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使用韦氏记忆量表第三版检测轻度创伤性脑损伤中的伪装行为。

Using the Wechsler Memory Scale-III to detect malingering in mild traumatic brain injury.

作者信息

Ord Jonathan S, Greve Kevin W, Bianchini Kevin J

机构信息

Department of Psychology, University of New Orleans, New Orleans, LA 70148, USA.

出版信息

Clin Neuropsychol. 2008 Jul;22(4):689-704. doi: 10.1080/13854040701425437. Epub 2007 Aug 13.

Abstract

This study examined the classification accuracy of the WMS-III primary indices in the detection of Malingered Neurocognitive Dysfunction (MND) in Traumatic Brain Injury (TBI) using a known-groups design. Sensitivity, specificity, and positive predictive power are presented for a range of index scores comparing mild TBI non-malingering (n = 34) and mild TBI malingering (n = 31) groups. A moderate/severe TBI non-malingering (n = 28) and general clinical group (n = 93) are presented to examine specificity in these samples. In mild TBI, sensitivities for the primary indices ranged from 26% to 68% at 97% specificity. Three systems used to combine all eight index scores were also examined and all achieved at least 58% sensitivity at 97% specificity in mild TBI. Specificity was generally lower in the moderate/severe TBI and clinical comparison groups. This study indicates that the WMS-III primary indices can accurately identify malingered neurocognitive dysfunction in mild TBI when used as part of a comprehensive classification system.

摘要

本研究采用已知分组设计,检验了韦氏记忆量表第三版(WMS - III)主要指标在检测创伤性脑损伤(TBI)中伪装神经认知功能障碍(MND)方面的分类准确性。给出了一系列指标分数的敏感性、特异性和阳性预测值,用于比较轻度TBI非伪装组(n = 34)和轻度TBI伪装组(n = 31)。还纳入了中度/重度TBI非伪装组(n = 28)和一般临床组(n = 93),以检验这些样本中的特异性。在轻度TBI中,主要指标的敏感性在特异性为97%时,范围为26%至68%。还检验了用于合并所有八个指标分数的三个系统,在轻度TBI中,所有系统在特异性为97%时敏感性均至少达到58%。在中度/重度TBI组和临床比较组中,特异性通常较低。本研究表明,当作为综合分类系统的一部分使用时,WMS - III主要指标能够准确识别轻度TBI中的伪装神经认知功能障碍。

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