Bauer Lyndsey, O'Bryant Sid E, Lynch Julie K, McCaffrey Robert J, Fisher Jerid M
State University of New York-Albany, NY, USA.
Assessment. 2007 Sep;14(3):215-22. doi: 10.1177/1073191106297617.
Assessing effort level during neuropsychological evaluations is critical to support the accuracy of cognitive test scores. Many instruments are designed to measure effort, yet they are not routinely administered in neuropsychological assessments. The Test of Memory Malingering (TOMM) and the Word Memory Test (WMT) are commonly administered symptom validity tests with sound psychometric properties. This study examines the use of the TOMM Trial 1 and the WMT Immediate Recognition (IR) trial scores as brief screening tools for insufficient effort through an archival analysis of a combined sample of mild head-injury litigants ( N = 105) who were assessed in forensic private practices. Results show that both demonstrate impressive diagnostic accuracy and calculations of positive and negative predictive power are presented for a range of base rates. These results support the utility of Trial 1 of the TOMM and the WMT IR trial as screening methods for the assessment of insufficient effort in neuropsychological assessments.
在神经心理学评估中评估努力程度对于支持认知测试分数的准确性至关重要。许多工具旨在测量努力程度，但它们在神经心理学评估中并非常规使用。记忆伪装测验（TOMM）和词语记忆测验（WMT）是常用的具有良好心理测量特性的症状效度测试。本研究通过对在法医私人诊所接受评估的轻度头部受伤诉讼当事人的合并样本（N = 105）进行档案分析，检验了将TOMM试验1和WMT即时识别（IR）试验分数用作努力不足的简短筛查工具的情况。结果表明，两者都显示出令人印象深刻的诊断准确性，并给出了一系列基础率的阳性和阴性预测力计算结果。这些结果支持将TOMM试验1和WMT IR试验用作神经心理学评估中评估努力不足的筛查方法。
