Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them

False positives and false negatives in neuropsychological assessment can occur due to different reasons and they could have serious consequences such as the administration of an unnecessary treatment that may cause adverse effects and failure to provide timely treatment to patients. Therefore, it is...

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Main Author: Jeniffer Ortega Marin, Dra.
Format: Article
Language:English
Published: IberAm 2019-05-01
Series:Revista Iberoamericana de Psicología
Subjects:
Online Access:https://reviberopsicologia.ibero.edu.co/article/view/1551
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spelling doaj-38f69c4243594f15abbdf6d633252bef2021-05-25T19:11:03ZengIberAmRevista Iberoamericana de Psicología2027-17862500-65172019-05-01122293810.33881/2027-1786.rip.122031551Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid ThemJeniffer Ortega Marin, Dra.0Universidad Nacional de ColombiaFalse positives and false negatives in neuropsychological assessment can occur due to different reasons and they could have serious consequences such as the administration of an unnecessary treatment that may cause adverse effects and failure to provide timely treatment to patients. Therefore, it is important to know how confident we can be in the diagnosis. Tests scores are insufficient to this end. As a starting point, we need to establish hypotheses about the patient’s condition using the information we have collected from several sources. We also need to use information about the psychometric properties of the tests, predictive values and base rates of neurocognitive disorders and low scores. Whenever this information is lacking the interpretation of performance should be cautious. Several strategies are discussed that may contribute to improve diagnostic accuracy.https://reviberopsicologia.ibero.edu.co/article/view/1551hypothesis-driven assessmentsensitivityspecificityfalse positivesfalse negativesbase ratespredictive valuesbiasesheuristics
collection DOAJ
language English
format Article
sources DOAJ
author Jeniffer Ortega Marin, Dra.
spellingShingle Jeniffer Ortega Marin, Dra.
Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
Revista Iberoamericana de Psicología
hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
author_facet Jeniffer Ortega Marin, Dra.
author_sort Jeniffer Ortega Marin, Dra.
title Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_short Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_full Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_fullStr Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_full_unstemmed Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them
title_sort neuropsychological diagnostic accuracy: factors that might lead to a wrong diagnosis and how to avoid them
publisher IberAm
series Revista Iberoamericana de Psicología
issn 2027-1786
2500-6517
publishDate 2019-05-01
description False positives and false negatives in neuropsychological assessment can occur due to different reasons and they could have serious consequences such as the administration of an unnecessary treatment that may cause adverse effects and failure to provide timely treatment to patients. Therefore, it is important to know how confident we can be in the diagnosis. Tests scores are insufficient to this end. As a starting point, we need to establish hypotheses about the patient’s condition using the information we have collected from several sources. We also need to use information about the psychometric properties of the tests, predictive values and base rates of neurocognitive disorders and low scores. Whenever this information is lacking the interpretation of performance should be cautious. Several strategies are discussed that may contribute to improve diagnostic accuracy.
topic hypothesis-driven assessment
sensitivity
specificity
false positives
false negatives
base rates
predictive values
biases
heuristics
url https://reviberopsicologia.ibero.edu.co/article/view/1551
work_keys_str_mv AT jenifferortegamarindra neuropsychologicaldiagnosticaccuracyfactorsthatmightleadtoawrongdiagnosisandhowtoavoidthem
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