Brian Mainland

Burlington Psychological and Counselling Services

Methods: The present study examined nursing care burden related to 55 institutionalized dementia patients using the Modified Nursing Care Assessment Scale (M-NCAS). Cognition was assessed with the Severe Impairment Battery (SIB), activities of daily living (ADLs) were measured with the Alzheimer's Disease Functional Assessment of Change Scale (ADF...

The clock drawing test (CDT) has long been recognized as a useful component for the screening of cognitive disorders. It provides a user-friendly visual representation of cognitive functioning that is simple and rapidly administered, making it appealing to clinicians and patients alike. The ease of use and wide range of cognitive abilities required...

Objective: Cognitive fluctuations (CFs) occur commonly in dementia of all types. While it is generally accepted that CFs can affect the clinical rating of dementia severity and neuropsychological performance, little is known about their impact on patients' activities of daily living (ADLs) and quality of life (QOL). Our study aims to explore the i...

Objective: To examine the nature and frequency of cognitive fluctuations (CFs) among institutionalized persons with dementia. Method: A clinical interview and a medical chart review were conducted, and 55 patients were assigned a specific dementia diagnosis. The Severe Impairment Battery (SIB) was administered to assess cognitive function, and t...

Identification of individuals who will eventually develop dementia is critical for early intervention, treatment, and care planning. The clock drawing test (CDT) is a widely used cognitive screening tool that has been well accepted among clinicians and patients for its ease of use and short administration time. This review explores the value of the...

The development of anxiety disorders following a traumatic brain injury is a strong predictor of social, personal, and work dysfunction; nevertheless, the emergence of anxiety has been largely unexplored and poorly understood in the context of TBI. This paper provides an overview of the limited published research to date on anxiety disorders that a...

The examination of test effort is an integral part of neuropsychological evaluation, as the validity of assessment findings is compromised if a patient fails to put forth an effortful performance. The Test of Memory Malingering (TOMM), a forced-choice technique for the detection of poor effort, is widely utilized and has been shown to be sensitive...

Objective The clock drawing test (CDT) is a widely used cognitive screening tool that has been well accepted among clinicians and patients for its ease of use and short administration time. Although there is ample interest in the CDT as a screening instrument, there remains a range of CDT administration and scoring systems with no consensus on whic...

The lucid interval is a long-held legal concept widely accepted in case law as a possible means of countering a challenge to testamentary and related capacities. In parallel, the clinical phenomenon of cognitive fluctuations has been considered a common element of several neurodegenerative disorders (dementias), including Alzheimer Disease, but is...

Introduction: Empirical research has converged to support the concurrent association between social difficulties and psychiatric symptoms; yet, longitudinal associations between interpersonal problems and treatment outcome requires clarification. The current evaluation evaluated the influence of interpersonal problems assessed prior to treatment on...

The Clock Drawing Test (CDT) has long been recognized as a useful component for the screening of cognitive disorders. It provides a user-friendly visual representation of cognitive functioning that is simple and rapidly administered, making it appealing to clinicians and patients alike. The ease of use and wide range of cognitive abilities required...