Cross-Validation of Multiple Embedded Performance Validity Indices in the Rey Auditory Verbal Learning Test and Brief Visuospatial Memory Test-Revised in an Adult Attention Deficit/Hyperactivity Disorder Clinical Sample.

Autor: Phillips, Matthew S., Wisinger, Amanda M., Lapitan-Moore, Franchezka T., Ausloos-Lozano, Jenna E., Bing-Canar, Hanaan, Durkin, Nicole M., Ovsiew, Gabriel P., Resch, Zachary J., Jennette, Kyle J., Soble, Jason R.
Zdroj: Psychological Injury & Law; Mar2023, Vol. 16 Issue 1, p27-35, 9p
Abstrakt: This study cross-validated the Rey Auditory Verbal Learning Test (RAVLT) Effort Score (ES), RAVLT Forced Choice (FC), and Brief Visuospatial Memory Test-Revised (BVMT-R) Recognition Discrimination (RD) among a large, consecutive case series of 317 adults referred for outpatient neuropsychological evaluation of known or suspected Attention-Deficit/Hyperactivity Disorder (ADHD). Six independent criterion performance validity tests (PVTs) were used to establish valid (n = 280) and invalid (n = 37) performance groups. Among the valid group, 229 met Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition criteria for ADHD. Non-significant to small correlations emerged between ES, FC, RD, and the criterion PVTs, suggesting these measures are largely independent. The valid group performed significantly better than the invalid group across all three embedded PVTs, with medium to large effects (d = 0.66–0.89). Receiver operator characteristic (ROC) curve analyses similarly revealed that all three PVTs accurately differentiated valid from invalid performance (areas under the curve:.63–.74) with the following optimal cut-scores: ES ≤ 12 (43% sensitivity/90% specificity), FC ≤ 14 (49% sensitivity/92% specificity), RD ≤ 5 (35% sensitivity/90% specificity). Results were identical between the overall sample of adult ADHD referrals and the subsample who met diagnostic criteria for ADHD. In sum, these memory-based RAVLT and BVMT-R PVTs were able to accurately identify invalid neuropsychological test performance among adults undergoing evaluation for ADHD, regardless of whether diagnostic criteria for ADHD was met. Although optimal cut-scores generally were consistent with prior literature, sensitivity was generally less robust than prior cross-validation studies with mixed clinical and medicolegal samples. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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