TY  - JOUR
PY  - 2018//
TI  - A single error is one too many: the forced choice recognition trial of the CVLT-II as a measure of performance validity in adults with TBI
JO  - Archives of clinical neuropsychology
A1  - Erdodi, Laszlo A.
A1  - Abeare, Christopher A.
A1  - Medoff, Brent
A1  - Seke, Kristian R.
A1  - Sagar, Sanya
A1  - Kirsch, Ned L.
SP  - 845
EP  - 860
VL  - 33
IS  - 7
N2  - OBJECTIVE: The Forced Choice Recognition (FCR) trial of the California Verbal Learning Test-Second Edition (CVLT-II) was designed to serve as a performance validity test (PVT). The present study was designed to compare the classification accuracy of a more liberal alternative (≤15) to the de facto FCR cutoff (≤14). <br><br>METHOD: The classification accuracy of the two cutoffs was computed in reference to psychometrically defined invalid performance, across various criterion measures, in a sample of 104 adults with TBI clinically referred for neuropsychological assessment. <br><br>RESULTS: The FCR was highly predictive (AUC:.71-.83) of Pass/Fail status on reference PVTs, but unrelated to performance on measures known to be sensitive to TBI. On average, FCR ≤15 correctly identified an additional 6% of invalid response sets compared to FCR ≤14, while maintaining.92 specificity. Patients who failed the FCR reported higher levels of emotional distress. <br><br>CONCLUSIONS: Results suggest that even a single error on the FCR is a reliable indicator of invalid responding. Further research is needed to investigate the clinical significance of the relationship between failing the FCR and level of self-reported psychiatric symptoms.<p />  <p>Language: en</p>
LA  - en
SN  - 0887-6177
UR  - http://dx.doi.org/10.1093/acn/acx110
ID  - ref1
ER  -