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The malingering factor
Journal article   Open access   Peer reviewed

The malingering factor

J Michael Williams
Archives of clinical neuropsychology, v 26(3), pp 280-285
Apr 2011
PMID: 21345930
url
https://doi.org/10.1093/arclin/acr009View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Adolescent Adult Aged Brain Injuries - psychology Factor Analysis, Statistical Female Humans Intelligence Tests Male Malingering - diagnosis Malingering - psychology Middle Aged Neuropsychological Tests Reproducibility of Results Statistics as Topic Young Adult
The influence of malingering and suboptimal performance on neuropsychological tests has become a major interest of clinical neuropsychologists. Methods to detect malingering have focused on specialized tests or embedded patterns associated with malingering present in the conventional neuropsychology tests. There are two stages to the study of their validity. The first stage involves whether the method can discriminate malingering subjects from those who are not malingering. In the second stage, they must be examined for their relationship to the conventional tests used to establish impairment and disability. Constantinou, Bauer, Ashendorf, Fisher, and McCaffrey (2005. Is poor performance on recognition memory effort measures indicative of generalized poor performance on neuropsychological tests? Archives of Clinical Neuropsychology, 20, 191-198.) conducted the only study in which correlations are presented between a commonly used symptom validity test, the Test of Memory Malingering (TOMM) and the subtests of the Wechsler Adult Intelligence Scale-Revised (WAIS-R). A factor analysis was conducted using these correlations. It revealed a clear malingering factor that explained significant variance in the TOMM and the WAIS-R subtests. The relationship of malingering with cognitive tests is complex: some tests are sensitive to malingering and others are not. Factor analysis can summarize the magnitude of variance associated with each test and reveal the patterns of inter-relationships between malingering and clinical tests. The analysis also suggested that malingering assessment methods could be improved by the addition of timing the responses.

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Web of Science research areas
Psychology
Psychology, Clinical
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