a Department of Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine at UCLA, and Department of Psychology, UCLA College of Letters & Science , University of California , Los Angeles , CA 90095 , USA.
Clin Neuropsychol. 2014;28(8):1212-23. doi: 10.1080/13854046.2014.969774. Epub 2014 Dec 10.
Controversy has arisen over interpretation of performance validity tests (PVTs) when multiple PVTs are given. Some papers state that more stringent criteria are needed to judge overall performance as invalid, while others argue that concerns about the number of PVTs are overstated and that widely used criteria are appropriate. We examine theoretical models and assumptions, and analyze published data to determine the magnitude of effects implied by theory and observed in practice. Assertions advanced in the primary papers are examined for consistency with the empirical data. Existing theoretical models do not account well for the diverse empirical data, substantial empirical effects remain poorly understood, and the primary papers include assertions that are not empirically supported. The results indicate that: (a) neuropsychology lacks solid theoretical bases for estimating PVT failure rates given various combinations of PVTs, and thus needs to rely on empirical data; (b) existing empirical data fail to support the application of any uniform criteria across the broad range of scenarios involving multiple PVTs; and (c) practice should rely on empirical studies involving combinations of PVTs that have been studied together, in samples clearly appropriate to the individual case, using experimental designs germane to the questions under consideration.
当使用多个 PVT 时,对表现有效性测试 (PVT) 的解释存在争议。一些论文指出,需要更严格的标准来判断整体表现无效,而另一些论文则认为对 PVT 数量的担忧被夸大了,并且广泛使用的标准是合适的。我们检查了理论模型和假设,并分析了已发表的数据,以确定理论所暗示的效应的大小以及在实践中观察到的效应的大小。检查主要论文中的断言是否与经验数据一致。现有的理论模型不能很好地解释多样化的经验数据,实质性的经验效应仍然难以理解,而且主要论文中的一些断言没有得到经验支持。结果表明:(a) 神经心理学缺乏基于各种 PVT 组合估计 PVT 失败率的坚实理论基础,因此需要依赖经验数据;(b) 现有的经验数据不支持在涉及多个 PVT 的广泛情况下应用任何统一标准;(c) 实践应依赖于对组合在一起的 PVT 进行的经验研究,这些研究是在与所考虑问题相关的实验设计中,在明确适合个体情况的样本中进行的。