Probable malingering and performance on the test of variables of attention.
Fifty subjects with mild head injury involved in personal injury litigation and 2 subjects referred for evaluation of their disability status underwent comprehensive neuropsychological examination including the Test of Variables of Attention (TOVA). Group status was determined by performance on symptom validity testing. Twenty-six subjects who failed symptom validity testing formed the probable malingering (PM) group, while 26 subjects who passed symptom validity testing comprised the not malingering (NM) group. Subjects in the PM group performed significantly worse on all TOVA variables relative to subjects in the NM group. Discriminant function analyses revealed that TOVA omission errors >/=3 errors was the best predictor of group status. Malingering research employing a group of probable clinical malingerers has direct generalizability to real-world settings.
Henry
George K
GK
Los Angeles Neuropsychology Group, Los Angeles, CA 90025, USA. GHenry0249@aol.com
D000328:Adult; D001288:Attention / Q000502:physiology*; D003072:Cognition Disorders / Q000503:physiopathology*; D016001:Confidence Intervals; D006259:Craniocerebral Trauma / Q000503:physiopathology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008306:Malingering / Q000503:physiopathology*; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D016017:Odds Ratio; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies