Predictors of cognitive functioning in presentations to a community-based specialist addiction neuropsychology service Gooden, JR, Cox, CA, Petersen, V, Curtis, Ashlee, Sanfilippo, PG, Manning, V, Bolt, GL and Lubman, DI 2022, Predictors of cognitive functioning in presentations to a community-based specialist addiction neuropsychology service, Brain Impairment, pp. 1-15, doi: 10.1017/BrImp.2021.38. Attached Files Name Description MIMEType Size Downloads Title Predictors of cognitive functioning in presentations to a community-based specialist addiction neuropsychology service Author(s) Gooden, JR Cox, CA Petersen, V Curtis, Ashlee orcid.org/0000-0001-9182-2840 Sanfilippo, PG Manning, V Bolt, GL Lubman, DI Journal name Brain Impairment Article ID PII S1443964621000383 Start page 1 End page 15 Total pages 15 Publisher Cambridge Unversity Press Place of publication Cambridge, Eng. Publication date 2022 ISSN 1443-9646 1839-5252 Keyword(s) ABSTINENCE ABUSE acquired brain injury addiction ALCOHOL Clinical Neurology cognition DEPENDENCE drugs and alcohol HEALTH Life Sciences & Biomedicine Neuropsychology Neurosciences Neurosciences & Neurology NORMATIVE DATA RECOVERY Rehabilitation Science & Technology STIGMA SUBSTANCE-USE DISORDERS YOUNG-ADULTS Summary Abstract Introduction: Cognitive impairment is common in individuals presenting to alcohol and other drug (AOD) settings and the presence of biopsychosocial complexity and health inequities can complicate the experience of symptoms and access to treatment services. A challenge for neuropsychologists in these settings is to evaluate the likely individual contribution of these factors to cognition when providing an opinion regarding diagnoses such as acquired brain injury (ABI). This study therefore aimed to identify predictors of cognitive functioning in AOD clients attending for neuropsychological assessment. Methods: Clinical data from 200 clients with AOD histories who attended for assessment between 2014 and 2018 were analysed and a series of multiple regressions were conducted to explore predictors of cognitive impairment including demographic, diagnostic, substance use, medication, and mental health variables. Results: Regression modelling identified age, gender, years of education, age of first use, days of abstinence, sedative load, emotional distress and diagnoses of ABI and developmental disorders as contributing to aspects of neuropsychological functioning. Significant models were obtained for verbal intellectual functioning (Adj R2 = 0.19), nonverbal intellectual functioning (Adj R2 = 0.10), information processing speed (Adj R2 = 0.20), working memory (Adj R2 = 0.05), verbal recall (Adj R2 = 0.08), visual recall (Adj R2 = 0.22), divided attention (Adj R2 = 0.14), and cognitive inhibition (Adj R2 = 0.07). Conclusions: These findings highlight the importance of careful provision of diagnoses in clients with AOD histories who have high levels of unmet clinical needs. They demonstrate the interaction of premorbid and potentially modifiable comorbid factors such as emotional distress and prescription medication on cognition. Ensuring that modifiable risk factors for cognitive impairment are managed may reduce experiences of cognitive impairment and improve diagnostic clarity. Language eng DOI 10.1017/BrImp.2021.38 Field of Research 11 Medical and Health Sciences 17 Psychology and Cognitive Sciences HERDC Research category C1 Refereed article in a scholarly journal Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30163732 Document type: Journal Article Collections: Faculty of Health School of Psychology Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Fri, 04 Mar 2022, 07:01:08 EST Fri, 04 Mar 2022, 14:48:37 EST Sat, 19 Mar 2022, 01:33:59 EST Tue, 05 Jul 2022, 16:06:33 EST Wed, 27 Jul 2022, 09:14:51 EST Wed, 27 Jul 2022, 12:10:28 EST Wed, 27 Jul 2022, 16:44:49 EST Filtered Full Citation counts:   Cited 1 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 10 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Fri, 04 Mar 2022, 07:01:08 EST