Integrating Diversity, Culture, and Equity into the Neuropsychological Evaluation

Anny Reyes; Stephanie Torres; Talia L Robinson; Miguel Arce Rentería; Alexandra L Clark

doi:10.1016/j.ncl.2024.05.004

Integrating Diversity, Culture, and Equity into the Neuropsychological Evaluation

Neurol Clin. 2024 Nov;42(4):959-979. doi: 10.1016/j.ncl.2024.05.004. Epub 2024 Jun 15.

Authors

Anny Reyes¹, Stephanie Torres², Talia L Robinson³, Miguel Arce Rentería⁴, Alexandra L Clark⁵

Affiliations

¹ Department of Radiation Medicine & Applied Sciences, University of California, San Diego, CA, USA. Electronic address: [email protected].
² Department of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, Suite 701, Boston, MA 021142, USA.
³ Division of Neuropsychology, Department of Neurology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA.
⁴ Department of Neurology, Columbia University, 622 West 168th Street, New York, NY, USA.
⁵ Department of Psychology, The University of Texas at Austin, 108 East Dean Keeton, Stop A8000, SEA 3.324, Austin, TX 78712, USA.

PMID: 39343487
DOI: 10.1016/j.ncl.2024.05.004

Abstract

Cognition is influenced by a host of factors, including the patient's medical, psychiatric, and developmental history; sociocultural and demographic factors; modifiable behavioral factors; and structural and social determinants of health. Neuropsychological approaches include interpreting test data in the context of these factors to classify impairment and derive a cognitive diagnosis accurately. Failure to integrate an individual's sociodemographic, sociocultural, and developmental background can result in diagnostic errors, which have critical clinical implications for patient care.

Keywords: Cultural competency; Diversity; Equity; Social determinants of health; Sociocultural factors.

Publication types

Review

MeSH terms

Cultural Diversity
Humans
Neuropsychological Tests*