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Embedded Measures of Performance Validity in the Rey Complex Figure Test in a Clinical Sample of Veterans
- Source :
- Applied Neuropsychology: Adult. 23:105-114
- Publication Year :
- 2015
- Publisher :
- Informa UK Limited, 2015.
-
Abstract
- The purpose of this study was to determine how well scores from the Rey Complex Figure Test (RCFT) could serve as embedded measures of performance validity in a large, heterogeneous clinical sample at an urban-based Veterans' Affairs hospital. Participants were divided into credible performance (n = 244) and noncredible performance (n = 87) groups based on common performance validity tests during their respective clinical evaluations. We evaluated how well preselected RCFT scores could discriminate between the 2 groups using cut scores from single indexes as well as multivariate logistic regression prediction models. Additionally, we evaluated how well memory error patterns (MEPs) could discriminate between the 2 groups. Optimal discrimination occurred when indexes from the Copy and Recognition trials were simultaneous predictors in logistic regression models, with 91% specificity and at least 53% sensitivity. Logistic regression yielded superior discrimination compared with individual indexes and compared with the use of MEPs. Specific scores on the RCFT, including the Copy and Recognition trials, can serve as adequate indexes of performance validity, when using both cut scores and logistic regression prediction models. We provide logistic regression equations that can be applied in similar clinical settings to assist in determining performance validity.
- Subjects :
- Adult
Male
Malingering
050103 clinical psychology
Sample (statistics)
Clinical settings
Neuropsychological Tests
Logistic regression
Sensitivity and Specificity
Executive Function
Young Adult
03 medical and health sciences
0302 clinical medicine
Statistics
Developmental and Educational Psychology
Humans
Attention
0501 psychology and cognitive sciences
Aged
Veterans
05 social sciences
Reproducibility of Results
Recognition, Psychology
Middle Aged
Rey complex figure test
Logistic Models
Neuropsychology and Physiological Psychology
Female
Psychology
Psychomotor Performance
030217 neurology & neurosurgery
Predictive modelling
Subjects
Details
- ISSN :
- 23279109 and 23279095
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Applied Neuropsychology: Adult
- Accession number :
- edsair.doi.dedup.....4946f683a7a488a6746acefc639fce2d