Flaherty Jennifer M, Spencer Robert J, Drag Lauren L, Pangilinan Percival H, Bieliauskas Linas A
a Mental Health Service, Veterans Affairs Ann Arbor Healthcare System , Ann Arbor , MI , USA .
b Department of Neurology and Neurological Sciences , Stanford University Medical Center , Stanford , CA , USA .
Brain Inj. 2015;29(13-14):1630-4. doi: 10.3109/02699052.2015.1075249. Epub 2015 Oct 29.
This study explored using the FIT as a measure of performance validity among veterans undergoing neuropsychological evaluation for mild traumatic brain injury (mTBI).
The Rey Fifteen-Item Memory Test (FIT) is a performance validity measure criticized for poor sensitivity.
Two hundred and fifty-seven veterans completed the FIT and Wechsler Adult Intelligence Scale, Fourth Edition, Digit Span (DS); 109 of whom completed the Test of Memory Malingering (TOMM). FIT cut-offs of <9, <8 and stricter cut-offs were examined using DS and/or TOMM as criterion performance validity measures.
Only four participants scored below the standard cut score of 9 on the FIT. Among the 13 veterans failing both criterion tests, only two scored below 9 on the FIT. Regardless of which FIT cut-off was used, the FIT had poor diagnostic accuracy.
Despite its popularity, the FIT is not supported as an appropriate measure of performance validity in veterans undergoing evaluation for possible mTBI. Therefore, inferences regarding neuropsychological data reliability with adequate statistical certainty require use of other measures of performance validity with greater sensitivity.
本研究探讨将雷伊十五项记忆测验（FIT）作为对轻度创伤性脑损伤（mTBI）进行神经心理学评估的退伍军人的效标效度测量方法。
雷伊十五项记忆测验（FIT）是一种效标效度测量方法，因敏感性差而受到批评。
257名退伍军人完成了FIT和韦氏成人智力量表第四版数字广度（DS）测验；其中109人完成了伪装记忆测验（TOMM）。以DS和/或TOMM作为效标效度测量指标，对FIT得分<9、<8以及更严格的临界值进行了检验。
只有4名参与者的FIT得分低于标准临界值9。在两项效标测验均未通过的13名退伍军人中，只有两人的FIT得分低于9。无论使用哪种FIT临界值，FIT的诊断准确性都很差。
尽管FIT很受欢迎，但它并不适合作为对可能患有mTBI的退伍军人进行效标效度测量的方法。因此，要在有足够统计确定性的情况下推断神经心理学数据的可靠性，需要使用其他敏感性更高的效标效度测量方法。
