A Single Error Is One Too Many: The Forced Choice Recognition Trial of the CVLT-II as a Measure of Performance Validity in Adults with TBI.

Autor:	Erdodi LA; Department of Psychology, University of Windsor, 168 Chrysler Hall South, Windsor, Canada ON., Abeare CA; Department of Psychology, University of Windsor, 170 Chrysler Hall South, Windsor, Canada ON., Medoff B; The Commonwealth Medical College, 525 Pine St, Scranton, PA, USA., Seke KR; University of Windsor, Brain-Cognition-Neuroscience Program, G105 Chrysler Hall North, Windsor, Canada ON., Sagar S; Department of Psychology, University of Windsor, 109 Chrysler Hall North, Windsor, Canada ON., Kirsch NL; Department of Physical Medicine and Rehabilitation, University of Michigan, Briarwood Circle #4 Ann Arbor, MI, USA.
Jazyk:	angličtina
Zdroj:	Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2018 Nov 01; Vol. 33 (7), pp. 845-860.
DOI:	10.1093/acn/acx110
Abstrakt:	Objective: The Forced Choice Recognition (FCR) trial of the California Verbal Learning Test-Second Edition (CVLT-II) was designed to serve as a performance validity test (PVT). The present study was designed to compare the classification accuracy of a more liberal alternative (≤15) to the de facto FCR cutoff (≤14). Method: The classification accuracy of the two cutoffs was computed in reference to psychometrically defined invalid performance, across various criterion measures, in a sample of 104 adults with TBI clinically referred for neuropsychological assessment. Results: The FCR was highly predictive (AUC: .71-.83) of Pass/Fail status on reference PVTs, but unrelated to performance on measures known to be sensitive to TBI. On average, FCR ≤15 correctly identified an additional 6% of invalid response sets compared to FCR ≤14, while maintaining .92 specificity. Patients who failed the FCR reported higher levels of emotional distress. Conclusions: Results suggest that even a single error on the FCR is a reliable indicator of invalid responding. Further research is needed to investigate the clinical significance of the relationship between failing the FCR and level of self-reported psychiatric symptoms.
Databáze:	MEDLINE
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