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This study was designed to examine the hypothesis that a defensive self-report response set tends to attenuate the strength of the relationship between self-reported emotional functioning and cognitive tests, particularly the functioning of verbal memory. 75 patients with end-stage lung disease were administered the MMPI and a cognitive test battery as part of a psychosocial evaluation for transplantation. Patients were separated into defensive and nondefensive groups using the MMPI F - K Gough Dissimulation index (raw score F minus K < or = -15). Cognitive factor scores were generated and correlated with non-K-corrected raw scores of MMPI Scales 2, 7, and 8. Correlation coefficients were compared across groups. As predicted, increases on Scales 2 and 7 were significantly associated with decreased functioning of verbal memory (r = -.35 and -.34, respectively) among the nondefensive group but were unrelated in the defensive group. It is argued that the attenuation of the relationship between self-reported emotional status and verbal memory functioning is, in part, due to a restricted range of symptom endorsement on the MMPI among the defensive group. These findings replicate those previously reported using a sample of patients with cardiac disease.
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