title: Utility of the Rey-15 recognition trial to detect invalid performance in a forensic neuropsychological sample.
abstract: The current study sought to address the utility of the Rey Fifteen Item Test (Rey-15), with the use of a combined score [recall correct + (recognition correct - false positives)], to distinguish between valid and invalid performance among a sample of litigating persons referred for neuropsychological evaluation. Scores on the Rey-15 were analyzed across four comparison groups: (1) litigating persons with evidence of invalid performance (n = 29), (2) litigating persons with valid performance (n = 63), (3) learning-disabled patients (n = 36), and (4) a mixed clinical neuropsychological sample not involved in litigation (n = 54). A Rey-15 combined cutoff score of < 21 yielded the highest sensitivity (70%) and specificity (92.8%) rates. If the Rey-15 is to be used in clinical practice to detect invalid performance, the recognition trial with combined score < 21 should be used. Findings support the use of the combined Rey-15 score in place of the previously used recall Rey-15 score to improve sensitivity and specificity rates for detection of invalid performance in litigating neuropsychological referrals.
authors.affiliation: a Department of Psychology , Drexel University , Philadelphia , USA .
authors.forename: Chelsea L
authors.initials: CL
authors.lastname: Morse
authors.forename: Kara
authors.initials: K
authors.lastname: Douglas-Newman
authors.forename: Steven
authors.initials: S
authors.lastname: Mandel
authors.forename: Thomas
authors.initials: T
authors.lastname: Swirsky-Sacchetti
mesh_terms: D000328:Adult; D015986:Confounding Factors, Epidemiologic; D005260:Female; D005555:Forensic Psychiatry / Q000379:methods*; D006801:Humans; D007859:Learning Disabilities; D008297:Male; D008306:Malingering / Q000175:diagnosis* / Q000523:psychology*; D008499:Medical Records; D011939:Mental Recall; D009483:Neuropsychological Tests; D021641:Recognition, Psychology; D012189:Retrospective Studies; D012680:Sensitivity and Specificity