TY - JOUR
T1 - Embedded performance validity testing in neuropsychological assessment
T2 - Potential clinical tools
AU - Rickards, Tyler A.
AU - Cranston, Christopher C.
AU - Touradji, Pegah
AU - Bechtold, Kathleen T.
N1 - Publisher Copyright:
© 2017 Taylor & Francis Group, LLC.
PY - 2018/5/4
Y1 - 2018/5/4
N2 - The article aims to suggest clinically-useful tools in neuropsychological assessment for efficient use of embedded measures of performance validity. To accomplish this, we integrated available validity-related and statistical research from the literature, consensus statements, and survey-based data from practicing neuropsychologists. We provide recommendations for use of 1) Cutoffs for embedded performance validity tests including Reliable Digit Span, California Verbal Learning Test (Second Edition) Forced Choice Recognition, Rey-Osterrieth Complex Figure Test Combination Score, Wisconsin Card Sorting Test Failure to Maintain Set, and the Finger Tapping Test; 2) Selecting number of performance validity measures to administer in an assessment; and 3) Hypothetical clinical decision-making models for use of performance validity testing in a neuropsychological assessment collectively considering behavior, patient reporting, and data indicating invalid or noncredible performance. Performance validity testing helps inform the clinician about an individual’s general approach to tasks: response to failure, task engagement and persistence, compliance with task demands. Data-driven clinical suggestions provide a resource to clinicians and to instigate conversation within the field to make more uniform, testable decisions to further the discussion, and guide future research in this area.
AB - The article aims to suggest clinically-useful tools in neuropsychological assessment for efficient use of embedded measures of performance validity. To accomplish this, we integrated available validity-related and statistical research from the literature, consensus statements, and survey-based data from practicing neuropsychologists. We provide recommendations for use of 1) Cutoffs for embedded performance validity tests including Reliable Digit Span, California Verbal Learning Test (Second Edition) Forced Choice Recognition, Rey-Osterrieth Complex Figure Test Combination Score, Wisconsin Card Sorting Test Failure to Maintain Set, and the Finger Tapping Test; 2) Selecting number of performance validity measures to administer in an assessment; and 3) Hypothetical clinical decision-making models for use of performance validity testing in a neuropsychological assessment collectively considering behavior, patient reporting, and data indicating invalid or noncredible performance. Performance validity testing helps inform the clinician about an individual’s general approach to tasks: response to failure, task engagement and persistence, compliance with task demands. Data-driven clinical suggestions provide a resource to clinicians and to instigate conversation within the field to make more uniform, testable decisions to further the discussion, and guide future research in this area.
KW - Assessment
KW - clinical neuropsychology
KW - effort
KW - embedded measures
KW - malingering
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U2 - 10.1080/23279095.2017.1278602
DO - 10.1080/23279095.2017.1278602
M3 - Article
C2 - 28139144
AN - SCOPUS:85011295539
SN - 2327-9095
VL - 25
SP - 219
EP - 230
JO - Applied Neuropsychology:Adult
JF - Applied Neuropsychology:Adult
IS - 3
ER -