Duncan Alexander
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Assessment. 2005 Jun;12(2):123-9. doi: 10.1177/1073191105275512.
The author analyzes the scores of inpatient psychiatric patients with varying degrees of cognitive impairment who met criteria for a psychotic disorder on the following tests: the Test of Memory Malingering (TOMM), the California Verbal Learning Test-Second Edition, Conner's Continuous Performance Test-Second Edition, and the Brief Psychiatric Rating Scale-Expanded Version. Group 1 consisted of psychotic-disordered patients with significant concentration problems (concentration impersistence = 29). Group 2 consisted of psychotic disordered patients without significant concentration problems (no concentration impairment = 21). Although psychotic patients with concentration problems showed greater variability across TOMM trials, both groups obtained mean scores above 45 on Trial 2 and the retention trial on the TOMM. These findings indicate that cognitive impairment associated with psychosis generally does not negatively impair TOMM performance to such a level that would produce a false positive on the TOMM. Implications for forensic assessment, study limitations, and future directions are discussed.
记忆伪装测验（TOMM）、加利福尼亚言语学习测验第二版、康纳连续操作测验第二版以及简明精神病评定量表扩展版。第一组由存在明显注意力问题的精神障碍患者组成（注意力不持久 = 29）。第二组由不存在明显注意力问题的精神障碍患者组成（无注意力损害 = 21）。尽管存在注意力问题的精神障碍患者在TOMM各试验中的得分变异性更大，但两组在TOMM的第2次试验和保留试验中的平均得分均高于45分。这些发现表明，与精神病相关的认知障碍通常不会对TOMM表现产生负面影响，以至于在TOMM上产生假阳性结果。文中讨论了对法医评估的影响、研究局限性和未来方向。
