Greve Kevin W, Ord Jonathan, Curtis Kelly L, Bianchini Kevin J, Brennan Adrianne
Department of Psychology, University of New Orleans - Lakefront, New Orleans, LA 70148, USA.
Clin Neuropsychol. 2008 Sep;22(5):896-918. doi: 10.1080/13854040701565208.
Individual and joint malingering detection accuracy of the Portland Digit Recognition Test (PDRT), Test of Memory Malingering (TOMM), and Word Memory Test (WMT) was examined in traumatic brain injury (TBI; 43 non-malingering, 27 malingering) and chronic pain (CP; 42 non-malingering, 58 malingering) using a known-groups design. At published cutoffs, the PDRT and TOMM were very specific but failed to detect about 50% of malingerers; the WMT was sensitive but prone to false positive errors. ROC analyses demonstrated comparable accuracy across all three tests. Joint classification accuracy was superior to that of the individual tests. Clinical and research implications are discussed.
采用已知群体设计，在创伤性脑损伤（TBI；43例非伪装者，27例伪装者）和慢性疼痛（CP；42例非伪装者，58例伪装者）患者中，检验了波特兰数字识别测试（PDRT）、记忆伪装测试（TOMM）和词语记忆测试（WMT）对个体及联合伪装的检测准确性。在已公布的临界值下，PDRT和TOMM具有很高的特异性，但未能检测出约50%的伪装者；WMT具有敏感性，但容易出现假阳性错误。ROC分析表明，所有三项测试的准确性相当。联合分类准确性优于单项测试。文中讨论了其临床和研究意义。
