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The prediction of overall functioning with neuropsychological, intellectual, and emotional variables in neuropsychologically normal and impaired patients

Christopher Robin Milne, University of Nebraska - Lincoln

Abstract

The present study was an attempt to predict future overall functioning in an adult, mostly male, general neuropsychological referral patient sample (N = 141). Follow-up testing was conducted approximately 7 years following initial assessment. Specifically, neuropsychological (Halstead-Reitan Neuropsychological Test Battery), intellectual (Wechsler Adult Intelligence Scale) and emotional (Minnesota Multiphasic Personality Inventory) variables were employed to determine which subset of variables were most useful in differentiating between diagnosed neuropsychologically "normal" (N = 70) and neuropsychologically "impaired" (N = 71) patients who were found to be "functional" or "functionally impaired" at time of follow-up contact. Two separate analyses were utilized. First, three 2 (Functional vs. Functionally Impaired) by 2 (Normal versus Impaired) MANOVAs were performed using the foregoing predictor variable sets. It was found that emotional and intellectual but not neuropsychological variables were able to differentiate overall functioning status. In addition, neuropsychological and intellectual but not emotional variables were able to differentiate neuropsychological status. Second, two discriminant analyses were performed using a subset of neuropsychological, intellectual, and emotional variables in developing a discriminant function capable of correctly classifying patients in terms of functioning level. It was found that an improved cutoff score on the overall functioning variable resulted in a classification success rate of almost 79%. A subset of each of the predictor variable sets were instrumental in this classification of overall functioning. All three dependent variable sets (Halstead-Reitan, WAIS, and MMPI) were useful in some fashion either in the prediction of successful adaptive functioning outcomes or in the differentiation of cerebral impairment. Both limitations and application to the clinical setting were discussed in detail.

Subject Area

Psychotherapy|Personality

Recommended Citation

Milne, Christopher Robin, "The prediction of overall functioning with neuropsychological, intellectual, and emotional variables in neuropsychologically normal and impaired patients" (1988). ETD collection for University of Nebraska-Lincoln. AAI8824945.
https://digitalcommons.unl.edu/dissertations/AAI8824945

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