Repeatable Battery for the Assessment of Neuropsychological Status Effort Index Performance in a Medically Ill Geriatric Sample

María J. Marquine · James B. Hoelzle

28 citations0/0 files storedArchives of Clinical Neuropsychology

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Psychological Testing and Assessment Dementia and Cognitive Impairment Research Historical and Modern Theater Studies

Abstract

Using a sample of 44 clinically referred, non-litigating, older adults, we evaluated the Repeatable Battery for the Assessment of Neuropsychological Status Effort Index [RBANS EI; Silverberg, N. D., Wertheimer, J. C., & Fichtenberg, N. L. (2007). An effort index for the Repeatable Battery for the Assessment of Neurospcyhological Status (RBANS). The Clinical Neuropsychologist, 21, 841-854]. With the current RBANS EI cut-score guidelines, 31% of our sample was classified as putting forth suspect effort. With this, cognitive ability was significantly correlated with suspect effort scores. Thus, it appears that the current guidelines may not be useful in a cognitively impaired medically ill geriatric sample. Hence, further research on RBANS EI validation is warranted.

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References

2005Symptom validity assessment: Practice issues and medical necessityNAN Policy & Planning Committee 1978Prospects for faking believable deficits on neuropsychological testing.1988Neuropsychologists' capacity to detect adolescent malingerers.1995The California Verbal Learning Test in the detection of incomplete effort in neuropsychological evaluation.2006Detecting Incomplete Effort with Digit Span from the Wechsler Adult Intelligence Scale—Third Edition 2006An Effort Index for the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)2006Detection of inadequate effort on the California Verbal Learning Test-Second edition: Forced choice recognition and critical item analysis 2007Characterization of the Medical Symptom Validity Test in evaluation of clinically referred memory disorders clinic patients

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2011Comparison of the Repeatable Battery for the Assessment of Neuropsychological Status Effort Index and Stand-Alone Symptom Validity Tests in a Military Sample 2015A Comparison of Four Embedded Validity Indices for the RBANS in a Memory Disorders Clinic 2012Memory Complaints Inventory and Symptom Validity Test Performance in a Clinical Sample 2012

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