Test of Memory Malingering and Word Memory Test: A new comparison of failure concordance rates

Manfred F. Greiffenstein · Kevin W. Greve · Kevin J. Bianchini · W. John Baker

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Deception detection and forensic psychology Traumatic Brain Injury Research Psychological Testing and Assessment

Abstract

Two commonly used symptom validity tests are the Test of Memory Malingering (TOMM) and Word Memory Test (WMT). After examining TOMM-WMT failure concordance rates, Green [Green, P. (2007). Making comparisons between forced-choice effort tests. In K. B. Boone (Ed.), Assessment of feigned cognitive impairment (pp. 50-77). New York: Guilford] urged widespread adoption of the WMT, arguing the TOMM is insensitive to feigned impairment. But Green (2007) used a skewed concordance method that favored WMT (one TOMM subtest vs. three WMT subtests). In the present study we compare pass/fail agreement rates with different combinations of TOMM and WMT subtests in 473 persons seeking compensation for predominately mild neurological trauma. We replicated Green (2007) using his asymmetrical method, but otherwise we found the WMT and TOMM produce comparable failure rates in samples at-risk for exaggeration with balanced comparison (three TOMM subtests vs. three WMT). Further work is necessary to compare WMT and TOMM specificities, as failure concordance designs establish reliability but are insufficient for proving validity.

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References

2002Base Rates of Malingering and Symptom Exeggeration 2005Symptom validity assessment: Practice issues and medical necessityNAN Policy & Planning Committee 1994Validation of malingered amnesia measures with a large clinical sample.1997The Test of Memory Malingering (TOMM): Normative data from cognitively intact and cognitively impaired individuals.1994Validation of malingered amnesia measures with a large clinical sample.2008Assessment of Malingered Neuropsychological Deficits 2001Symptom Validity Testing: A Critical Review 1999Detecting malingering in head injury litigation with the Word Memory Test

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2017A single error is one too many: Examining alternative cutoffs on Trial 2 of the TOMM 2021Nonverbal Performance Validity Testing: Test of Memory Malingering (TOMM)

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