Sensitivity and specificity of MMPI-2 validity scales and indicators to malingered neurocognitive dysfunction in traumatic brain injury.

Full Abstract

The present study used a known-groups design to determine the classification accuracy of 10 MMPI-2 validity scales and indicators in the detection of cognitive malingering in traumatic brain injury. Participants were 259 traumatic brain injury and 133 general clinical patients seen for neuropsychological evaluation. The TBI patients were subdivided into groups based on a comprehensive examination of effort following Slick, Sherman, and Iverson's (1999) criteria. More extreme scores demonstrated excellent specificity; often impressive sensitivity was seen even while maintaining a low false positive error rate. Specificity was good even in stroke, memory disorder, and psychiatric patients without incentive. The results of this study are presented in frequency tables that can be easily referenced in clinical practice.

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Author information

Author/s: Greve, Kevin W (KW); Bianchini, Kevin J (KJ); Love, Jeffrey M (JM); Brennan, Adrianne (A); Heinly, Matthew T (MT);

Journal and publication information

Publication Type: Comparative Study; Evaluation Studies; Journal Article

Journal: The Clinical neuropsychologist (Clin Neuropsychol), published in Netherlands. (Language: eng)

Reference: 2006-Sep; vol 20 (issue 3) : pp 491-512

Dates: Created 2006/08/09; Completed 2006/09/08; Revised 2007/06/01;

PMID: 16895861, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Analysis of Variance
Brain Injuries - complications; diagnosis; physiopathology
Cognition Disorders - diagnosis; physiopathology
Female
Glasgow Coma Scale - statistics & numerical data
Humans
MMPI - statistics & numerical data

MMPI - statistics & numerical data
Male
Malingering - classification; diagnosis; etiology
Middle Aged
Predictive Value of Tests
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index

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