Evaluation of malingering cut-off scores for the Rey 15-Item Test: a brain injury case study series.
OBJECTIVE
To evaluate the utility of prescribed malingering cut-off scores by examining the Rey Fifteen-Item Test (FIT) responses of persons with severe brain injury.


METHODS
Series of five case studies.


METHODS
The FIT was administered along with standardized neuropsychological and neurobehavioural measures.


RESULTS
Using the standardized scoring protocol, all five patients obtained perfect (15/15 correct) scores on the FIT. All patients exhibited significant impairment on other neuropsychological indices, included measures of memory and attention.


CONCLUSIONS
Results lend support to the use of higher cut-off scores to identify malingering. Further large-scale research is recommended to ascertain the reliability of FIT scoring procedures, determine cut-off scores for various diagnostic groups and develope age and education adjustments. Implications for use of the FIT in clinical and forensic settings are also discussed.
Taylor
Laura A
LA
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University Health System, MCV Hospitals and Physicians, Richmond, Virginia 23298-0542, USA.
Kreutzer
Jeffrey S
JS
West
Deborah D
DD
D000328:Adult; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D003866:Depressive Disorder / Q000175:diagnosis; D004185:Disability Evaluation; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis*; D008875:Middle Aged; D011581:Psychological Tests / Q000592:standards*; D020127:Recovery of Function; D012017:Referral and Consultation; D012680:Sensitivity and Specificity