Chafetz Michael D, Abrahams Joel P, Kohlmaier Joy
Arch Clin Neuropsychol. 2007 Jan;22(1):1-14. doi: 10.1016/j.acn.2006.10.003. Epub 2006 Nov 9.
In disability examinations, benefits may depend on the findings of a psychological consultative examination (PCE), which in Louisiana usually involves a mental status examination and a Wechsler Scale. The disability determinations service (DDS) requires a warning that failure to do one's best may result in an unfavorable decision on the claim, but psychologists are officially discouraged from determining effort by the use of formal effort tests. Consequently, there is a need for internal indicators of effort. Formal testing of effort was undertaken in order to identify indicators of effort within the PCE in WAIS-age and WISC-age claimants. Our findings indicated that the total score of indicators was more predictive of effort than any single indicator. Regression equations yielded information on how much effort contributes to IQ. Classification accuracy for the new rating scale was described for a "dose-response" of effort. Disincentives for malingering detection in the PCE were identified.
在残疾鉴定中，福利可能取决于心理咨询检查（PCE）的结果，在路易斯安那州，这种检查通常包括精神状态检查和韦氏智力量表测试。残疾判定服务（DDS）要求给出警告，即不尽最大努力可能导致对索赔作出不利决定，但官方不鼓励心理学家通过使用正式的努力程度测试来判定努力程度。因此，需要努力程度的内部指标。为了确定WAIS年龄段和WISC年龄段索赔者的PCE中的努力程度指标，我们进行了努力程度的正式测试。我们的研究结果表明，指标总分比任何单个指标更能预测努力程度。回归方程得出了关于努力对智商贡献程度的信息。针对努力程度的“剂量反应”描述了新评级量表的分类准确性。确定了PCE中伪装检测的抑制因素。
