Assess affective change in brain-impaired individuals
Linda 
Nelson,
Paul Satz, & Louis F. D’Elia
The NBAP is designed to provide easily administered and objectively scored measures of personality and affective change in brain-impaired individuals from premorbid status to current levels of functioning (Before and Now), as well as change over the course of recovery. Because brain-impaired individuals may be unable to reliably report problems in personal adjustment, two forms are available.
Form S is a self-report measure to be filled out by patients capable of subjectively identifying and reporting on specific problems in personal adjustment. Form O is intended as a more objective measure of change in personality and affect and is filled out by an individual who is close to the patient. The 106 questions were written to be clearly understood by individuals with less than a 6th-grade education.
The manual provides reliability and validity data for five scales:
- Indifference—a tendency to minimize a disability or current condition
- Inappropriateness—behavior that is inappropriate to the context in which it is occurring or to an outside event
- Pragnosia—a deficit in the pragmatics of communication style
- Depression—dysphoric mood and/or loss of interest or pleasure in most usual activities
- Mania—elevated, expansive, or irritable mood, sustained by high energy and high levels of activity
Each of the scales represents constructs typically associated with brain damage. Scale scores are obtained by summing the number of "agree" responses for each of the five scales and each of the two subscales (Before and Now). This procedure yields ten raw scores that are then converted into either percentages or T scores. The Appendix provides T-score conversions for each of the five scales.
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