Dr. Adrienne Meier Publications

Convergent and criterion validity of the CogState computerized brief battery cognitive assessment in women with and without breast cancer

Sunita K. Patel, Adrienne M. Meier, Nathaniel Fernandez, Tracy T. Y. Lo, Colleen Moore & Nicole Delgado

The Clinical Neuropsychologist

Published January 12, 2017


Computerized tests have increasingly garnered interest for assessing cognitive functioning due to their potential logistical and financial advantages over traditional ‘pencil and-paper’ neuropsychological tests. However, psychometric information is necessary to guide decisions about their clinical and research utility with varied populations. We explored the convergent construct validity and criterion validity of the CogState computerized tests in breast cancer survivors, a group known to present with mostly mild, subtle cognitive dysfunction. Fifty-three post-menopausal women (26 breast cancer survivors, 27 healthy controls) completed the CogState Brief Battery tests with passed performance checks, conceptually matched traditional neuropsychological tests, and a self-report measure of daily functioning, the Functional Activities Questionnaire. Significant positive correlations were found between the CogState Brief Battery tests and traditional neuropsychological tests, although the traditional tests specifically hypothesized to correlate with CogState tests did not reach statistical significance. Analysis of Covariance results showed preliminary support for criterion validity, as the patient and control groups differed on the traditional test of working memory (Digits Backwards, p = .01), with a trend towards significance for the CogState test of working memory (One Back, p = .02), controlled for age, race, and mood. The results provide preliminary support for further research to determine if the CogState tests are viable as screening tools to detect subtle cognitive differences between breast cancer survivors and healthy women. Our study was limited by the low base rate of cognitive impairment and small sample size. We recommend further research employing sufficiently powered sample sizes and a longitudinal, repeated measures study design.

Attrition of police officers as predicted by peer evaluations during academy training

Adrienne M. Meier, Timothy J. Arentsen, Luann Panell & Katherine M. Putman

Policing and Society: An International Journal of Research and Policy

Published January 19, 2016


Developments in law enforcement have resulted in the need for early identification of individuals who may not succeed in the police field. Peers have the potential to provide reliable information on a fellow recruit’s interpersonal skills, professionalism, and personality traits that can predict future behaviours. Police recruits (n = 1248) nominated three peers who were top in their class and three who needed the most improvement during the 7th and 16th week of a 24-week basic police training academy. Analyses indicated that negative peer evaluations predicted attrition during a one-year probationary period after graduation from the academy even when statistically controlling for performance on the final academy exam. Using a cut-off score of four cumulative negative peer evaluations across both time points, recruits who dropped out or were terminated during probation could be determined with 91.7% specificity and 20.2% sensitivity. As such, negative peer evaluations have the potential to correctly identify recruits who have minimal potential of succeeding in police work. Overall, peer evaluations can serve as an important tool in police academies by evaluating and predicting future performance of police recruits in the field.

Forensic Psychology: Preparing Female Clinicians for Challenging Offenders

Annette L. Ermshar & Adrienne M. Meier

Women & Therapy Volume 37, Issue 1-2

February 24, 2014


Preparing female clinicians for the emotional and psychological demands of forensic work with violent and/or sexual offenders is imperative. Stereotypical gender scripts, such as the expectation that females must empathize with victims, result in stigmatization of female clinicians. Biases that women are less capable of handling such offenders contribute to increased difficulties within the field. Preparing female trainees for counter transferential issues, de-feminization, and the potential for vicarious traumatization will serve to help female clinicians continue to thrive in the field of forensic evaluation and treatment; thereby benefitting treatment and the field in general.

Attachment Anxiety and Avoidance in Coping with Bereavement: Two Studies

Adrienne M. Meier, Drew R. Carr, Joseph M. Currier & Robert A. Neimeyer

Journal of Social and Clinical Psychology, Volume 32, No. 3



Although attachment theory has become one of the primary paradigms for understanding bereavement adaptation, there has been surprisingly little empirical work on this topic. Two studies investigated the role of attachment in coping with the loss of a loved one. Study 1 examined the unique contribution of attachment anxiety and avoidance in prolonged grief symptomatology (PCS) in a sample of 656 recently bereaved young adults. When accounting for demographic factors (age, ethnicity, gender) and loss-related circumstances (relationship to deceased, violent versus natural loss), higher levels of attachment-related anxiety were associated with more PCS but avoidance failed to produce a unique effect. Study 2 investigated the role of attachment insecurities in the context of violent death bereavement. Participants were grouped by those who experienced a violent loss in the past two years (accident, suicide, homicide; n = 191) and a matched control group who had not experienced a loss (n = 191). Individuals with higher levels of attachment anxiety reported worse physical and mental health symptoms. Attachment avoidance was a salient predictor of poor post-bereavement functioning for violent loss survivors but avoidant attachment was not as relevant for nonbe-reaved persons. Results of the second study support the worrisome role of attachment anxiety in the context of coping with bereavement, while also suggesting detrimental effects for avoidance in extreme cases of loss.

Socioeconomic status as a possible moderator of neurocognitive outcomes in children with cancer

Sunita K. Patel, Nathaniel Fernandez, Noya Dekel, Anne Turk, Adrienne Meier, Paula Ross & Joseph Rosenthal

Psycho-Oncology, Volume 25, Issue 1

March 17, 2015



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