatial functioning, and attention/processing speed as part of the Neuropsychological Screening Battery for Hispanics. The contribution of demographic and clinical variables to cognitive performance was evaluated. A sensitivity analysis was conducted by examining the base rates of impairment across several impairment thresholds. The IC‐CoDE taxonomy was then applied, and the base rate of cognitive phenotypes for each cutoff was calculated. The distribution of phenotypes was compared to the published IC‐CoDE taxonomy data, which utilized a large, multicenter cohort of English‐speaking patients with TLE. Results Across the different impairment cutoffs, memory was the most impaired cognitive domain, with impairments in list learning ranging from 50% to 78%. Application of the IC‐CoDE taxonomy utilizing a −1.5‐SD cutoff revealed an intact cognitive profile in 47.6% of patients, single‐domain impairment in 23.8% of patients, bidomain impairment in 14.3% of patients, and generalized impairment in 14.3% of the sample. This distribution was comparable to the phenotype distribution observed in the IC‐CoDE validation sample. Significance We demonstrate a similar pattern and distribution of cognitive phenotypes in a Spanish‐speaking epilepsy cohort compared to an English‐speaking sample. This suggests stability in the underlying phenotypes associated with TLE and applicability of the IC‐CoDE for guiding cognitive diagnostics in epilepsy research that can be applied to culturally and linguistically diverse samples.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Patterns Of Impairmentmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Establishing the cross‐cultural applicability of a harmonized approach to cognitive diagnostics in epilepsy: Initial results of the International Classification of Cognitive Disorders in Epilepsy in a Spanish‐speaking sample

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Language selection depended on the availability of standardized neuropsychological tools in the language most frequently used by the patient at the moment of surgery. Such an approach should be encouraged as it prevents misinterpretation deriving from patients' unbalanced proficiency or mastery of one language over the others, which may in turn reduce compliance with the evaluation setting, produce inaccurate comprehension of task requirements and, consequently, induce unreliable performances in neuropsychological tests (Rosselli et al, 2002;Gasquoine et al, 2007;Bender, 2015). Obviously, when the linguistic competence of the neuropsychologist is not sufficient to conduct the evaluation in the selected language, the support of (psycho)linguists and interpreters is needed.…”

Section: Discussionmentioning

confidence: 99%

Language Assessment in Multilingualism and Awake Neurosurgery

Martino

Talacchi

Capasso³

et al. 2021

Front. Hum. Neurosci.

View full text Add to dashboard Cite

Multilingualism has become a worldwide phenomenon that poses critical issues about the language assessment in patients undergoing awake neurosurgery in eloquent brain areas. The accuracy and sensitivity of multilingual perioperative language assessment procedures is crucial for a number of reasons: they should be appropriate to detect deficits in each of the languages spoken by the patient; they should be suitable to identify language-specific cortical regions; they should ensure that each of the languages of a multilingual patient is tested at an adequate and comparable level of difficulty. In clinical practice, a patient-tailored approach is generally preferred. This is a necessary compromise since it is impossible to predict all the possible language combinations spoken by individuals and thus the availability of standardized testing batteries is a potentially unattainable goal. On the other hand, this leads to high inconsistency in how different neurosurgical teams manage the linguistic features that determine similarity or distance between the languages spoken by the patient and that may constrain the neuroanatomical substrate of each language. The manuscript reviews the perioperative language assessment methodologies adopted in awake surgery studies on multilingual patients with brain tumor published from 1991 to 2021 and addresses the following issues: (1) The language selected for the general neuropsychological assessment of the patient. (2) The procedures adopted to assess the dimensions that may constrain language organization in multilingual speakers: age and type of acquisition, exposure, proficiency, and use of the different languages. (3) The type of preoperative language assessment used for all the languages spoken by the patient. (4) The linguistic tasks selected in the intraoperative setting. The reviewed data show a great heterogeneity in the perioperative clinical workup with multilingual patients. The only exception is the task used during language mapping, as the picture naming task is highly preferred. The review highlights that an objective and accurate description of both the linguistic profile of multilingual patients and the specific properties of the languages under scrutiny can profitably support clinical management and decision making in multilingual awake neurosurgery settings.

show abstract

“…The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS; Randolph, 1998) consists of 12 subtests that evaluate attention, language, visuospatial skills, and episodic memory. As noted by Bender (2015), the Spanish version provided by the test publisher underwent translation and back-translation, with an equivalence study conducted with a sample of Spanish speakers. However, comprehensive normative data for that version are not yet available.…”

Section: Neuropsychological Test Batteries and Norms For Older Spanis...mentioning

confidence: 99%

Neuropsychological assessment of Spanish-speaking older adults.

Pedraza¹

2018

APA Handbook of Dementia.

View full text Add to dashboard Cite

Approximately 450 million people worldwide speak Spanish as their native language-the second most common language behind Mandarin Chinese and marginally ahead of English (Lewis, Simons, & Fennig, 2015;Moreno Fernandez & Otero Roth, 2007). An additional 100 million people speak Spanish as their second or foreign language, and demographic trends indicate that the percentage of the world population who speak Spanish is increasing at a faster rate than any other major language (Instituto Cervantes, 2016). In the United States, approximately 38 million people age 5 and older speak Spanish, including 4 million adults older than age 60 (U.S. Census Bureau, 2013). In the next few decades, the percentage of the U.S. population age 65 and older is expected to grow from 15% to 24%, and by 2050 it is projected that Hispanics will constitute almost one-fifth of older adults (U.S. Census Bureau, 2014Bureau, , 2015. As this population expands, psychologists will face an ever-growing demand for professional services delivered in Spanish (Casas et al., 2012;Strutt, Burton, Resendiz, & Peery, 2016). U.S. national data on the language skills of mental health providers are lacking, but available practitioner surveys have shown that the proportion of psychologists who identify themselves as Hispanic is approximately 3% (American Psychological Association, 2010;Elbulok-Charcape, Rabin, Spadaccini, & Barr, 2014; U.S. Department of Health and Human Services, 2001). Because ethnicity is an imperfect proxy for language proficiency, this figure likely overestimates the number of Hispanic psychologists who are fluent in Spanish. Consequently, the discrepancy between projected immigration and demographic trends and the availability of providers who are fluent in Spanish suggests that psychologists are increasingly likely to evaluate Spanishspeaking adults through the use of interpreters and bilingual psychometrists (Casas et al., 2012;Searight & Searight, 2009).The neuropsychological assessment of Spanish speakers encompasses a complex array of historical, cultural, and psychometric considerations. A single chapter will not suffice to do justice to the topics involved. However, comprehensive treatments are readily available (e.g.,

show abstract

The Neuropsychological Assessment of Culturally and Linguistically Diverse Epilepsy Patients

Cited by 4 publications

References 105 publications

Establishing the cross‐cultural applicability of a harmonized approach to cognitive diagnostics in epilepsy: Initial results of the International Classification of Cognitive Disorders in Epilepsy in a Spanish‐speaking sample

Establishing the cross‐cultural applicability of a harmonized approach to cognitive diagnostics in epilepsy: Initial results of the International Classification of Cognitive Disorders in Epilepsy in a Spanish‐speaking sample

Language Assessment in Multilingualism and Awake Neurosurgery

Neuropsychological assessment of Spanish-speaking older adults.

Contact Info

Product

Resources

About