Neuropsychology practice organizations have highlighted the need for thorough evaluation of performance validity as part of the neuropsychological assessment process. Embedded validity indices are derived from existing measures and expand the scope of validity assessment. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a brief instrument that quickly allows a clinician to assess a variety of cognitive domains. The RBANS also contains multiple embedded validity indicators. The purpose of this study was to synthesize the utility of those indicators to assess performance validity. A systematic search was completed, resulting in 11 studies for synthesis and 10 for meta-analysis. Data were synthesized on four indices and three subtests across samples of civilians, service members, and veterans. Sufficient data for meta-analysis were only available for the Effort Index, and related analyses indicated optimal cutoff scores of ≥1 (AUC = .86) and ≥ 3 (AUC = .85). However, outliers and heterogeneity were present indicating the importance of age and evaluation context. Overall, embedded validity indicators have shown adequate diagnostic accuracy across a variety of populations. Recommendations for interpreting these measures and future studies are provided.

中文翻译：

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RBANS有效性指标：系统评价和荟萃分析

神经心理学实践组织强调，需要对绩效效度进行彻底评估，这是神经心理学评估过程的一部分。嵌入的有效性指标是从现有措施中得出的，并扩大了有效性评估的范围。评估神经心理状态（RBANS）的可重复电池是一种简短的工具，可快速使临床医生评估各种认知领域。RBANS还包含多个嵌入式有效性指标。这项研究的目的是综合那些指标来评估绩效效度的效用。完成了系统的搜索，完成了11项综合研究和10项荟萃分析研究。数据是在平民，现役军人和退伍军人的四个样本和三个子测验上综合得出的。仅有足够的荟萃分析数据可用于工作量指数，相关分析表明最佳截止分数分别≥1（AUC = .86）和≥3（AUC = .85）。但是，存在离群值和异质性表明年龄和评估环境的重要性。总体而言，嵌入式有效性指标已显示出在各种人群中均具有足够的诊断准确性。提供了解释这些措施和未来研究的建议。