NEPSY

NEPSY (which stands for "A Developmental NEuroPSYchological Assessment") is a series of neuropsychological tests authored by Marit Korkman, Ursula Kirk and Sally Kemp, that are used in various combinations to assess neuropsychological development in children ages 3–16 years in six functional domains. NEPSY was designed to assess both basic and complex aspects of cognition critical to children’s ability to learn and be productive, in and outside of, school settings. It is designed to test cognitive functions not typically covered by general ability or achievement batteries. The original NEPSY (Korkman, Kirk & Kemp, 1998) was published in 1998 by Pearson Assessment, and was superseded by the NEPSY-II (Korkman, Kirk & Kemp, 2007a, 2007b) in 2007.

History

Pediatric neuropsychological assessments evolved from knowledge and experience from the assessment of adults with brain damage. Consequently, early tests were not specifically designed with children in mind and were often normed on small samples of children. The development of the NEPSY was revolutionary as it was specifically designed for the purpose of testing children. The NEPSY is grounded in developmental and neuropsychological theory and practice. The diagnostic approach originated in the Lurian approach to assessment (Luria, 1973, 1980).

The original NEPSY contained subtests that assessed basic subcomponents of cognitive abilities while others assessed complex aspects of cognitive capacities. The NEPSY-II has a number of updates and additions. The age range has been extended from 12 to 16 years. The subtests with less clinical sensitivity have been removed e.g. the Tower of London Test, Knock and Tap and Visual Attention. Additional measures have been included such as: Geometric Puzzles, Picture Puzzles, Memory for Designs and Word List Interference. An additional functional domain, 'Social Perception' has also been added.

The largest change is the elimination of a core battery; instead, the authors suggest eight different referral batteries depending on the child's presentation. The subtests are no longer aggregated into overall domain scores like the previous version or the WISC, but rather each subtest produces a score including process scores, contrast scores and additional cumulative percentages for behavioural observations.[1]

Test format

The six functional domains below are made up of 32 subtests and four delayed tasks. These domains are theoretically, not statistically, derived. The subtests were designed to assess cognitive abilities related to disorders that are typically diagnosed in childhood and that are required for success in an academic environment.

These tests supposedly help detect any underlying deficiencies that may impede a child's learning. Each NEPSY-II test is freestanding, though the results of all of the tests of the original NEPSY could be normed together to provide an overall standardized score for each of the domains. The overall score for each domain was dropped in NEPSY-II, because the diagnostic information is strongest at the subtest level and discrepancies can be washed out in computing a global score. This was especially true if the examiner reported only global scores.

A comprehensive neuropsychological evaluation can be completed using the full assessment but there is no required set of subtests that must be administered to every child. NEPSY can provide a brief evaluation across all six domains and in-depth assessment based on referral problems/questions or diagnostic concerns. NEPSY allows for selective assessment enabling the selection of certain subtests based on clinical need which helps reduce testing time.

Psychometric properties

Up-to-date psychometric norms are based on the standardization of over 1,000 children tested throughout the United States, which enables the comparison of a child's performance to others in the appropriate age group. Several special group studies are included in the NEPSY-II. These groups consisted of 260 children with a variety of conditions including: ADHD, reading disorders, language disorder, autistic disorder, Asperger’s disorder, traumatic brain disorder, mathematics disorder, emotionally disturbed, mild intellectual disability. The children in these groups met the DSM-IV diagnostic criteria for that particular disorder.

Validity Studies were carried out with NEPSY, WISC-IV, DAS—II, WNV, WIAT—III, CMS, DKEFS, BBCS:3R, DSMD, ABAS—II, Brown ADD Scales and CCC-2.

Translations

NEPSY has been translated or adapted into a number of languages including: Dutch/Flemish, Finnish, French (Europe), Norwegian, Portuguese (Brazil), Romanian, Swedish and Italian (Second Version, http://www.giuntios.it/catalogo/test/nepsy-ii).

See also

References

External links

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