title: Use of Trial 1 of the Test of Memory Malingering (TOMM) as a screening measure of effort: suggested discontinuation rules.
abstract: Trial 1 of the Test of Memory Malingering (TOMM) has been suggested as a screening tool, with several possible cut-off scores proposed. The purpose of the present study was to replicate the utility of previously suggested cut-off scores and to characterize neuropsychological profiles of persons who "pass" the TOMM but obtain Trial 1 scores < 45 and of persons with cognitive disorders. A total of 229 veterans were administered the TOMM as part of a neuropsychological evaluation. Trial 1 scores ≥ 41 and ≤ 25 showed good utility as discontinuation scores for adequate and poor effort, respectively, beyond which administration of additional trials were unnecessary. Findings suggest better Trial 1 performance is significantly related to better speeded mental flexibility and memory.
authors.affiliation: Psychology Service, South Texas Veterans Health Care System, San Antonio, TX 78229, USA. Hilsabeck@uthscsa.edu
authors.forename: Robin C
authors.initials: RC
authors.lastname: Hilsabeck
authors.forename: Shalanda N
authors.initials: SN
authors.lastname: Gordon
authors.forename: Tammy
authors.initials: T
authors.lastname: Hietpas-Wilson
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Zartman
mesh_terms: D000328:Adult; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis* / Q000523:psychology; D008403:Mass Screening; D008568:Memory / Q000502:physiology*; D008875:Middle Aged; D009483:Neuropsychological Tests; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D013223:Statistics as Topic; D014728:Veterans