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A comparison of WMT, CARB, and TOMM failure rates in non-head injury disability claimants

A comparison of WMT, CARB, and TOMM failure rates in non-head injury disability claimants AbstractTwo-alternative forced-choice procedures have been the most widely employed for detecting incomplete effort and exaggeration of cognitive impairment. However, it cannot be assumed that different symptom validity tests (SVTs) are of equal sensitivity. In this study, 519 claimants referred for disability or personal injury related assessments were administered three SVTs, one based on digit recognition (Computerized Assessment of Response Bias, CARB), one using pictorial stimuli (Test of Memory Malingering, TOMM) and one employing verbal recognition memory (Word Memory Test, WMT). More than twice as many people failed the WMT than TOMM. CARB failure rates were intermediate between those on the other two tests. Thus, tests of recognition memory using digits, pictorial stimuli or verbal stimuli, all of which are objectively extremely easy tasks, resulted in widely different failure rates. This suggests that, while these tests may be highly specific, they vary substantially in their sensitivity to response bias. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Clinical Neuropsychology Oxford University Press

A comparison of WMT, CARB, and TOMM failure rates in non-head injury disability claimants

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References (34)

Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0887-6177
eISSN
1873-5843
DOI
10.1016/j.acn.2003.05.001
pmid
15163449
Publisher site
See Article on Publisher Site

Abstract

AbstractTwo-alternative forced-choice procedures have been the most widely employed for detecting incomplete effort and exaggeration of cognitive impairment. However, it cannot be assumed that different symptom validity tests (SVTs) are of equal sensitivity. In this study, 519 claimants referred for disability or personal injury related assessments were administered three SVTs, one based on digit recognition (Computerized Assessment of Response Bias, CARB), one using pictorial stimuli (Test of Memory Malingering, TOMM) and one employing verbal recognition memory (Word Memory Test, WMT). More than twice as many people failed the WMT than TOMM. CARB failure rates were intermediate between those on the other two tests. Thus, tests of recognition memory using digits, pictorial stimuli or verbal stimuli, all of which are objectively extremely easy tasks, resulted in widely different failure rates. This suggests that, while these tests may be highly specific, they vary substantially in their sensitivity to response bias.

Journal

Archives of Clinical NeuropsychologyOxford University Press

Published: Jun 1, 2004

Keywords: WMT CARB TOMM Effort Disability Malingering

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