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用于评估神经心理状态的可重复成套测验中的嵌入式努力量表:它们能检测出神经认知功能伪装吗?

Embedded effort scales in the repeatable battery for the assessment of neuropsychological status: do they detect neurocognitive malingering?

作者信息

Crighton Adam H, Wygant Dustin B, Holt Katrina R, Granacher Robert P

机构信息

Department of Psychological Sciences, Kent State University, Kent, OH 44240, USA

Department of Psychology, Eastern Kentucky University, Richmond, KY, USA.

出版信息

Arch Clin Neuropsychol. 2015 May;30(3):181-5. doi: 10.1093/arclin/acv002. Epub 2015 Feb 11.

DOI:10.1093/arclin/acv002
PMID:25673871
Abstract

The current study examined two embedded response bias measures in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the Effort Index (EI) and Effort Scale (ES), in relation to Malingered Neurocognitive Dysfunction criteria. We examined 105 individuals undergoing compensation-seeking disability evaluations. The results suggest the EI adequately differentiates the Probable/Definite Malingering group from the Incentive Only and Possible Malingering groups, while the ES does not, which is most likely representative of the current sample of disability litigants rather than its intended population of patients with amnesia. Classification accuracy statistics suggest that while the EI may not be an appropriate stand-alone measure in detecting neurocognitive malingering, it shows utility as a complementary or screening measure in forensic settings.

摘要

本研究考察了用于评估神经心理状态的可重复成套测验(RBANS)中的两种内隐反应偏差测量方法,即努力指数(EI)和努力量表(ES),与伪装神经认知功能障碍标准的关系。我们对105名寻求赔偿的残疾评估个体进行了研究。结果表明,EI能够充分区分可能/肯定伪装组与仅存在动机组和可能伪装组,而ES则不能,这很可能代表了当前残疾诉讼当事人样本的情况,而非其预期的失忆症患者群体。分类准确性统计表明,虽然EI在检测神经认知伪装方面可能不是一个合适的独立测量方法,但它在法医环境中作为一种补充或筛查测量方法具有实用价值。

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引用本文的文献

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RBANS Validity Indices: a Systematic Review and Meta-Analysis.RBANS 效度指数:系统评价和荟萃分析。
Neuropsychol Rev. 2018 Sep;28(3):269-284. doi: 10.1007/s11065-018-9377-5. Epub 2018 May 16.