title: A comparison of four embedded validity indices for the RBANS in a memory disorders clinic.
abstract: This examination of four embedded validity indices for the Repeated Battery for the Assessment of Neuropsychological Status (RBANS) explores the potential utility of integrating cognitive and self-reported depressive measures. Examined indices include the proposed RBANS Performance Validity Index (RBANS PVI) and the Charleston Revised Index of Effort for the RBANS (CRIER). The CRIER represented the novel integration of cognitive test performance and depression self-report information. The sample included 234 patients without dementia who could be identified as having demonstrated either valid or invalid responding, based on standardized criteria. Sensitivity and specificity for invalid responding varied widely, with the CRIER emerging as the best all-around index (sensitivity = 0.84, specificity = 0.90, AUC = 0.94). Findings support the use of embedded response validity indices, and suggest that the integration of cognitive and self-report depression data may optimize detection of invalid responding among older Veterans.
authors.affiliation: Department of Psychology, University of Central Florida, Orlando, FL, USA Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC, USA daniel.paulson2@ucf.edu.
authors.forename: Daniel
authors.initials: D
authors.lastname: Paulson
authors.affiliation: Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC, USA Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
authors.forename: Michael David
authors.initials: MD
authors.lastname: Horner
authors.affiliation: Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC, USA Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA Department of Neurosciences, Medical University of South Carolina, Charleston, SC, USA.
authors.forename: David
authors.initials: D
authors.lastname: Bachman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology; D003863:Depression / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008306:Malingering / Q000175:diagnosis* / Q000523:psychology; D008568:Memory / Q000502:physiology; D008569:Memory Disorders / Q000175:diagnosis* / Q000523:psychology; D008875:Middle Aged; D009483:Neuropsychological Tests; D012680:Sensitivity and Specificity
keywords: Aging; Assessment; Cognitive evaluation; Effort testing; Index validation; Malingering; Response validity