Perna Robert, Loughan Ashlee R, Hertza Jeremy, Segraves Kelly
a Behavioral Medicine Department , Walton Rehabilitation Hospital , Augusta , Georgia.
Appl Neuropsychol Child. 2014;3(1):45-51. doi: 10.1080/21622965.2012.691067. Epub 2012 Jun 6.
The Test of Memory Malingering (TOMM) is a measure of test-taking effort that has traditionally been utilized with adults but more recently has demonstrated utility with children. The purpose of this study was to investigate whether commonly used neuropsychological measures can be used as embedded measures in detecting effort during testing. Participants (N = 75) who completed neuropsychological evaluations including the TOMM, Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) Digit Span, Children's Memory Scale (CMS) Verbal Memory, and other neuropsychological measures were divided into two groups: Optimal Effort and Suboptimal Effort, based on their TOMM Trial 2 scores. Digit Span findings suggest a useful standard score of ≤ 70 resulted in optimal cutoff scores, yielding specificity of 94% and sensitivity of 44%. The CMS Verbal Memory Recall > Recognition scores did not appear as valuable indicating a discrepancy of 20+ points were required for specificity to attain optimal scores of 90% and sensitivity of 11%. This study illustrates the WISC-IV may have good utility in determining optimal effort; however, the CMS may not be as functional.
记忆伪装测验（TOMM）是一种衡量应试努力程度的测试，传统上用于成年人，但最近已证明对儿童也有用。本研究的目的是调查常用的神经心理学测试是否可用作测试过程中检测努力程度的嵌入式测试。完成包括TOMM、韦氏儿童智力量表第四版（WISC-IV）数字广度、儿童记忆量表（CMS）言语记忆以及其他神经心理学测试的神经心理学评估的参与者（N = 75），根据他们的TOMM试验2分数分为两组：最佳努力组和次优努力组。数字广度测试结果表明，有用的标准分数≤70会产生最佳截止分数，特异性为94%，敏感性为44%。CMS言语记忆回忆>识别分数似乎没有那么有价值，表明特异性要达到90%的最佳分数和11%的敏感性需要20分以上的差异。本研究表明，WISC-IV在确定最佳努力程度方面可能有很好的效用；然而，CMS可能没有那么有效。
