| Autor: |
Finley JA; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Leese MI; Department of Psychology, Rosalind Franklin University of Medicine and Science, Chicago, IL, USA., Roseberry JE; Courage Kenny Rehabilitation Institute, Minneapolis, MN, USA., Hill SK; Department of Psychology, Rosalind Franklin University of Medicine and Science, Chicago, IL, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Applied neuropsychology. Adult [Appl Neuropsychol Adult] 2024 Jul 29, pp. 1-8. Date of Electronic Publication: 2024 Jul 29. |
| DOI: |
10.1080/23279095.2024.2385439 |
| Abstrakt: |
Recent reports indicate that the Memory Integrated Language Test (MIL) and Making Change Test Abbreviated Index (MCT-AI), two web-based performance validity tests (PVTs), have good sensitivity and specificity when used independently. This study investigated whether using these PVTs together could improve the detection of invalid performance in a mixed neuropsychiatric sample. Participants were 129 adult outpatients who underwent a neuropsychological evaluation and were classified into valid ( n = 104) or invalid ( n = 25) performance groups based on several commonly used PVTs. Using cut scores of ≤41 on the MIL and ≥1.05 on the MCT-AI together enhanced classification accuracy, yielding an area under the curve of .84 (95% CI: .75, .93). As compared to using the MIL and MCT-AI independently, the combined use increased the sensitivity from .10-.31 to.70 while maintaining ≥.90 specificity. Findings also indicated that failing either the MIL or MCT-AI was associated with somewhat lower cognitive test scores, but failing both was associated with markedly lower scores. Overall, using the MIL and MCT-AI together may be an effective way to identify invalid test performance during a neuropsychological evaluation. Furthermore, pairing these tests is consistent with current practice guidelines to include multiple PVTs in a neuropsychological test battery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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