ABSTRACT

Introduction: The Rey 15-item Test is a public-domain, memory-based performance validity test, frequently used in clinical settings. Various efforts have been made to modify the test to make it more sensitive and more robust to effects of lower education and intelligence. The most promising of these is the addition of a recognition trial to the existing free recall paradigm. Method: The present study explored the use of the Rey-15 + Recognition Trial in a sample of 155 younger U.S. military veterans seen for evaluation of mild traumatic brain injury or attention deficit hyperactivity disorder (50 cases classified as invalid, 105 classified as valid). Results: Optimal classification accuracy was obtained on the Combination index (cutoff ≤23, sensitivity = 50%, specificity = 95%) and the Recognition Hits score (cutoff ≤11, sensitivity = 52%, specificity = 93%). The Free Recall score had somewhat lower sensitivity when a similar 95% specificity threshold was set (cutoff ≤11, 38% sensitivity). A qualitative error score used in previous studies did not improve classification accuracy. Conclusions: The Rey-15 + Recognition Trial proved to be effective, with particular advantage bestowed by the recognition trial. Implications of these findings in the context of the study’s clinical sample of military veterans and in the broader literature are discussed.

摘要

简介：Rey 15 项测试是一种公共领域、基于记忆的性能有效性测试，经常用于临床环境。已经做出各种努力来修改测试，使其对较低教育和智力的影响更敏感和更稳健。其中最有希望的是在现有的免费召回范式中添加识别试验。方法：本研究探讨了 Rey-15 + 识别试验在 155 名美国年轻退伍军人的样本中的使用，这些样本被视为评估轻度创伤性脑损伤或注意力缺陷多动障碍（50 例无效，105 例有效） . 结果：在组合指数（临界值 ≤ 23，灵敏度 = 50%，特异性 = 95%）和识别命中分数（临界值 ≤11，灵敏度 = 52%，特异性 = 93%）。当设置了类似的 95% 特异性阈值时，Free Recall 评分的敏感性略低（临界值 ≤11，38% 敏感性）。先前研究中使用的定性错误评分并没有提高分类准确性。结论：Rey-15+识别试验证明是有效的，识别试验赋予了特别的优势。讨论了这些发现在退伍军人临床研究样本和更广泛文献中的意义。承认审判赋予的特别优势。讨论了这些发现在退伍军人临床研究样本和更广泛文献中的意义。承认审判赋予的特别优势。讨论了这些发现在退伍军人临床研究样本和更广泛文献中的意义。