title: Neuropsychological screening as a standard of care during discharge from psychiatric hospitalization: the preliminary psychometrics of the CNS Screen.
abstract: Cost-prohibitive factors currently prevent a warranted integration of neuropsychological screenings into routine psychiatric evaluations, as a standard of care. To overcome this challenge, the current study examined the psychometric properties of a new computerized measure-the CNS Screen. One hundred and twenty six psychiatric inpatients completed the CNS Screen, the Montreal Cognitive Assessment (MoCA), and the Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR₁₆) on the day of hospital discharge. Statistical analysis established convergent validity with a moderate correlation between the self-administered CNS Screen and the clinician-administered MoCA (r=0.64). Discriminant validity was implicated by a non-significant correlation with the QIDS-SR₁₆. Concurrent validity was supported by a moderate, negative correlation with patients' age (r=-0.62). In addition, consistent with previous findings, patients with psychotic disorders exhibited significantly poorer performance on the CNS Screen than patients with a mood disorder. Similarly, patients with a formal disability status scored significantly lower than other patients. The CNS Screen was well tolerated by all patients. With further development, this type of measure may provide a cost-effective approach to expanding neuropsychological screenings on inpatient psychiatric units.
authors: Department of Counseling and School Psychology, University of Massachusetts, Boston, MA, United States. Electronic address: boaz.levy@umb.edu.
authors: Boaz
authors: B
authors: Levy
authors: Department of Counseling and School Psychology, University of Massachusetts, Boston, MA, United States.
authors: Selda
authors: S
authors: Celen-Demirtas
authors: Department of Counseling and School Psychology, University of Massachusetts, Boston, MA, United States.
authors: Tinatin
authors: T
authors: Surguladze
authors: Department of Counseling and School Psychology, University of Massachusetts, Boston, MA, United States.
authors: Sara
authors: S
authors: Eranio
authors: McLean Hospital/Harvard Medical School, Belmont, MA, United States.
authors: James
authors: J
authors: Ellison
mesh_terms: D000328:Adult; D000368:Aged; D060825:Cognitive Dysfunction / Q000175:diagnosis*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D009483:Neuropsychological Tests / Q000592:standards*; D010351:Patient Discharge; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics / Q000295:instrumentation / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D059039:Standard of Care
keywords: Cognitive functioning; Computerized testing; Inpatients; Neuropsychological assessment; Standard of care