Abstract

Objective: To examine the current issues facing the practice of neuropsychological evaluation in Spain. Method: 349 self-identified professionals in the field of neuropsychology in Spain completed an online survey from July to December of 2013 (75% completion rate). Respondents had an average age of 35.7 years; 92% had at least a Bachelor'sbachelor's degree; 71% at least a Master's degree; 30% at least a Doctorate, and 7% a Post-Doctorate. Results: 92% respondents had conducted neuropsychological evaluations in the prior year. Of these individuals, 50% used individualized testing approaches, 40% a flexible battery of tests, and 10% used a standardized battery. 75.5% reported using reference norms from Spain, 29.9% used normative data from other countries, and 19.9% used their own standards based on clinical practice. 57.6% reported obtaining their instruments directly from the publishers, 39.1% used photocopies, 36.4% borrow tests from colleagues, 31.1% used library or laboratory tests, and 28.8% downloaded them from the web. The top two challenges to use were expensiveness (57.9%) and lack of country-specific normative data (48.0%). 92.7% of the respondents evaluated stroke patients, 91.0% with Traumatic Brain Injury, 89.9% with dementia, 73.5% with Central Nervous System tumors, and 72.7% epilepsy. Patients were primarily referred from psychiatry (37.7%), psychology (34.1%), neurosurgery (28.5%), rehabilitation (27.2%) and geriatrics (23.8%) for diagnosis (61.3%) or rehabilitation (57.3%). Conclusion(s): Neuropsychology is a growing profession in Spain. Normative data for neuropsychological tests is needed, as well as increased regularization of professional practice.