Multivariable utility of the Memory Integrated Language and Making Change Test.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
John-Christopher A Finley, Mira I Leese, Jarett E Roseberry, S Kristian Hill
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引用次数: 0

Abstract

Recent reports indicate that the Memory Integrated Language Test (MIL) and Making Change Test Abbreviated Index (MCT-AI), two web-based performance validity tests (PVTs), have good sensitivity and specificity when used independently. This study investigated whether using these PVTs together could improve the detection of invalid performance in a mixed neuropsychiatric sample. Participants were 129 adult outpatients who underwent a neuropsychological evaluation and were classified into valid (n = 104) or invalid (n = 25) performance groups based on several commonly used PVTs. Using cut scores of ≤41 on the MIL and ≥1.05 on the MCT-AI together enhanced classification accuracy, yielding an area under the curve of .84 (95% CI: .75, .93). As compared to using the MIL and MCT-AI independently, the combined use increased the sensitivity from .10-.31 to.70 while maintaining ≥.90 specificity. Findings also indicated that failing either the MIL or MCT-AI was associated with somewhat lower cognitive test scores, but failing both was associated with markedly lower scores. Overall, using the MIL and MCT-AI together may be an effective way to identify invalid test performance during a neuropsychological evaluation. Furthermore, pairing these tests is consistent with current practice guidelines to include multiple PVTs in a neuropsychological test battery.

记忆综合语言和做出改变测试的多变量效用。
最近的报告显示,记忆综合语言测试(MIL)和做出改变测试缩略指数(MCT-AI)这两种基于网络的成绩效度测试(PVT)在单独使用时具有良好的灵敏度和特异性。本研究调查了在混合神经精神病样本中,同时使用这两种测试是否能提高对无效表现的检测。129 名成年门诊患者接受了神经心理学评估,并根据几种常用的 PVT 被分为有效表现组(104 人)和无效表现组(25 人)。将 MIL 的切分分数≤41 和 MCT-AI 的切分分数≥1.05 结合使用可提高分类准确性,曲线下面积为 .84 (95% CI: .75, .93)。与单独使用 MIL 和 MCT-AI 相比,联合使用可将灵敏度从 0.10-.31 提高到 0.70,同时保持≥.90 的特异性。研究结果还表明,MIL 或 MCT-AI 不及格与认知测试得分略低有关,但两者都不及格则与得分明显偏低有关。总之,在神经心理评估过程中,同时使用 MIL 和 MCT-AI 可能是识别无效测试表现的有效方法。此外,将这两项测试配对使用也符合当前的实践指南,即在神经心理测试中包含多项PVT。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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