Alberta Children' s Hospital and University of Calgary, Calgary, Alberta, Canada.
Arch Clin Neuropsychol. 2012 Jan;27(1):23-9. doi: 10.1093/arclin/acr086. Epub 2011 Oct 31.
Although measuring test compliance in a pediatric neuropsychological evaluation is important, increasing demands on clinicians' time and the need for efficiency during assessments may make it difficult to routinely include effort testing. This study investigated whether performance on Trial 1 of the Test of Memory Malingering (TOMM) is predictive of overall performance in children and adolescents with neurological disorders. Participants included 53 children and adolescents between six and 19 years (mean age = 12.4, SD = 4.1) who were followed through a neurology clinic at a tertiary care hospital. Several cutoff scores were examined, with the goal of maximizing positive predictive (accurate detection of failure on the TOMM) and negative predictive (accurate detection of passing the TOMM) values. Every participant who scored ≥36 on Trial 1 (n = 50) went on to pass the TOMM. This study is the first step in providing evidence that performance on Trial 1 might be used as a quick screening measure of overall performance on the TOMM in children and adolescents. Further research on this topic is warranted.
虽然在儿科神经心理学评估中测量测试依从性很重要，但临床医生的时间需求增加和评估过程中的效率要求可能使得常规进行努力测试变得困难。本研究调查了在有神经障碍的儿童和青少年中，记忆测谎测验（TOMM）第 1 试验的表现是否可预测整体表现。参与者包括在三级护理医院的神经病学诊所接受随访的 53 名 6 至 19 岁的儿童和青少年（平均年龄=12.4，标准差=4.1）。研究检查了几个截止分数，目的是最大化阳性预测值（准确检测 TOMM 失败）和阴性预测值（准确检测通过 TOMM）。第 1 试验得分≥36 的每个参与者（n=50）都通过了 TOMM。本研究是提供证据的第一步，表明在儿童和青少年中，第 1 试验的表现可能可用作 TOMM 整体表现的快速筛选测量。有必要对此主题进行进一步研究。
