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

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dc.creator Ortega Marin, Jeniffer
dc.date 2019-05-23
dc.date.accessioned 2023-03-20T15:55:00Z
dc.date.available 2023-03-20T15:55:00Z
dc.identifier https://reviberopsicologia.ibero.edu.co/article/view/rip.12203
dc.identifier 10.33881/2027-1786.rip.12203
dc.identifier.uri https://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/215483
dc.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. en-US
dc.description Los falsos positivos y los falsos negativos en la evaluación neuropsicológica pueden ocurrir debido a diferentes razones y pueden tener consecuencias graves tales como la administración de un tratamiento innecesario que puede causar efectos adversos y la incapacidad de proporcionar un tratamiento oportuno a los pacientes. Por lo tanto, es importante saber qué tanto podemos confiar en el diagnóstico. Los resultados de las pruebas son insuficientes para este fin. Como punto de partida, debemos establecer hipótesis sobre la condición del paciente utilizando la información que hemos recopilado de varias fuentes. Adicionalmente, es necesario utilizar información sobre las propiedades psicométricas de las pruebas, los valores predictivos y las tasas base de los trastornos neurocognitivos y de las puntuaciones bajas. En ausencia de esta información, la interpretación de los resultados debe ser cautelosa. En este artículo se discuten varias estrategias que pueden contribuir a mejorar la precisión diagnóstica. es-ES
dc.format application/pdf
dc.language spa
dc.publisher ĬbērAM es-ES
dc.relation https://reviberopsicologia.ibero.edu.co/article/view/rip.12203/1504
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dc.source Revista Iberoamericana de Psicología; Vol. 12 Núm. 2 (2019): Neuropsicología y Neurociencia: Investigaciones en torno a las bases biológicas del comportamiento; 29-38 es-ES
dc.source 2500-6517
dc.source 2027-1786
dc.subject Hypothesis-driven assessment en-US
dc.subject sensitivity en-US
dc.subject specificity en-US
dc.subject false positives en-US
dc.subject false negatives en-US
dc.subject base rates en-US
dc.subject predictive values en-US
dc.subject biases en-US
dc.subject heuristics en-US
dc.subject Evaluación basada en hipótesis es-ES
dc.subject sensibilidad es-ES
dc.subject especificidad es-ES
dc.subject falsos positivos es-ES
dc.subject falsos negativos es-ES
dc.subject tasas base es-ES
dc.subject valores predictivos es-ES
dc.subject sesgos es-ES
dc.subject heurísticas es-ES
dc.subject Avaliação orientada por hipóteses pt-BR
dc.subject sensibilidade pt-BR
dc.subject especificidade pt-BR
dc.subject falso-positivo pt-BR
dc.subject falsos negativos pt-BR
dc.subject taxas de base pt-BR
dc.subject valores preditivos pt-BR
dc.subject vieses pt-BR
dc.subject heurística pt-BR
dc.title Neuropsychological Diagnostic Accuracy: Factors That Might Lead to a Wrong Diagnosis and How to Avoid Them en-US
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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