The Need For Continuous and Comprehensive Sampling of Effort/Response Bias During Neuropsychological Examinations

While most neuropsychologists are now administering measures of response bias in neuropsychological evaluations, it is still likely that detection of non-credible test performance is inadequate due to faulty assumptions regarding poor effort, namely that it remains constant across a battery of tests...

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Bibliographic Details
Published inClinical neuropsychologist Vol. 23; no. 4; pp. 729 - 741
Main Author Boone, Kyle Brauer
Format Journal Article
LanguageEnglish
Published Hove Psychology Press 01.05.2009
Subjects
Aged
Biological and medical sciences
Cognition
Cognition Disorders - diagnosis
Cognition Disorders - psychology
Effort
Female
Humans
Male
Malingering
Medical sciences
Middle Aged
Neuropsychological scores
Neuropsychological Tests
Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychomotor Performance
Psychopathology. Psychiatry
Response bias
Task Performance and Analysis
Techniques and methods
Human
Response falsification
Cognitive disorder
Simulation
Malingering
Neuropsychological test
Effort
Response bias
Psychometrics
Neuropsychological scores
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Summary:While most neuropsychologists are now administering measures of response bias in neuropsychological evaluations, it is still likely that detection of non-credible test performance is inadequate due to faulty assumptions regarding poor effort, namely that it remains constant across a battery of tests. Four cases are described that illustrate the variability in negative response bias that occurs during neuropsychological evaluations; if effort had not been periodically sampled with heterogeneous types of effort indicators during these examinations, the suspect performance would not have been detected. These examples argue for both continuous and comprehensive sampling of effort, specifically that negative response bias be routinely monitored throughout neuropsychological evaluations, and that effort indicators involving differing cognitive abilities be employed to assess for feigning of selective deficits.
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ISSN:1385-4046
1744-4144
DOI:10.1080/13854040802427803