title: Comparison of select Advanced Clinical Solutions embedded Effort measures to the Word Memory Test in the detection of suboptimal effort.
abstract: This brief report sought to evaluate the classification statistics of the Advanced Clinical Solutions (ACS) embedded measures of symptom validity in relation to the Word Memory Test (WMT), a well-established standalone measure of effort in a sample of active duty military service members with a history of mild traumatic brain injury. Results demonstrated that relative to the WMT, the ACS embedded measures had adequate specificity, but lacked sensitivity. This result is in agreement with previous studies demonstrating poor sensitivity for embedded effort measures relative to standalone Symptom Validity Tests.
authors.affiliation: Department of Behavioral Health, Munson Army Health Center, Fort Leavenworth, KS 66027, USA. patrick.jehle@amedd.army.mil
authors.forename: Patrick
authors.initials: P
authors.lastname: Armistead-Jehle
authors.forename: Brett
authors.initials: B
authors.lastname: Buican
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000175:diagnosis* / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008306:Malingering / Q000175:diagnosis*; D008568:Memory / Q000502:physiology*; D008889:Military Personnel / Q000523:psychology; D009483:Neuropsychological Tests; D012680:Sensitivity and Specificity