Children with moderate/severe brain damage/dysfunction outperform adults with mild-to-no brain damage on the Medical Symptom Validity Test
Children with moderate/severe brain damage/dysfunction outperform adults with mild-to-no brain damage on the Medical Symptom Validity Test
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DOI：
10.1080/02699050802491297
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发表时间：
2008-01-01
期刊：
影响因子：
1.9
通讯作者：
Carone, Dominic A.
中科院分区：
文献类型：
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作者：
Carone, Dominic A.
主要目标：本研究寻求独立证实，患有中度至重度脑损伤/功能障碍（例如创伤性脑损伤、中风）和/或发育障碍的儿童可以轻松通过英语计算机化医学症状有效性测试。此外，据推测，与患有轻度创伤性脑损伤或头部损伤 (MTBI/HI) 的成年人相比，此类儿童通过 MSVT 的比例更高，并且认为任务更容易。方法：38 名儿童和 67 名成人在门诊神经心理学评估期间接受了 MSVT。结果：两名儿童 (5%) 未能通过 MSVT，而 14 名成人 (21%) 未能通过。与未通过 MSVT 的成年人相比，儿童在 MSVT 上的表现明显更好，并且认为 MSVT 明显更容易。当儿童与通过 MSVT 的成人进行比较时，没有发现这样的差异。结论：研究结果独立验证了 MSVT 在儿童中的使用，并证明了成人 MTBI/HI 患者亚组的症状夸大。
Primary objective: This study sought independent confirmation that the English computerized Medical Symptom Validity Test can be easily passed by children with moderate-to-severe brain injury/dysfunction (e.g. traumatic brain injury, stroke) and/or developmental disabilities. In addition, it was hypothesized that a higher percentage of such children would pass the MSVT compared to adults with mild traumatic brain injury or head injury (MTBI/HI) and would rate the task as easier. Methods: Thirty-eight children and 67 adults were administered the MSVT during an outpatient neuropsychological evaluation. Results: Two children (5%) failed the MSVT, whereas 14 (21%) of adults failed. Children performed significantly better on the MSVT and rated it as significantly easier compared to adults who failed the MSVT. There were no such differences when children were compared to adults who passed the MSVT. Conclusions: Findings independently validate the use of the MSVT with children and demonstrate symptom exaggeration in a sub-set of adult MTBI/HI patients.