A Comparison of Four Embedded Validity Indices for the RBANS in a Memory Disorders Clinic

    Authors

    D. Paulson; M. D. Horner;D. Bachman

    Comments

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    Abbreviated Journal Title

    Arch. Clin. Neuropsychol.

    Keywords

    Assessment; Response validity; Effort testing; Aging; Malingering; Index; validation; Cognitive evaluation; TRAUMATIC BRAIN-INJURY; MALINGERED NEUROCOGNITIVE DYSFUNCTION; NEUROPSYCHOLOGICAL STATUS RBANS; POSTTRAUMATIC-STRESS-DISORDER; REPEATABLE BATTERY; COGNITIVELY INTACT; GERIATRIC SAMPLE; TEST-PERFORMANCE; NORMATIVE DATA; OLDER-ADULTS; Psychology, Clinical; Psychology

    Abstract

    This examination of four embedded validity indices for the Repeated Battery for the Assessment of Neuropsychological Status (RBANS) explores the potential utility of integrating cognitive and self-reported depressive measures. Examined indices include the proposed RBANS Performance Validity Index (RBANS PVI) and the Charleston Revised Index of Effort for the RBANS (CRIER). The CRIER represented the novel integration of cognitive test performance and depression self-report information. The sample included 234 patients without dementia who could be identified as having demonstrated either valid or invalid responding, based on standardized criteria. Sensitivity and specificity for invalid responding varied widely, with the CRIER emerging as the best all-around index (sensitivity = 0.84, specificity = 0.90, AUC = 0.94). Findings support the use of embedded response validity indices, and suggest that the integration of cognitive and self-report depression data may optimize detection of invalid responding among older Veterans.

    Journal Title

    Archives of Clinical Neuropsychology

    Volume

    30

    Issue/Number

    3

    Publication Date

    1-1-2015

    Document Type

    Article

    Language

    English

    First Page

    207

    Last Page

    216

    WOS Identifier

    WOS:000353822600005

    ISSN

    0887-6177

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