bluuebunny/crossref_metadata_2025_split huggingface dataset:
A - 53 Preliminary Psychometric Examination of Concussion Catastrophizing Scale (CCS), Self Report
Authors: Rasooly Tali , Ignacio Daniel , Vaughan Christopher , Babikian Talin , Chrisman Sara , Gioia Gerard 
Published: September 2024

Abstract

Objective
Pain catastrophizing is a maladaptive cognitive appraisal towards pain, where exaggerated negative schemas about pain are associated with greater likelihood of pain persisting (Chaves & Brown, 1987). We hypothesized that similar mechanisms might underlie the development of persistent concussion symptoms. We adapted a measure of pain catastrophizing to assess concussion symptom catastrophizing and examined its psychometric properties.

Method
Participants included 292 youth with diagnosed concussions, 57% female and mean age 14.5 years (SD 1.8) in the Care4Kids national study. First administration (T1) and second administration (T2) were about 1 and 3 months post-injury, respectively. The Pain Catastrophizing Scale (PCS) – Child version was adapted with concussion symptoms, and named the Concussion Catastrophizing Scale (CCS).

Results
At T1, the original PCS three-dimension structure (Rumination, Magnification, and Helplessness) was supported with goodness of fit statistic as follows: χ2 (51) = 144.96, p 0.57, p &lt; 0.001). Internal consistency reliability for the CCS Total score was strong (coefficient alpha =0.91). Test–retest reliability over the 2 month period was moderate (r = 0.45), moderated in part due to individual variability in recovery. At T2, significant decreases were found in the Total CCS score.

Conclusion(s)
Our results indicate preliminary support for the CCS-Child version as a measure of concussion symptoms catastrophizing in pediatric populations. Additional evidence of reliability and validity is needed prior to clinical use.
A - 54 Neuropsychological Functioning in Rare Chromosome Duplication: a Case Study
Authors: Schwartz Jenna , Harder Lana 
Published: September 2024

Abstract

Objective
The purpose of this case study is to examine the neuropsychological profile of a child who presents with a rare genetic presentation given that little is known about the significance of this genetic finding. This case study highlights the potential influence of genetic heritability, specifically chromosome duplication (Xq23 gain), and observed medical, neurological, and behavioral sequelae.

Method
This project includes the retrospective case review of a 10-year-old, left-handed African American male who was referred for neuropsychological evaluation. Medical history is significant for microcephaly, global developmental delay, dysmorphic features, short stature, feeding problems, and nocturnal enuresis. Brain-MRI initially revealed delayed myelination in the bilateral peritrigonal white matter and later showed an interhypothalamic lesion. EEG was significant for rare spike and wave in the left parietal region. Genetic testing revealed maternal inherited Xq23 gain of unclear clinical significance. He completed a neuropsychological evaluation including measures of intelligence, fine-motor skills, memory, academic achievement, and language. His mother completed standardized ratings of behavioral and adaptive functioning.

Results
The results revealed exceptionally low cognitive abilities and adaptive skills. Age equivalents for motor, language, adaptive, and academic skills were generally consistent with that of a four to five-year-old. Detailed data from the neuropsychological profile will be presented and discussed.

Conclusions
This case study demonstrates neuropsychological functioning in the context a poorly understood chromosome duplication (Xq23 gain) aiming to increase understanding of the potential cognitive phenotype and neurological manifestation of this rare presentation. This case highlights the important role of neuropsychological evaluation in clinical care and scientific exploration of rare conditions.
A - 55 Exploring the Impact of Parental Substance Use Problems and Behavior on Pre-Adolescent Cognitive Performance
Authors: Navarro Gabriella , Stinson Ashley , Shankula Chase , Lisdahl Krista 
Published: September 2024

Abstract

Objective
Adults with a parental history of substance use problems (PH+) exhibit deficits in verbal, language, visuomotor, visuospatial, and executive functioning skills. However, findings on whether PH+ affects cognition developmentally is limited. This study explored how PH+ relates to preadolescents’ cognitive performance while controlling for environmental parental factors.

Methods
We sampled 11,633 participants aged 8–11 (47.74% female) from the Adolescent Brain Cognitive Development Study at baseline. The Family History Assessment evaluated PH+ of alcohol and other drug use problems, with scores ranging from 0–2 parents with problematic use (PH-, PH + 1, PH + 2). PH+ of alcohol (PHA+) and other drugs (PHD+) were assessed separately. The neurocognitive battery included the NIH Toolbox, RAVLT, and Matrix Reasoning. Parental factors assessed included prenatal substance exposure, family conflict, parental warmth, parental monitoring, and parental mental health history. Hierarchical linear mixed-effects models analyzed relationships between PHA+, PHD+, other parental variables of interest, and cognitive outcomes while controlling for demographics.

Results
PHA+ significantly predicted inhibitory control performance, with PHA + 1 youth performing better than PHA- youth (β = 0.71, p = 0.04), above and beyond other parental behaviors. Conversely, PHD + 1 youth scored lower on immediate (β = −0.3107, p = 0.02) and delayed (β = −3.58, p = 0.01) verbal memory recall, as well as visuospatial memory (β = −1.50, p = 0.003) compared to PHD- youth. Parental factors broadly predicted performance, with parental monitoring and prenatal exposure emerging as the most consistent predictors.

Conclusion
These findings underscore the complex relationship between PH+, environmental parental factors, and cognition among preadolescents. Future work should explore mechanisms linking parental behaviors to adolescent cognition, given these modifiable factors offer potential for intervention.
A - 58 Grit and Resilience Predict Emotional Functioning in Pediatric Cancer Survivors
Authors: Carroll Bridgette , Camper Mariah , Gordon Amanda , Palka Jayme , Holland Alice Ann 
Published: September 2024

Abstract

Objective
Grit—one’s “perseverance and passion for long-term goals” (Duckworth et al., 2007)—is distinct from resilience, one’s ability to bounce back after negative events. In healthy populations, both promote emotional well-being and quality-of-life (Datu et al., 2019; Sharkey et al., 2017). Limited research has investigated how grit and resilience affect emotional functioning after pediatric cancer. We hypothesized resilience would mediate grit’s effects on emotional functioning in pediatric cancer survivors.

Methods
Our clinically referred sample of 214 pediatric cancer survivors ages 4–25 years was predominantly lower- to upper-middle class (73%) and racially diverse (Caucasian = 53%, Hispanic = 25%, Black = 12%). We administered the parent-report Behavior Assessment System for Children, Third Edition (BASC-3; variables: Resiliency, Anxiety, Depression), parent-report Short Grit Scale, and self-report BASC-3 (variables: Sense of Inadequacy, Locus of Control). Multiple regression and simple mediation analyses were conducted.

Results
Overall, the sample demonstrated average grit and resilience. Leukemia and brain tumor survivors demonstrated greater grit and resilience than survivors of other cancers. Grit predicted Anxiety (p = 0.026), Depression (p = 0.001), and Sense of Inadequacy (p ≤ 0.001). Resiliency had a significant indirect effect on grit’s prediction of Anxiety (β = −0.107, 95% CI [−0.206, −0.011]) and Depression (β = −0.192, 95% CI [−0.271, −0.117]), but not Sense of Inadequacy (β = −0.055, 95% CI [−0.200, 0.102]).

Conclusion
Higher levels of grit predicted better emotional outcomes in pediatric cancer survivors. Grit affected anxiety and depression in this sample via resiliency. Exploratory analyses regarding cancer type and age at diagnosis will be described. Findings support the need for further research on “positive neuropsychology” factors affecting neuropsychological outcomes in pediatric cancer survivors.
A - 61 Lifelong Intellectual Developmental Disorder and Autism Spectrum Disorder Diagnosed in Early Adulthood: Implications for a Patient Residing in Frontier America
Authors: Raines Jeremy M , Netson-Amore Kelli L 
Published: September 2024

Abstract

Objective
Individuals residing in frontier America often lack access to specialized medical care. Obstacles to receiving accurate diagnosis and intervention of neuropsychological conditions in childhood is common and individuals and families may have difficulty in adapting to the implications of such diagnoses later in life.

Methods
This 18-year-old Caucasian male from frontier Kansas first presented for neurological or neuropsychological workup in adulthood. History was noteworthy for premature birth, late attainment of milestones, respiratory conditions resulting in multiple instances of cardiac arrest, and facial dysmorphism. Education was attended remotely due to risk of respiratory infection. Parents reported several atypical traits, including hyperfixation on automobiles, high pain threshold, and low frustration tolerance resulting in outbursts. Patient was considered socially and academically delayed, which parents attributed to remote school attendance. No support services were in place.

Results
Neuropsychological evaluation showed FSIQ = 71 and pronounced executive dysfunction. Parental questionnaire evidenced deficits in adaptive functioning, most pronounced in self-direction and social skills. Patient and parents denied significant concerns on behavioral health questionnaire. Paraeducator endorsed concerns in atypicality, attention/learning problems, and functional communication.

Conclusions
This young man’s presentation and estimated cognitive and functional abilities are consistent with mild intellectual developmental disorder and autism spectrum disorder. On feedback, this information was distressing to parents; capabilities in some complex tasks may have masked his deficits. Although parents were resistant to findings, it is believed these labels will assist in explaining abnormal behaviors, attaining services, and facilitating genetic testing and related medical care.
A - 62 Sexual Trauma in the Autistic LGBTQ+ Community
Authors: Jordan Julia 
Published: September 2024

Abstract

Objective
Individuals with neurodevelopmental disabilities are more than twice as likely to be sexually abused than individuals without neurodevelopmental disabilities. Similarly, LGBTQ+ individuals experience greater instances of sexual assault than their heterosexual, cisgender counterparts. Using a qualitative approach, this study explored reports of sexual trauma in a sample of LGBTQ+ individuals diagnosed with autism spectrum disorder (ASD).

Method
Participants were recruited electronically, by word of mouth, and using handouts disseminated throughout the Chicagoland community. In addition to reporting a diagnosis of ASD and identifying as part of the LGBTQ+ community, participants had to be at least 18 years of age, independent of a legal guardian, and English-speaking. Sixty-four participants completed electronically-administered surveys with forced-choice and open-ended questions about their experiences of sexuality and gender identity formation. A secondary analysis was completed to identify participants who reported histories of sexual trauma.

Results
Five participants (7%) reported histories of sexual abuse. Two participants referenced learning about sex as a result of their abuse. One participant referenced their sexual abuse as a contribution to their identity formation as a queer, non-binary individual. Participants noted current personal struggles as a result of their trauma (e.g., sexual and relationship difficulties, loneliness, isolation).

Conclusions
Participant responses demonstrate the lasting, pervasive impact sexual assault has on social and emotional wellbeing. Findings from this analysis indicate a need for early educational opportunities for children regarding consent, boundaries, and sexual safety. Future research to address abuse and trauma prevention in sex education curriculum is warranted.
A - 63 Sotos Syndrome: a Case Study
Authors: Tuinstra Kaitlin , Buza Bianca , Woolner Kelsey 
Published: September 2024

Abstract

Objective
Sotos syndrome is a genetic disorder characterized by pre and postnatal overgrowth and a non-progressive neurological disorder frequently accompanied by intellectual disability. The estimated prevalence is 1:14,000 live births; however, misdiagnosis is common due to features being attributable to other conditions. This case study highlights the broad range of symptom presentation in individuals with Sotos syndrome and adds to the limited available literature on this rare condition.

Method
The patient is a 26-year-old female with no prior neuropsychological testing presenting with concerns for cognitive functioning, regression of skills, and emotional/behavioral dysregulation. Concerns were raised for an underlying autism spectrum disorder. She presents with large stature, prominent facial configuration, and hypotonia. Developmental history was significant for delayed motor and language milestones. She has a history of absence seizures in childhood and was evaluated by neurology and medical genetics and diagnosed with Sotos syndrome.

Results
The patient’s overall intellectual functioning was in the exceptionally low range with a personal strength in verbal skills. Her neurocognitive results and low adaptive skills are indicative of a moderate intellectual disability. The patient’s developmental history, social difficulties, restrictive interests, and repetitive behaviors met criteria for autism spectrum disorder. Another notable finding was frequent starring spells in which she became unresponsive for approximately 15 seconds.

Conclusion
Delayed motor and language milestones, hypotonia, behavioral problems, and intellectual disability are common in individuals with Sotos syndrome and were present in the patient. Seizures and scoliosis are less common in individuals diagnosed, for which she was referred to a neurologist for further work-up.
A - 64 Neuropsychological Assessment of Autism Spectrum Disorder
Authors: Sloan-Pena Gesenia , Shakes-Malone Latoya , Kelderman Claire , Flagg Asia , Ciapa Adriana , Chavez Maria Alejandra , Vogan Olivia 
Published: September 2024

Abstract

Objective
Now more than ever, the neuropsychologist is frequently called upon to assess and diagnosis Autism Spectrum Disorder (ASD). Neuropsychological assessment provides a comprehensive and objective analysis of a child suspected of having ASD. To ensure accurate and early diagnosis of young children, this review will inform on the essential domains to include in the evaluation of ASD, highlight the cognitive profile of individuals with ASD, and address gender differences to consider as part of the diagnosis.

Data Selection
The following selection criteria were utilized: -articles published in peer-reviewed journals during the previous 10 years focusing on neuropsychological evaluations of ASD -employed a variety of assessment tools and methodologies - reporting on validity and reliability of specific measures to include in the evaluation of ASD in children.

Data Synthesis
It is essential to evaluate intelligence, attention, executive functioning, social communication, and fine motor skills as part of a comprehensive neuropsychological evaluation. Intelligence tests can sometimes underestimate the IQ of individuals with ASD. The uneven cognitive development in children with ASD makes accurate diagnosis even more challenging. Sex related cognitive profiles should be considered to assist in the accurate diagnosis of girls with ASD.

Conclusions
Early and accurate identification of ASD in children is essential for improved outcomes. Schools, physicians, insurance agencies, and other stakeholders rely on the results of the neuropsychological evaluation to authorize essential interventions. Therefore, it is imperative to employ the most recent research related to the assessment of ASD, with an emphasis on increasing the identification of girls.
A - 65 Neuropsychological Testing to Increase Early and Accurate Identification of Autism Spectrum Disorder in Black and Brown Children
Authors: Sloan-Pena Gesenia , Shakes-Malone Latoya , Flagg Asia , Adams Lauren 
Published: September 2024

Abstract

Objectives
Neuropsychological evaluations provide information that can potentially minimize the risk of poor outcomes and enhance the quality of life for children with Autism Spectrum Disorder (ASD). Black and Brown children have higher incidences of misdiagnosis and are also diagnosed later than their White peers. There is support for the efficacy of neuropsychological evaluation compared to routine care in the diagnosis of ASD. This study analyzes neuropsychological assessment practices and diagnosis trends by race, ethnicity, and gender, incorporating teacher and parent perceptions through behavioral rating scales.

Data Selection
The following selection criteria were utilized: -articles published in peer-reviewed journals focusing on neuropsychological evaluations of ASD among black and brown children-employed a variety of assessment tools and methodologies - reporting on cultural considerations, validity, and reliability of neuropsychological assessments in children of color.

Data Synthesis
Gender, ethnic, and racial differences in the timing and rate of diagnosis have delayed the onset of crucial treatment. Additionally, there are linguistic variables and differences in how parents and teachers endorse symptoms of ASD by race and ethnicity on rating scales included in comprehensive neuropsychological evaluations that can impact the assessment.

Conclusions
Early intervention is associated with improved outcomes for individuals diagnosed with ASD. However, there is a significant imbalance between the growing numbers of ethnic/racial and linguistic minority children in the United States who require neuropsychological services and the limited number of neuropsychologists trained to handle the cultural complexities. Accurate, culturally informed neuropsychological assessments are needed to ensure equitable behavioral health services are provided to this vulnerable population.
A - 67 A Critical Analysis of EEG Neurofeedback Training Efficacy in Historically Disadvantaged Communities
Authors: Hutcherson Milo , Kleinfelter Brittney , Biship Laura 
Published: September 2024

Abstract

Objective
Electroencephalogram neurofeedback training (EEG-NFT) is gaining popularity as a way of supporting emotional regulation following traumatic brain injury (TBI; Dehghani et al., 2023; Bezmaternykh et al., 2021; Rajeswaran and Bennett, 2019), as well as mental disorders defined in the DSM-5-TR (American Psychiatric Association [APA], 2022; Deiber et al., 2021; Micoulaud-Franchi et al., 2021; Neurofeedback Collaborative Group, 2023). EEG-NFT can extend well beyond TBIs and mental health disorders, especially in marginalized individuals facing ongoing trauma due to discrimination, hate crimes, and chronic stress as a result of frequent micro- and macroaggressions (Choi et al., 2022; Majeno et al., 2021; Moody and Lewis, 2019). One area not explored is the efficacy of EEG-NFT for individuals who have experienced racial or gender discrimination, especially if they are receiving training while continuing to experience microaggressions during the course of treatment. The authors commenced a review to determine (1) how often demographic data is shared in EEG-NFT research, (2) how frequently individuals who experience stigma enroll in neurofeedback, and (3) the efficacy of EEG-NFT specifically on marginalized individuals.

Method
Literature Review.

Results
Current literature reveals a deficiency in research amongst marginalized populations.

Conclusions
EEG-NFT shows promising results in emotional regulation for various mental disorders and TBIs, but there remains a significant gap in understanding its effectiveness for marginalized populations. The authors are moving forward with a detailed study, starting with an IRB proposal at Antioch University New England, to explore the efficacy of EEG-NFT in these underrepresented groups and plan to present preliminary results later this year.
A - 69 The Use of Neuropsychological Assessments in the Diagnosis of ADHD among Racial and Ethnic Minorities in the US
Authors: Malone LaToya Shakes , Sloan-Pena Gesenia , Rader Katana , Flagg Asia 
Published: September 2024

Abstract

Objectives
Neuropsychological evaluations provide information that can potentially minimize the risk of poor outcomes and enhance the quality of life for children with attention deficit hyperactivity disorder (ADHD). Black and Brown students have higher incidences of misdiagnosis of Oppositional Defiant Disorder (ODD) and being funneled into Emotional and behavioral disorders (EBD) classrooms. There is support for the incremental efficacy of neuropsychological evaluation compared to routine care in the diagnosis and management of ADHD. This study analyzes neuropsychological assessment practices and diagnosis trends by race, ethnicity, and gender, incorporating teacher and parent perceptions through behavioral rating scales.

Data Selection
The following selection criteria were utilized: -published in peer-reviewed journals focusing on neuropsychological evaluations for ADHD among black and brown clients -employed a variety of assessment tools and methodologies - reporting on cultural considerations, validity, and reliability of neuropsychological assessments in black and brown populations.

Data Synthesis
Gender and racial differences in the timing and rate of diagnosis have delayed the onset of treatment. Additionally, there has been a difference in how parents and teachers endorse symptoms of ADHD by race on rating scales included in comprehensive neuropsychological evaluations.

Conclusions
Early intervention is associated with improved outcomes for individuals diagnosed with ADHD. However, there is a significant imbalance between the growing numbers of ethnic/racial and linguistic minority children in the United States who need neuropsychological services and the limited number of neuropsychologists trained to handle the cultural complexities. Accurate, culturally informed neuropsychological assessments are needed to ensure equitable behavioral health services are provided.