Thorough assessment of performance validity has become an established standard of practice in neuropsychological assessment. While there has been a large focus on the development and cross-validation of embedded performance validity tests (PVTs) in recent years, new freestanding PVTs have also been developed, including the Word Choice Test (WCT) as part of the Advanced Clinical Solutions Effort System. And, while the WCT’s general utility for identifying invalid performance has been demonstrated in the ensuing decade since its initial publication, optimal cut-scores and associated psychometric properties have varied widely across studies. This study sought to synthesize the existing diagnostic accuracy literature regarding the WCT via a systematic review and to conduct a meta-analysis to determine the performance validity cut-score that best maximizes sensitivity while maintaining acceptable specificity. A systematic search of the literature resulted in 14 studies for synthesis, with eight of those available for meta-analysis. Meta-analytic results revealed an optimal cut-score of ≤ 42 with 54% sensitivity and 93% specificity for identifying invalid neuropsychological test performance. Collectively, the WCT demonstrated adequate diagnostic accuracy as a PVT across a variety of populations. Recommendations for future studies are also provided.

对绩效有效性的彻底评估已成为神经心理学评估的既定实践标准。近年来，虽然嵌入式性能有效性测试 (PVT) 的开发和交叉验证备受关注，但也开发了新的独立 PVT，包括作为高级临床解决方案工作的一部分的单词选择测试 (WCT)系统。而且，虽然 WCT 在识别无效表现方面的一般效用已在其首次出版后的随后十年中得到证明，但最佳分数和相关的心理测量属性在不同的研究中存在很大差异。本研究试图通过系统评价综合有关 WCT 的现有诊断准确性文献，并进行荟萃分析，以确定在保持可接受的特异性的同时最大限度地提高灵敏度的性能有效性分数。对文献的系统搜索产生了 14 项综合研究，其中 8 项可用于荟萃分析。荟萃分析结果显示，对于识别无效的神经心理学测试性能，最佳切分分数≤ 42，敏感性为 54%，特异性为 93%。总的来说，WCT 作为 PVT 在各种人群中表现出足够的诊断准确性。还提供了对未来研究的建议。其中八个可用于荟萃分析。荟萃分析结果显示，对于识别无效的神经心理学测试性能，最佳切分分数≤ 42，敏感性为 54%，特异性为 93%。总的来说，WCT 作为 PVT 在各种人群中表现出足够的诊断准确性。还提供了对未来研究的建议。其中八个可用于荟萃分析。荟萃分析结果显示，对于识别无效的神经心理学测试性能，最佳切分分数≤ 42，敏感性为 54%，特异性为 93%。总的来说，WCT 作为 PVT 在各种人群中表现出足够的诊断准确性。还提供了对未来研究的建议。