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Confounding Effects of Pain, Psychoemotional Problems or Psychiatric Disorder, Premorbid Ability Structure, and Motivational or Other Factors on Neuropsychological Test Performance

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Psychological Knowledge in Court

6. Conclusion

Whereas neuropsychological techniques may provide sensitive and standardized measures of multiple cognitive or other functions, interpretation may be confounded by the effects of pain, psychoemotional distress or psychiatric disorder, sleep disturbance, premorbid ability structure, motivational lapses or conscious dissimulation, or other factors. Such confounding factors are common in many patient populations such as persistent PCS. Most studies have focused on one or another of these factors, although it is likely that a combination is operative in most cases. It is expected that there will be continued progress addressing these issues with further clarification of the sensitivity and specificity of neuropsychological techniques.

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  1. Toronto Western Hospital, Toronto, ON, Canada, M5T 2S8

    Keith Nicholson Ph.D.

  2. Pinnacle Rehabilitation and Tree of Life, Concussion Care Centre of Virginia, Glen Allen, VA, 23060, USA

    Michael F. Martelli Ph.D.

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  2. Michael F. Martelli Ph.D.
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Editors and Affiliations

  1. Department of Psychology, Glendon College, York University, Toronto, ON, M4N 3M6, Canada

    Gerald Young

  2. Comprehensive Pain Program, Toronto Western Hospital, Toronto, ON, M5T 2S8, Canada

    Keith Nicholson

  3. Andrew W. Kane & Associates, S.C., Milwaukee, WI, 53211-3439, USA

    Andrew W. Kane

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© 2006 Springer Science+Business Media, Inc.

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Nicholson, K., Martelli, M.F. (2006). Confounding Effects of Pain, Psychoemotional Problems or Psychiatric Disorder, Premorbid Ability Structure, and Motivational or Other Factors on Neuropsychological Test Performance. In: Young, G., Nicholson, K., Kane, A.W. (eds) Psychological Knowledge in Court. Springer, Boston, MA. https://doi.org/10.1007/0-387-25610-5_18

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