title: The non-credible score of the Rey Auditory Verbal Learning Test: is it better at predicting non-credible neuropsychological test performance than the RAVLT recognition score?
abstract: The ability of both the non-credible score of the Rey Auditory Verbal Learning Test (RAVLT NC) and the recognition score of the RAVLT (RAVLT Recog) to predict credible versus non-credible neuropsychological test performance was examined. Credible versus non-credible group membership was determined according to diagnostic criteria with consideration of performance on two stand-alone performance validity tests. Findings from this retrospective data analysis of outpatients seen for neuropsychological testing within a Veterans Affairs Medical Center (N = 175) showed that RAVLT Recog demonstrated better classification accuracy than RAVLT NC in predicting credible versus non-credible neuropsychological test performance. Specifically, an RAVLT Recog cutoff of ≤9 resulted in reasonable sensitivity (48%) and acceptable specificity (91%) in predicting non-credible neuropsychological test performance. Implications for clinical practice are discussed. Note: The views contained here within are those of the authors and not representative of the institutions with which they are associated.
authors.affiliation: Department of Psychiatry, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN 46202, USA Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202, USA kamarks@iupui.edu.
authors.forename: Kriscinda A
authors.initials: KA
authors.lastname: Whitney
authors.affiliation: Division of Physical Medicine and Rehabilitation, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: Davis
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003704:Dementia / Q000150:complications / Q000175:diagnosis; D004522:Educational Status; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis; D008569:Memory Disorders / Q000175:diagnosis* / Q000209:etiology; D011939:Mental Recall / Q000502:physiology; D008875:Middle Aged; D009483:Neuropsychological Tests; D010045:Outpatients; D011237:Predictive Value of Tests; D012372:ROC Curve; D014706:Verbal Learning / Q000502:physiology*; D055815:Young Adult
keywords: Malingering; Memory; Military veterans; Neuropsychology; Test validity