Meyers Neuropsychological Services, Mililani, HI, USA.
Arch Clin Neuropsychol. 2011 Feb;26(1):8-15. doi: 10.1093/arclin/acq083.
A sample of 314 consecutive clinical and forensic referrals with mild traumatic brain injury was evaluated using the Meyers Neuropsychological Battery (MNB). A comparison was made of the test performance and performance on the embedded Symptom Validity Tests (SVTs) with a control for multicolinearity utilized. Using the nine embedded SVTs in the MNB, the incidence of poor effort fell at 26% of the total sample. Involvement in litigation was related to more failures on the individual SVTs. The correlation between failed effort measures and the Overall Test Battery Mean (OTBM) was consistently negative, regardless of litigation status, in that more failures were associated with lower OTBM scores. The correlation between the number of SVTs failed and the OTBM was -.77. Our results are similar to those presented by Green, Rohling, Lees-Haley, and Allen (2001); who reported a .73 correlation with the failure on the Word Memory Test and performance on the OTBM. The results of the current study also indicate that 50% of the variance in neuropsychological testing can be accounted by failures on internal SVTs.
对 314 例连续的临床和法医转介轻度创伤性脑损伤患者进行了评估，使用的是迈耶斯神经心理成套测验（MNB）。在进行共线性控制的情况下，比较了测试表现和嵌入症状效度测验（SVT）的表现。使用 MNB 中的九个嵌入式 SVT，总样本中努力程度不佳的发生率为 26%。参与诉讼与个体 SVT 的更多失败有关。无论诉讼状况如何，失败的努力措施与总体测试电池平均值（OTBM）之间的相关性始终为负，即更多的失败与较低的 OTBM 分数相关。SVT 失败的数量与 OTBM 的相关性为-.77。我们的结果与 Green、Rohling、Lees-Haley 和 Allen（2001）提出的结果相似；他们报告了与单词记忆测验失败和 OTBM 表现相关的.73 相关性。当前研究的结果还表明，50%的神经心理学测试方差可以通过内部 SVT 的失败来解释。
