Is poor performance on recognition memory effort measures indicative of generalized poor performance on neuropsychological tests?
Is poor performance on recognition memory effort measures indicative of generalized poor performance on neuropsychological tests?
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DOI：
10.1016/j.acn.2004.06.002
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发表时间：
2005-03-01
影响因子：
2.6
通讯作者：
McCaffrey, RJ
中科院分区：
文献类型：
--
作者：
Constantinou, M;Bauer, L;McCaffrey, RJ
在临床神经心理学实践中，检测次优努力程度对于做出准确的诊断、预后和转诊已变得至关重要。症状效度测试（SVT）一直是评估努力程度最常用的模式，且经常包括再认记忆任务。然而，关于该模式的一些相互矛盾的观点声称，从再认记忆范式中收集的努力程度测量结果不一定能延伸到其他认知领域和其他表现方面的努力程度。本研究旨在调查在一组轻度创伤性脑损伤诉讼当事人中，利用再认记忆的一种SVT测量方法（即TOMM）的表现是否能够预测其他不评估再认记忆或不仅仅是记忆本身的测量方法的表现。结果表明，TOMM上的不良表现与韦氏成人智力量表修订版（WAIS - R）和霍尔斯特德 - 雷坦神经心理成套测验 - A（HRNB - A）上的较差表现显著相关。此外，对这些结果的实验性探究表明，努力程度次优的诉讼当事人的整体神经心理表现比轻度创伤性脑损伤个体通常预期的要差，并且也低于研究中未被TOMM归类为表现出次优努力的其他轻度创伤性脑损伤受测者。这些发现支持了这样一种观点，即通过再认记忆努力程度测量方法所测量出的努力不足并不局限于再认和记忆测量。事实上，在本研究中，似乎TOMM上的不良表现可预测在诸如WAIS - R和HNRB - A等标准化测量中的普遍较差表现。（C）2004年美国国家神经心理学院。由爱思唯尔有限公司出版。保留所有权利。
The detection of suboptimal effort has become crucial in clinical neuropsychological. practice in order to make accurate diagnoses, prognoses, and referrals. Symptom Validity Testing (SVT) has been the most commonly utilized model for assessing effort, and frequently includes recognition memory tasks. Some conflicting views on this model purport, however, that measures of effort gathered from a recognition memory paradigm do not necessarily extend to effort in other cognitive domains and other areas of performance. The present study sought to investigate whether performance on an SVT measure, which utilizes recognition memory, the TOMM, could predict performance on other measures that do not evaluate recognition memory or just memory per se in a group of mildly traumatic brain-injured litigants. Results indicated that poor performance on the TOMM was significantly correlated with poorer performance on the WAIS-R and the HRNB-A. Further, experimental exploration of these results indicated that the overall neuropsychological performance of litigants with suboptimal effort was poorer than what is generally expected from mild TBI individuals, and was also lower than the other mild TBI examinees in the study, who were not classified by the TOMM as exhibiting suboptimal effort. These findings support the proposition that poor effort as measured by recognition memory effort measures is not restricted to recognition and memory measures. In fact, in the present study it appears that a poor performance on the TOMM is predictive of a generalized poorer performance on standardized measures such as the WAIS-R and the HNRB-A. (C) 2004 National Academy of Neuropsychology. Published by Elsevier Ltd. All rights reserved.