Bryan Freilich - Academia.edu (original) (raw)

Papers by Bryan Freilich

Research paper thumbnail of 83 WISC-V Profiles in a Pediatric Sickle Cell Disease Population

Journal of the International Neuropsychological Society, Oct 31, 2023

Research paper thumbnail of Validation of the Attention, Memory, and Frontal-Executive Abilities Screening Test (AMFAST) in children, adolescents, and young adults with complex medical conditions

Research paper thumbnail of AMFAST_Scoring_and_Instructions – Supplemental material for Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST)

Supplemental material, AMFAST_Scoring_and_Instructions for Validation of the Attention, Memory, a... more Supplemental material, AMFAST_Scoring_and_Instructions for Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST) by Bryan M. Freilich, Nicole Feirsen, Elise I. Welton, Wenzhu B. Mowrey and Tamar B. Rubinstein in Assessment

Research paper thumbnail of Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST)

Assessment, 2019

The aim of this study is to validate the Attention, Memory, and Frontal Abilities Screening Test ... more The aim of this study is to validate the Attention, Memory, and Frontal Abilities Screening Test (AMFAST), a novel, 10-minute, paper-and-pencil measure developed to identify attention, processing speed, memory, and executive functioning deficits in children and adults with various conditions characterized by frontal-subcortical dysfunction. We administered the AMFAST to 186 English-speaking healthy control participants (aged 8-88 years) without reported cognitive impairment. The AMFAST was also administered to a mixed clinical sample that included 114 English-speaking individuals (aged 8-84 years) who also received comprehensive neuropsychological testing. Results indicated that total AMFAST scores in the healthy control sample were not significantly affected by education or gender. There was, however, a significant effect of age, as the 8- to 10-year-old group scored significantly lower than other age groups. Thus, only participants 11+ years were included in further analyses. The ...

Research paper thumbnail of Do people with schizophrenia who have objective cognitive impairment identify cognitive deficits on a self report measure?

Schizophrenia Research, 2008

Individuals diagnosed with schizophrenia spectrum disorders have significant neuropsychological d... more Individuals diagnosed with schizophrenia spectrum disorders have significant neuropsychological deficits that have been linked to poor functional outcome. As more treatments are developed and implemented for cognitive impairments, it will be important to consider whether people with schizophrenia have insight into the neuropsychological symptoms of their illness. Just as insight into psychotic symptoms plays a significant role in treatment compliance, it is likely that insight into neuro-cognitive dysfunction will be associated with compliance with cognitive remediation or cognitive enhancing medications. The objective of this study was to evaluate self reported awareness of cognitive deficit in schizophrenia using the MIC-SR, a new scale, and to compare self report of cognitive deficit with actual neuropsychological performance, and with the MIC-SR performance of Healthy Controls. Patients with schizophrenia reported significantly more cognitive problems as occurring "Almost Daily" than did Healthy Controls. However, Patients were most likely to respond that a cognitive problem "Never" occurred, whereas Healthy Controls most often responded "Once a Week or Less". The Total Score on the MIC-SR did not prove useful in differentiating Healthy Controls from Patients. About one quarter of the cognitively impaired patients with schizophrenia showed no awareness of cognitive deficit on the MIC-SR. This suggests that clinicians must use self report judiciously as an indicator of actual cognitive impairment. The MIC-SR captures a range of awareness of cognitive difficulty. The data indicates that there are many patients who would benefit from psycho-education about the impact of schizophrenia on neuro-cognition.

Research paper thumbnail of Relation of the Repeatable Battery for Assessment of Neuropsychological Status to Measures of Daily Functioning in Dementia

Psychological Reports, 2007

In the present study were examined relations of scores on the Repeatable Battery for the Assessme... more In the present study were examined relations of scores on the Repeatable Battery for the Assessment of Neuropsychological Status (Randolph, 1998) with measures of daily functioning in a sample with dementia. Participants ( N = 66) with various forms of dementia were seen at a dementia diagnostic clinic. All participants were administered the battery as part of a larger battery of neuropsychological measures. The participants' functional status was assessed by their primary caregivers, who completed the Physical Self-maintenance Scale and the Instrumental Activities of Daily Living scale (Lawton & Brody, 1969) as part of a social work interview. Analysis indicated that the Repeatable Battery for Assessment of Neuropsychological Status, particularly the Attention, Visuospatial/Constructional, and Immediate Memory indices, strongly correlated with measures of daily functioning. These results were supported by multiple regression analyses showing the RBANS Attention and Immediate Me...

Research paper thumbnail of Neuropsychological Sequelae of Ethylene Glycol Intoxication: A Case Study

Applied Neuropsychology, 2007

Ingestion of Ethylene glycol (EG) can result in a clinical syndrome marked by renal, cardiopulmon... more Ingestion of Ethylene glycol (EG) can result in a clinical syndrome marked by renal, cardiopulmonary, and neurological dysfunction. We present a case study addressing EG intoxication with neurological, radiological, and neuropsychological findings several days to weeks after initial ingestion and again at follow-up six months later. In our case study, CT scans of the head on days one and two post EG ingestion were essentially normal, as was a brain MRI six months later. An MRI of the brain on day five revealed nonspecific cerebellar white matter abnormalities. Neuropsychological assessment at three to four weeks post admission indicated global cognitive impairment with particular deficits in attention, processing speed, constructional ability, language, and memory retrieval. Results at six months follow-up indicated partial improvement in overall cognitive functioning with remaining deficits in processing speed, naming, and constructional ability. These findings suggest that EG intoxication is capable of causing lasting neuropsychological sequelae despite evidence of relatively normal neuroradiologic findings.

Research paper thumbnail of The Neuropsychological Educational Approach to Cognitive Remediation (NEAR) Model: Practice Principles and Outcome Studies

American Journal of Psychiatric Rehabilitation, 2008

NEAR is an evidence based approach to cognitive remediation which was specifically developed for ... more NEAR is an evidence based approach to cognitive remediation which was specifically developed for use with psychiatric patients. NEAR emphasizes the fact that cognitive remediation is essentially a learning activity and therefore instructional techniques incorporate basic educational principles that have been shown to enhance learning. Rather than using a fixed software package, NEAR uses a variety of exercises, which are chosen based on whether they meet the criteria to both address neuropsychological deficits and be motivating and engaging. The theory behind the NEAR program, practice principles and outcome studies are reviewed.

Research paper thumbnail of 83 WISC-V Profiles in a Pediatric Sickle Cell Disease Population

Journal of the International Neuropsychological Society, Oct 31, 2023

Research paper thumbnail of Validation of the Attention, Memory, and Frontal-Executive Abilities Screening Test (AMFAST) in children, adolescents, and young adults with complex medical conditions

Research paper thumbnail of AMFAST_Scoring_and_Instructions – Supplemental material for Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST)

Supplemental material, AMFAST_Scoring_and_Instructions for Validation of the Attention, Memory, a... more Supplemental material, AMFAST_Scoring_and_Instructions for Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST) by Bryan M. Freilich, Nicole Feirsen, Elise I. Welton, Wenzhu B. Mowrey and Tamar B. Rubinstein in Assessment

Research paper thumbnail of Validation of the Attention, Memory, and Frontal Abilities Screening Test (AMFAST)

Assessment, 2019

The aim of this study is to validate the Attention, Memory, and Frontal Abilities Screening Test ... more The aim of this study is to validate the Attention, Memory, and Frontal Abilities Screening Test (AMFAST), a novel, 10-minute, paper-and-pencil measure developed to identify attention, processing speed, memory, and executive functioning deficits in children and adults with various conditions characterized by frontal-subcortical dysfunction. We administered the AMFAST to 186 English-speaking healthy control participants (aged 8-88 years) without reported cognitive impairment. The AMFAST was also administered to a mixed clinical sample that included 114 English-speaking individuals (aged 8-84 years) who also received comprehensive neuropsychological testing. Results indicated that total AMFAST scores in the healthy control sample were not significantly affected by education or gender. There was, however, a significant effect of age, as the 8- to 10-year-old group scored significantly lower than other age groups. Thus, only participants 11+ years were included in further analyses. The ...

Research paper thumbnail of Do people with schizophrenia who have objective cognitive impairment identify cognitive deficits on a self report measure?

Schizophrenia Research, 2008

Individuals diagnosed with schizophrenia spectrum disorders have significant neuropsychological d... more Individuals diagnosed with schizophrenia spectrum disorders have significant neuropsychological deficits that have been linked to poor functional outcome. As more treatments are developed and implemented for cognitive impairments, it will be important to consider whether people with schizophrenia have insight into the neuropsychological symptoms of their illness. Just as insight into psychotic symptoms plays a significant role in treatment compliance, it is likely that insight into neuro-cognitive dysfunction will be associated with compliance with cognitive remediation or cognitive enhancing medications. The objective of this study was to evaluate self reported awareness of cognitive deficit in schizophrenia using the MIC-SR, a new scale, and to compare self report of cognitive deficit with actual neuropsychological performance, and with the MIC-SR performance of Healthy Controls. Patients with schizophrenia reported significantly more cognitive problems as occurring "Almost Daily" than did Healthy Controls. However, Patients were most likely to respond that a cognitive problem "Never" occurred, whereas Healthy Controls most often responded "Once a Week or Less". The Total Score on the MIC-SR did not prove useful in differentiating Healthy Controls from Patients. About one quarter of the cognitively impaired patients with schizophrenia showed no awareness of cognitive deficit on the MIC-SR. This suggests that clinicians must use self report judiciously as an indicator of actual cognitive impairment. The MIC-SR captures a range of awareness of cognitive difficulty. The data indicates that there are many patients who would benefit from psycho-education about the impact of schizophrenia on neuro-cognition.

Research paper thumbnail of Relation of the Repeatable Battery for Assessment of Neuropsychological Status to Measures of Daily Functioning in Dementia

Psychological Reports, 2007

In the present study were examined relations of scores on the Repeatable Battery for the Assessme... more In the present study were examined relations of scores on the Repeatable Battery for the Assessment of Neuropsychological Status (Randolph, 1998) with measures of daily functioning in a sample with dementia. Participants ( N = 66) with various forms of dementia were seen at a dementia diagnostic clinic. All participants were administered the battery as part of a larger battery of neuropsychological measures. The participants' functional status was assessed by their primary caregivers, who completed the Physical Self-maintenance Scale and the Instrumental Activities of Daily Living scale (Lawton & Brody, 1969) as part of a social work interview. Analysis indicated that the Repeatable Battery for Assessment of Neuropsychological Status, particularly the Attention, Visuospatial/Constructional, and Immediate Memory indices, strongly correlated with measures of daily functioning. These results were supported by multiple regression analyses showing the RBANS Attention and Immediate Me...

Research paper thumbnail of Neuropsychological Sequelae of Ethylene Glycol Intoxication: A Case Study

Applied Neuropsychology, 2007

Ingestion of Ethylene glycol (EG) can result in a clinical syndrome marked by renal, cardiopulmon... more Ingestion of Ethylene glycol (EG) can result in a clinical syndrome marked by renal, cardiopulmonary, and neurological dysfunction. We present a case study addressing EG intoxication with neurological, radiological, and neuropsychological findings several days to weeks after initial ingestion and again at follow-up six months later. In our case study, CT scans of the head on days one and two post EG ingestion were essentially normal, as was a brain MRI six months later. An MRI of the brain on day five revealed nonspecific cerebellar white matter abnormalities. Neuropsychological assessment at three to four weeks post admission indicated global cognitive impairment with particular deficits in attention, processing speed, constructional ability, language, and memory retrieval. Results at six months follow-up indicated partial improvement in overall cognitive functioning with remaining deficits in processing speed, naming, and constructional ability. These findings suggest that EG intoxication is capable of causing lasting neuropsychological sequelae despite evidence of relatively normal neuroradiologic findings.

Research paper thumbnail of The Neuropsychological Educational Approach to Cognitive Remediation (NEAR) Model: Practice Principles and Outcome Studies

American Journal of Psychiatric Rehabilitation, 2008

NEAR is an evidence based approach to cognitive remediation which was specifically developed for ... more NEAR is an evidence based approach to cognitive remediation which was specifically developed for use with psychiatric patients. NEAR emphasizes the fact that cognitive remediation is essentially a learning activity and therefore instructional techniques incorporate basic educational principles that have been shown to enhance learning. Rather than using a fixed software package, NEAR uses a variety of exercises, which are chosen based on whether they meet the criteria to both address neuropsychological deficits and be motivating and engaging. The theory behind the NEAR program, practice principles and outcome studies are reviewed.