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It has been our clinical observation that there is a need for a more standardized neuropsychological and psychosocial assessment for patients surviving aneurysmal subarachnoid hemorrhage.

A proposal for a standardized assessment has been developed, which is briefly outlined here. In addition, we provide forms for download that help to assess the familiar situation, return to work and observations during the assessment of patients.

The assessment comprises three parts:
  • 1) Baseline interview, including working status and important life events
  • 2) A questionnaire-based assessment for anxiety, depression, behavioural abnormalities and health-related quality of life
  • 3) A neuropsychological test battery


For the 1. part of the assessment, please find here the forms as PDF-document for download:

For the 2. part of the assessment, please find here the proposed list of questionnaires:
  • Hospital Anxiety and Depression Scale (HADS)
  • Multidimensional Assessment of Fatigue (MAF)
  • Frontal Systems Behavior Scale (FrSBe)
  • Short-form 12 (SF-12, including the Mental Component Scale (MCS) and Physical Component Scale (PCS))
  • Euro-Qol (EQ5D)


For the 3. part of the assessment, please find here the proposed list of neuropsychological tests:

Domain Test / subtest
Cognitive screening
  • Montreal cognitive assessment (MoCA)
Attention
  • Computerized Test of Attentional Performance (TAP) 2.3, using the subtests alertness; divided attention; Go/NoGo (1 out of 2); neglect (92 trials with switching letters)
  • Verbal- and visual span-forward
Executive functions
  • Color-Word Interference Test (Victoria version)
  • Verbal fluencies (semantic and phonemic)
  • Design fluency (Five-points test)
  • Cognitive flexibility (Trail Making Test (TMT) B)
  • Problem-solving (Standardized Link's Probe (SLP))
Cognitive speed
  • Trail Making Test (TMT) A
Memory
  • Verbal learning and memory (Auditiv-verbaler Lern- und Gedächtnistest (AVLGT; as adaptation of the Rey Auditory Verbal Learning Tests (RAVLT))
  • Nonverbal Memory (Rey-Osterrieth Complex Figure Test (RO-CFT) – delayed recall)
  • Verbal and visual working memory
Visual-perceptual abilities
  • Rey-Osterrieth Complex Figure Test (RO-CFT) - copy
Language
  • Token Test
  • Reading, writing, number processing and calculation (cursory examination)
Premorbid intelligence
  • Similarities
Eye-hand coordination and motor speed
  • Grooved Pegboard Test