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  • Cited by 7
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Cassel, Anneli and Humphreys, Kate 2016. Psychological therapy for psychogenic amnesia: Successful treatment in a single case study. Neuropsychological Rehabilitation, Vol. 26, Issue. 3, p. 374.

    Elbourn, E. Togher, L. Kenny, B. and Power, E 2016. Strengthening the quality of longitudinal research into cognitive-communication recovery after traumatic brain injury: A systematic review. International Journal of Speech-Language Pathology, p. 1.

    Doig, Emmah J. and Lane-Brown, Amanda T. 2012. Responsiveness of Instruments to Assess Disorders of Consciousness: A Literature Review. Brain Impairment, Vol. 13, Issue. 03, p. 285.

    Tate, Robyn Simpson, Grahame Lane-Brown, Amanda Soo, Cheryl de Wolf, Annelies and Whiting, Diane 2012. Sydney Psychosocial Reintegration Scale (SPRS-2): Meeting the Challenge of Measuring Participation in Neurological Conditions. Australian Psychologist, Vol. 47, Issue. 1, p. 20.

    De Wolf, Annelies Lane-Brown, Amanda Tate, Robyn L. Middleton, James and Cameron, Ian D. 2010. Measuring community integration after spinal cord injury: validation of the Sydney psychosocial reintegration scale and community integration measure. Quality of Life Research, Vol. 19, Issue. 8, p. 1185.

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    Jenkinson, Narina Ownsworth, Tamara and Shum, David 2007. Utility of the Canadian Occupational Performance Measure in community-based brain injury rehabilitation. Brain Injury, Vol. 21, Issue. 12, p. 1283.


How Do You Know Whether Your Patient Is Getting Better (or Worse)? A User's Guide

  • Michael Perdices (a1)
  • DOI:
  • Published online: 01 February 2012

It is important to know when improvement or deterioration in cognitive function occurs. Until fairly recently neuropsychologists have made these judgments clinically, with little resort to empirical methods. In addition to the issue of whether a change in performance is reliable, there is also the consideration of whether it is clinically significant. This article briefly discusses these concepts, reviews the most common methods for determining reliability in change in test scores, considers their use in the broader clinical context, and illustrates their application with reference to an actual database.

Corresponding author
Address for correspondence: Michael Perdices PhD, Department of Neurology, Royal North Shore Hospital, St Leonards NSW 2065. E-mail
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Brain Impairment
  • ISSN: 1443-9646
  • EISSN: 1839-5252
  • URL: /core/journals/brain-impairment
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