Varying failure criteria on performance validity tests influences interpretation of cognitive outcomes.
Varying failure criteria on performance validity tests influences interpretation of cognitive outcomes.
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表现有效性测试的不同失败标准会影响认知结果的解释。
DOI：
10.1037/neu0000857
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发表时间：
2023
期刊：
影响因子：
2.4
通讯作者：
Sim,Anita
中科院分区：
文献类型：
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作者：
Tierney,SavannaM;Taiwo,Zinat;Choudhury,TabinaK;Lippa,SaraM;Troyanskaya,Maya;Pastorek,NicholasJ;Miller,Brian;Romesser,Jennifer;Sim,Anita
目的本研究探讨了应用各种绩效效度测试（PVT）失败标准对认知结果与创伤后应激（PTS）症状之间关系的影响。方法 199 名有轻度创伤性脑损伤病史转诊进行临床评估的退伍军人完成了认知测试、PVT 以及 PTS 症状和症状夸大的自我报告测量。选择认知测试的标准 T 分数被平均为记忆、注意力/处理速度和执行功能综合。单独的单向方差分析评估了高 PTS (n= 140) 与低 PTS (n= 59) 组之间的差异，并根据 PVT 失败标准的不同组合重复排除参与者。结果当不考虑 PVT 时，高 PTS 组在所有三个认知领域表现出较差的表现。排除那些未能通过两项或多项独立有效性测量或两项或多项嵌入有效性测量的人，会导致所有认知复合材料中的群体差异。当参与者因任何一项嵌入式 PVT 测量和任何一项独立 PVT 测量的失败而被排除时，高 PTS 组在执行功能和注意力/处理速度综合方面表现较差。剩下的三种控制表现有效性的方法导致了空的 PTS——认知关系。在控制症状夸大后，结果基本保持一致。结论定义PVT失败的方法可以极大地影响由PTS症状水平定义的组之间认知功能的差异。研究结果强调了在解释认知数据时考虑表现有效性的重要性，并保证未来对其他条件下的 PVT 失败标准进行调查。（PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）
ObjectiveThe present study examined the effects of applying various performance validity tests (PVT) failure criteria on the relationship between cognitive outcomes and posttraumatic stress (PTS) symptomology.MethodOne hundred and ninety-nine veterans with a history of mild traumatic brain injury referred for clinical evaluation completed cognitive tests, PVTs, and self-report measures of PTS symptoms and symptom exaggeration. Normative T scores of select cognitive tests were averaged into memory, attention/processing speed, and executive functioning composites. Separate one way analyses of variance assessed differences among high PTS (n= 140) versus low PTS (n= 59) groups and were repeated excluding participants based on varying combinations of PVT failure criteria.ResultsWhen no PVTs were considered, the high PTS group demonstrated worse performance across all three cognitive domains. Excluding those who failed two or more stand-alone, or two or more embedded validity measures resulted in group differences across all cognitive composites. When participants were excluded based on failure of any one embedded and any one stand-alone PVT measure combined, the high PTS group performed worse on the executive functioning and attention/processing speed composites. The remaining three proposed methods to control for performance validity resulted in null PTS—cognition relationships. Results remained largely consistent after controlling for symptom exaggeration.ConclusionsMethods of defining PVT failure can greatly influence differences in cognitive function between groups defined by PTS symptom levels. Findings highlight the importance of considering performance validity when interpreting cognitive data and warrant future investigation of PVT failure criteria in other conditions.(PsycInfo Database Record (c) 2024 APA, all rights reserved)