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Cross-validation of a forced-choice validity indicator to enhance the clinical utility of the Rey Auditory Verbal Learning Test.
Psychological Assessment ( IF 6.083 ) Pub Date : 2021-04-26 , DOI: 10.1037/pas0001018
Jason R Soble 1 , Dillon W Sharp 1 , Dustin A Carter 1 , Kyle J Jennette 1 , Zachary J Resch 1 , Gabriel P Ovsiew 1 , Edan A Critchfield 2
Affiliation  

A forced-choice (FC) recognition trial was recently developed as an embedded validity indicator for the Rey Auditory Verbal Learning Test (RAVLT), although it has not been replicated outside of the initial validation study. This study cross-validated the RAVLT FC trial for detecting invalid neuropsychological test performance and assessed the degree to which material-specific verbal memory impairment severity impacts its classification accuracy as a performance validity test (PVT). This cross-sectional study included 172 neuropsychiatric patients who completed the RAVLT and 4 independent criterion PVTs, which were used to classify validity groups (134 valid/38 invalid). Overall results showed the RAVLT FC had excellent classification accuracy for detecting invalid performance at a ≤13 cut-score (66% sensitivity/87% specificity). When patients were subdivided by memory impairment status, FC retained excellent classification accuracy among the normal memory and mild memory impairment groups with 66%-82% sensitivity and ≥89% specificity. Accuracy decreased among those with severe memory impairment, but remained significant with a lower, alternative cut-score of ≤11 (37% sensitivity/88% specificity). Findings were consistent with FC trials developed for other memory measures and support the utility of this novel RAVLT FC index for reliably identifying invalid performance, even in the context of significant verbal memory impairment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

强制选择有效性指标的交叉验证,以提高 Rey 听觉言语学习测试的临床效用。

最近开发了一项强制选择 (FC) 识别试验,作为 Rey 听觉言语学习测试 (RAVLT) 的嵌入式有效性指标,尽管它尚未在初始验证研究之外复制。本研究交叉验证了 RAVLT FC 试验,用于检测无效的神经心理学测试性能,并评估了材料特定语言记忆障碍严重程度对其分类准确性的影响程度,作为性能有效性测试 (PVT)。这项横断面研究包括 172 名完成 RAVLT 的神经精神病患者和 4 个独立标准 PVT,用于对有效性组进行分类(134 名有效/38 名无效)。总体结果表明,RAVLT FC 在检测无效性能方面具有出色的分类准确度,得分≤13(敏感性为 66%/特异性为 87%)。当患者按记忆障碍状态细分时,FC 在正常记忆和轻度记忆障碍组中保留了极好的分类准确性,敏感性为 66%-82%,特异性≥89%。严重记忆障碍患者的准确性下降,但仍然显着,替代性得分较低,≤11(37% 敏感性/88% 特异性)。结果与为其他记忆措施开发的 FC 试验一致,并支持这种新型 RAVLT FC 指数的效用,即使在显着的语言记忆障碍的情况下,也能可靠地识别无效表现。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。FC 在正常记忆和轻度记忆障碍组中保留了出色的分类准确性,敏感性为 66%-82%,特异性≥89%。严重记忆障碍患者的准确性下降,但仍然显着,替代性得分较低,≤11(37% 敏感性/88% 特异性)。结果与为其他记忆措施开发的 FC 试验一致,并支持这种新型 RAVLT FC 指数的效用,即使在显着的语言记忆障碍的情况下,也能可靠地识别无效表现。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。FC 在正常记忆和轻度记忆障碍组中保留了出色的分类准确性,敏感性为 66%-82%,特异性≥89%。严重记忆障碍患者的准确性下降,但仍然显着,替代性得分较低,≤11(37% 敏感性/88% 特异性)。结果与为其他记忆措施开发的 FC 试验一致,并支持这种新型 RAVLT FC 指数的效用,即使在显着的语言记忆障碍的情况下,也能可靠地识别无效表现。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。结果与为其他记忆措施开发的 FC 试验一致,并支持这种新型 RAVLT FC 指数的效用,即使在显着的语言记忆障碍的情况下,也能可靠地识别无效表现。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。结果与为其他记忆措施开发的 FC 试验一致,并支持这种新型 RAVLT FC 指数的效用,即使在显着的语言记忆障碍的情况下,也能可靠地识别无效表现。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-04-26
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