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Treatment for Stimulant Use Disorders
Treatment Improvement Protocol (TIP) Series 33

Appendix C --Screening Tests for Cognitive Impairments

The following list provides a number of tests that can be used to screen for cognitive impairments in stimulant users. The first two can generally be administered by counselors who are culturally competent for their client population. The other six tests should be administered and interpreted by a psychological testing specialist.

These tests can be administered quickly and easily and are used extensively in batteries created by neuro- and cognitive psychologists. Although the tests are very sensitive in revealing the existence of cognitive problems, particularly when several of the tests are administered in combination, they do not provide information on the exact nature or depth of the impairment. Positive screens should be referred to an appropriate collaborator (e.g., a neuropsychologist) for more extensive assessments.

Cognistat (Neurobehavioral Cognitive Status Examination)

This test is designed to assess intellectual functioning in five areas in adults 18 years of age and older. Administration of the test takes about 10 minutes for cognitively intact individuals and from 20 to 30 minutes for those who are cognitively impaired. Cognistat is available from:

Psychological Assessment Resources, Inc.
P.O. Box 998
Odessa, FL 33556
1-800-331-TEST

Brief Neuropsychological Cognitive Examination (BNCE)

This test is designed to evaluate the cognitive status of clients with psychiatric disorders or psychiatric manifestations of neurological disease. The reading level required for the test is minimal, and it is recommended for assessing mood disorders and substance use disorders. Both adolescents and adults can be tested in about 30 minutes. The BNCE is available from:

Western Psychological Services
12031 Wilshire Boulevard
Los Angeles, CA 90025-1251
1-800-648-8857

Backward Digital Span

This test is simply saying numbers at the rate of one per second and asking the client to repeat them backwards. For example, you might say "3, 8, 6" and would expect a response of "6, 8, 3." The examiner starts with three digits and goes up to nine digits. Three different number strings are presented at each level. If the client misses all three at a particular level, then the test is stopped. This test takes about 5 minutes to administer. It is a test of working memory capacity.

FAS Test of Verbal Fluency

The client is asked to say as many words (excluding proper names) that start with the letter F as she can in 1 minute. This is then repeated with the letter A, and again with the letter S.

Digit Symbol Subtest of the WAIS-R

This test taps the same thing as the Symbol Digit Modalities Test (i.e., the ability to manipulate simple information and pay attention). It is part of the revised Wechsler Adult Intelligence Scale (WAIS-R) and can be obtained from:

The Psychological Corporation
Harcourt Brace & Co.
15 East 26th Street
15th Floor
New York, NY 10010-1505
1-800-211-8378

Trail Making Test, Parts A and B

This test is very sensitive to brain function, is essentially connecting the dots, and takes about 5 minutes for both parts. The citation for the test is as follows:

Reitan, R.M. Validity of the trail making test as an indication of organic brain damage. Perceptual and Motor Skills 8:271-276, 1958.

Stroop Color Word Interference Test

Many versions of this test exist. It taps selective attention and the ability to ignore irrelevant information. A version can be obtained from either of the testing companies listed above.

Shipley-Hartford Tests of Vocabulary And Abstract Thinking

This is a short-form IQ test that takes a maximum of 20 minutes to administer. It is old but still widely used--particularly in the aging literature. The citation for the test is as follows:

Shipley, W.C. A self-administering scale for measuring intellectual impairment and deterioration. Journal of Psychology 9:371-377, 1940.

Repeated Memory Test (RMT)

The RMT, which was developed by Sara L. Simon, Ph.D., has five different versions, each equivalent in word frequency and length. Because the test is so simple, giving it multiple times does not seem to involve a learning curve. Each test consists of 25 words each printed 3/4 inches high on a 3-inch x 5-inch card.

The client is first told that she will be shown some words and that she will be asked to remember them. Then the words are presented to the subject, one at a time for 1 second each. When the client has seen all of the cards, there is an approximately 10-minute interval filled with distracter tasks. During this interval, other tests--such as the Digit Symbol, Trail Making A, and Trail Making B tests--may be administered.

The client is then given the recall test and told to write down any words that she remembers. The client is allowed as much time as she needs to complete the test. However, if 2 minutes have gone by without the client responding, suggest that she stop because no one remembers them all.

Next the client is given the recognition test and asked to circle the words that she remembers being shown.

A copy of the test follows, but for further information on the RMT, contact

Sara L. Simon, Ph.D.
Los Angeles Addiction Treatment Consortium
1001 W. Carson St., Suite U.
Torrance, CA 90502
310-224-4670
310-782-9140 (fax)

Scoring:

The recall test has two measures.

  1. Number correct
  2. Number of false positives (items remembered but not shown)

The recognition test has two measures.

  1. Number correct
  2. Number of false positives (items remembered but not shown)

A large number of false positives suggests that the patient was guessing and probably is having memory problems.

Test 1 Words

SAWSALTSHAKER
OWLANCHOR
TIEMONKEY
CAPCANNON
KITESWEATER
NAILBICYCLE
PLUGOSTRICH
DEERTHIMBLE
CHAIRAIRPLANE
TRAINCIGARETTE
STOVEWATERMELON
CIGARGARBAGE CAN
GLOVE

Recognition Test 1

Circle any items that were shown to you today during the testing session.
BASEBALL BATFOOTBALLOSTRICH
CLOWNMITTENSALTSHAKER
DESKBICYCLERUG
BROOMWATERMELONCHICKEN
CHAIROWLROOSTER
BUSDEERGLOVE
TRAINPIPEANCHOR
WINDOWSWEATERGRAPES
SAWBELTSTOVE
ENVELOPENAILIRON
KITECANNONMONKEY
THIMBLEGARBAGE CANCIGAR
TREEGRASSHOPPERAIRPLANE
MOONKANGAROOTIE
LEGBREADCIGARETTE
PLUGCOATCAP
CLOCKMUSHROOMCOW

Test 2 Words

RINGCHURCH
ANTBEETLE
CATBLOUSE
POTWRENCH
CARROTPEPPER
CORNGORILLA
STARPEACOCK
LIONUMBRELLA
LAMPSUITCASE
BEARACCORDION
PEACHTENNIS RACKET
COUCHCLOTHESPIN
CHAIN

Recognition Test 2

Circle any items that were shown to you today during the testing session.
ACCORDIONPEACHTOOTHBRUSH
BEETLEPEPPERCARROT
JACKETEAGLELETTUCE
HANGERCAMELBEAR
RACCOONWRENCHPLIERS
ROLLING PINPOTRABBIT
TENNIS RACKETFENCECHAIN
GORILLAARMPEACOCK
UMBRELLASKIRTSAILBOAT
MOTORCYCLECARLAMP
CUPANTGIRAFFE
SWINGSUITCASETELEPHONE
FOOTLIONFOX
CORNCLOTHESPINBLOUSE
CATLEAFCHURCH
STARSOCKRING
DRESSERCONCHSHOE

Test 3 Words

TOPWATCH
PIGPENCIL
EARBARREL
LIPSBASKET
REFRIGERATORDONKEY
FISHTRUMPET
PAINTBRUSHPENGUIN
SHOECHISEL
SWANSCISSORS
HORSESNOWMAN
RULERALLIGATOR
CROWNARTICHOKE
ONION

Recognition Test 3

Circle any items that were shown to you today during the testing session.
DOORKNOBREFRIGERATORALLIGATOR
TOMATOBARNARTICHOKE
WATCHCELERYHELICOPTER
CHISELPANTSPENGUIN
POTATOTRUMPETTABLE
KETTLESHEEPSCISSORS
ASPARAGUSPENCILSNOWMAN
FINGERHORSEWINDMILL
SLEDHATSHOE
CROWNLOBSTERBARREL
SWANWINEGLASSDONKEY
POCKETBOOKNUTBASKET
BALLRULERDOG
KEYFORKPAINTBRUSH
DOLLPEANUTLIPS
PIGEARONION
TOPFISHBOAT

Test 4 Words

BEDPIANO
TOEBOTTLE
COWGUITAR
BOOKSPIDER
GOATLEOPARD
WHEELPITCHER
BELLBALLOON
FLAGSEA HORSE
DRESSRHINOCEROS
STOOLBUTTERFLY
SNAILLIGHT SWITCH
MOUSETOASTER
THUMB

Recognition Test 4

Circle any items that were shown to you today during the testing session.
PITCHERLIGHT SWITCHTOE
BUTTERFLYVIOLINGUITAR
LADDERASHTRAYCAKE
PUMPKINSNAILBOWL
SCREWDRIVERSEA HORSECANDLE
APPLEBOOKHAMMER
BOTTLEIRONING BOARDTHUMB
TOASTERDRESSROLLERSKATE
BANANAFLAGAXE
SPOONLIGHTBULBBALLOON
LEOPARDKNIFEPIANO
SPIDERHEARTRHINOCEROS
HAIRMOUSEBIRD
WHEELBOWTIGER
STOOLSHIRTBED
SUNBELLGOAT

Test 5 Words

EYEWAGON
BEECOMB
FLYCHERRY
GUNORANGE
HARPFLOWER
DUCKWHISTLE
LOCKFRYING PAN
LEMONSANDWICH
BRUSHNECKLACE
BUTTONPINEAPPLE
ARROWTELEVISION
SCREWCATERPILLAR
GLASS

REcognition Test 5

Circle any items that were shown to you today during the testing session.
COMBNAIL FILEPINEAPPLE
ORANGEEYETURTLE
SANDWICHMOUNTAINWHISTLE
FROGWAGONSCREW
TELEVISIONHARPBOOT
GLASSPENTRAFFIC LIGHT
CHERRYCATERPILLARGLASSES
FLOWERNEEDLENOSE
ROCKING CHAIRSNAKESQUIRREL
TRUCKBUTTONSTRAWBERRY
LEMONFRYING PANPEAR
BEEVESTFLUTE
SKUNKGUNBRUSH
SEALELEPHANTDUCK
CLOUDFLYBOX
NECKLACEARROWLOCK
DOORVASESOFA

Name __________________________________________ Date ___________________

Recall Test for Words

Please write down all of the test words that you remember below:
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



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