title: Ecological validity of performance validity testing.
abstract: Performance validity tests (PVTs) have been shown to relate to neuropsychological performance, but no studies have looked at the ecological validity of these measures. Data from 131 veterans with a history of mild traumatic brain injury from a multicenter Veterans Administration consortium were examined to determine the relation between scores on a self-report version of the Mayo-Portland Adaptability Inventory Participation Index, a measure of community participation, and the Word Memory Test, a PVT. A restricted regression model, including education, age, history of loss of consciousness, cognitive measures, and a measure of symptom validity test performance, was not significantly associated with self-reported community reintegration. Adding PVT results to the restricted model, however, did significantly improve the prediction of community reintegration as PVT failure was associated with lower self-reported community participation. The results of this study indicate that PVTs may also serve as an indicator of patients' functioning in the community.
authors.affiliation: VA Boston Healthcare System, Translational Research Center for TBI and Stress Disorders, Boston, MA 02130, USA.
authors.forename: Sara M
authors.initials: SM
authors.lastname: Lippa
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Pastorek
authors.forename: Jennifer
authors.initials: J
authors.lastname: Romesser
authors.forename: John
authors.initials: J
authors.lastname: Linck
authors.forename: Anita H
authors.initials: AH
authors.lastname: Sim
authors.forename: Nick M
authors.initials: NM
authors.lastname: Wisdom
authors.forename: Brian I
authors.initials: BI
authors.lastname: Miller
mesh_terms: D000328:Adult; D015982:Bias; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis* / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008950:MMPI; D008297:Male; D009483:Neuropsychological Tests; D011597:Psychomotor Performance; D015203:Reproducibility of Results; D014728:Veterans / Q000523:psychology; D055815:Young Adult
keywords: Mayo-Portland Adaptability Inventory Participation Index; Mild traumatic brain injury; Performance validity test; Response bias; Veterans