Westside NeuroRehabilitation Services, Goodwill Industries, Lewiston, ME 04240, USA.
Arch Clin Neuropsychol. 2012 Nov;27(7):716-24. doi: 10.1093/arclin/acs072. Epub 2012 Sep 12.
The Test of Memory Malingering (TOMM) is a measure of test-taking effort which has traditionally been utilized with adults, but which more recently has demonstrated utility with children. The purpose of this study was to investigate whether the Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) Digit Span, commonly used in neuropsychological evaluations, can also be functional as an embedded measure by detecting effort in children with dual diagnoses; a population yet to be investigated. Participants (n = 51) who completed neuropsychological evaluations including the TOMM, WISC-IV, Wisconsin Card Sorting Test, Children's Memory Scale, and Delis-Kaplan Executive Function System were divided into two groups: Optimal Effort and Suboptimal Effort, based on their TOMM Trial 2 scores. Digit Span findings suggest a useful scaled score of ≤4 resulted in optimal cutoff scores, yielding specificity of 91% and sensitivity of 43%. This study supports previous research that the WISC-IV Digit Span has good utility in determining optimal effort, even in children with dual diagnosis or comorbidities.
记忆欺骗测验（TOMM）是一种测试努力程度的方法，传统上用于成年人，但最近也在儿童中证明了其有效性。本研究旨在探讨韦氏儿童智力量表第四版（WISC-IV）数字广度测验是否也可以作为一种嵌入式测量方法，通过检测双重诊断儿童的努力程度来发挥作用；这是一个尚未被研究的群体。根据他们的 TOMM 试验 2 分数，参与者（n=51）完成了神经心理学评估，包括 TOMM、WISC-IV、威斯康星卡片分类测验、儿童记忆量表和德里斯科尔-卡普兰执行功能系统，分为两组：最佳努力组和次优努力组。数字广度测试结果表明，一个有用的标准分数≤4 可以得到最佳的截断分数，特异性为 91%，敏感性为 43%。本研究支持了先前的研究，即 WISC-IV 数字广度测验在确定最佳努力程度方面具有良好的效用，即使在患有双重诊断或合并症的儿童中也是如此。
