A Comparison Of Four Embedded Validity Indices For The Rbans In A Memory Disorders Clinic

Keywords

Aging; Assessment; Cognitive evaluation; Effort testing; Index validation; Malingering; Response validity

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.

Publication Date

5-1-2015

Publication Title

Archives of Clinical Neuropsychology

Volume

30

Issue

3

Number of Pages

207-216

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1093/arclin/acv009

Socpus ID

84928949490 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84928949490

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