a Baltimore Veterans Affairs Medical Center , MD , USA.
Clin Neuropsychol. 2014;28(5):756-70. doi: 10.1080/13854046.2014.920922. Epub 2014 May 27.
The validity of neuropsychological testing is reliant on examinees putting forth adequate effort, yet it has been asserted that verbal subtests from the Wechsler Adult Intelligence Scales (WAIS) are insensitive to suboptimal effort in comparison to other commonly used neuropsychological measures. The current study examined performance differences on the entire WAIS-IV and WRAT-4 Reading, as well as the CVLT-II and several WMS-IV subtests, in 207 Veterans classified into Credible Effort (n = 146) and Non-credible Effort (n = 61) groups. Analyses revealed that the Non-credible Effort group performed significantly lower on all examined measures including verbal tests, with moderate to large effect sizes observed for most tests. Current findings thus indicate that WAIS-IV verbal subtests and reading ability measures, such as on the WRAT-4, are not insensitive to effects of non-credible effort. Consequently it is recommended that these tests not generally be used to estimate baseline intellectual functioning when found in the presence of non-credible effort. While there was broad performance suppression across all measures examined, results also showed a distinct continuum of test susceptibility with some measures being more or less sensitive to inadequate effort. Recommendations for future performance validity test development are presented.
神经心理学测试的有效性依赖于被试者付出足够的努力,但有人断言,与其他常用的神经心理学测试相比,韦氏成人智力量表(WAIS)的言语分量表对不佳的努力程度不敏感。本研究在 207 名被归类为可信努力(n=146)和不可信努力(n=61)的退伍军人中,检查了整个 WAIS-IV 和 WRAT-4 阅读、CVLT-II 和几个 WMS-IV 子测试的表现差异。分析显示,不可信努力组在所有接受检查的测试中表现明显较低,包括言语测试,大多数测试观察到中等至较大的效应量。因此,目前的研究结果表明,WAIS-IV 言语分量表和阅读能力测试,如 WRAT-4,对不可信努力的影响并不不敏感。因此,建议在存在不可信努力时,一般不要使用这些测试来估计基线智力功能。虽然所有接受检查的测试都表现出广泛的表现抑制,但结果还显示出测试敏感性的明显连续体,一些测试对努力不足的敏感性更高或更低。提出了对未来绩效有效性测试开发的建议。