The Relationship Between Measures of Declarative Memory and the Test of Memory Malingering in Patients With and Without Temporal Lobe Dysfunction.

Autor: Hill, S. Kristian, Ryan, Laurie M., Kennedy, Carrie H., Malamut, Barbara L.
Předmět:
Zdroj: Journal of Forensic Neuropsychology; 2003, Vol. 3 Issue 3, p1, 18p
Abstrakt: The relationship between performance on measures of declarative memory and a commonly used forced-choice recognition measure of malingering was explored. The Test of Memory Malingering (TOMM) was developed to be sensitive to lack of effort and/or simulated malingering while being relatively insensitive to neurological impairment. The present study was designed to examine the sensitivity of TOMM performance to memory related deficits in a group of individuals with memory impairment secondary to temporal lobe epilepsy (TLE). A group of individuals who displayed psychogenic non-epileptic seizures (PNES) in the absence of neurologic dysfunction were included as controls. For both groups, a combination of memory and emotion variables shared a significant proportion of variance with TOMM Trial 2 performance. A similar relationship held true for the PNES group when accounting for TOMM Retention Trial performance. In contrast, for epilepsy patients, memory but not emotional measures were significantly related to Retention Trial performance. This suggested that TOMM performance may be affected by temporal lobe dysfunction, but not to a degree that TOMM performance would fall below suggested cutoff criteria for malingering or lack of effort. Additionally, participants in either group who performed below cutoff criteria displayed emotional profiles characterized by overly negative or pathological presentation. Overall, these findings support use of the TOMM to identify individuals who do not provide their best effort during testing. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index