دورية أكاديمية
أعرض في EDS

Specificity of Embedded Performance Validity Tests in Elderly Veterans with Mild and Major Neurocognitive Disorder.

التفاصيل البيبلوغرافية
العنوان: Specificity of Embedded Performance Validity Tests in Elderly Veterans with Mild and Major Neurocognitive Disorder.
المؤلفون: Kanser RJ; Department of Physical Medicine and Rehabilitation, University of North Carolina School of Medicine, Chapel Hill, NC, USA.; Mental Health and Behavioral Science, James A. Haley Veterans' Hospital, Tampa, FL, USA., Logan PM; Mental Health and Behavioral Science, James A. Haley Veterans' Hospital, Tampa, FL, USA.; Mental Health and Behavioral Science, Louisville VA Medical Center, Louisville, KY, USA., Steward KA; Mental Health and Behavioral Science, James A. Haley Veterans' Hospital, Tampa, FL, USA., Vanderbleek EN; Mental Health and Behavioral Science, James A. Haley Veterans' Hospital, Tampa, FL, USA., Kamper JE; Mental Health and Behavioral Science, James A. Haley Veterans' Hospital, Tampa, FL, USA.
المصدر: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2023 Jul 25; Vol. 38 (5), pp. 772-781.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 9004255 Publication Model: Print Cited Medium: Internet ISSN: 1873-5843 (Electronic) Linking ISSN: 08876177 NLM ISO Abbreviation: Arch Clin Neuropsychol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: New York : Pergamon Press, c1986-
مواضيع طبية MeSH: Veterans*/psychology , Dementia*/diagnosis , Cognitive Dysfunction*/diagnosis , Cognitive Dysfunction*/psychology, Adult ; Humans ; Aged ; Neuropsychological Tests ; Memory and Learning Tests ; Reproducibility of Results
مستخلص: Objective: This study explored the specificity of four embedded performance validity tests (PVTs) derived from common neuropsychological tasks in a sample of older veterans with verified cognitive decline and whose performance was deemed valid by licensed psychologists.
Method: Participants were 180 veterans who underwent comprehensive neuropsychological evaluation, were determined to have valid performance following profile analysis/conceptualization, and were diagnosed with mild neurocognitive disorder (i.e., MCI; n = 64) or major neurocognitive disorder (i.e., Dementia; n = 116). All participants completed at least one of four embedded PVTs: Reliable Digit Span (RDS), California Verbal Learning Test-2nd ed. Short Form (CVLT-II SF) Forced choice, Trails B:A, and Delis-Kaplan Executive Function System (DKEFS) Letter and Category Fluency.
Results: Adequate specificity (i.e., ≥90%) was achieved at modified cut-scores for all embedded PVTs across MCI and Dementia groups. Trails B:A demonstrated near perfect specificity at its traditional cut-score (Trails B:A < 1.5). RDS ≤ 5 and CVLT-II SF Forced Choice ≤7 led to <10% false positive classification errors across MCI and dementia groups. DKEFS Letter and Category Fluency achieved 90% specificity at extremely low normative cut-scores.
Conclusions: RDS, Trails B:A, and CVLT-II SF Forced Choice reflect promising embedded PVTs in the context of dementia evaluations. DKEFS Letter and Category Fluency appear too sensitive to genuine neurocognitive decline and, therefore, are inappropriate PVTs in adults with MCI or dementia. Additional research into embedded PVT sensitivity (via known-groups or analogue designs) in MCI and dementia is needed.
(© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com.)
فهرسة مساهمة: Keywords: Dementia; Malingering/symptom validity testing; Mild cognitive impairment
تواريخ الأحداث: Date Created: 20221229 Date Completed: 20230727 Latest Revision: 20230727
رمز التحديث: 20231215
DOI: 10.1093/arclin/acac106
PMID: 36578198
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5843
DOI:10.1093/arclin/acac106