Title

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

Authors

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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