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Embedded Performance Validity Tests in the Hopkins Verbal Learning Test-Revised and the Brief Visuospatial Memory Test-Revised: A Replication Study.
Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists 2017 November 18
Objective: Embedded performance validity tests (PVTs) within the Hopkins Verbal Learning Test-Revised (HVLT-R) and Brief Visuospatial Memory Test-Revised (BVMT-R) were recently identified. This study aimed to further validate/replicate these embedded PVTs.
Method: Eighty clinically referred veterans who underwent neuropsychological evaluation were included. Validity groups were established by passing/failing 2-3 well-validated PVTs, with 75% (n = 60) classified as valid and 25% (n = 20) noncredible. Fifty-two percent of valid participants were cognitively impaired.
Results: HVLT-R Recognition Discrimination (RD) of ≤5 yielded 67% sensitivity/80% specificity for identifying noncredible performance. Removal of seven valid participants with an amnestic profile who produced a false positive, improved specificity to 92%, which replicated the original findings. Replication efforts failed for BVMT-R Percent Retained; however, significant findings for RD were elucidated.
Conclusion: Replication efforts were positive for the HVLT-R embedded PVT, corroborating its ability to identify invalid performance in this heterogeneous clinical veteran sample with and without cognitive impairment.
Method: Eighty clinically referred veterans who underwent neuropsychological evaluation were included. Validity groups were established by passing/failing 2-3 well-validated PVTs, with 75% (n = 60) classified as valid and 25% (n = 20) noncredible. Fifty-two percent of valid participants were cognitively impaired.
Results: HVLT-R Recognition Discrimination (RD) of ≤5 yielded 67% sensitivity/80% specificity for identifying noncredible performance. Removal of seven valid participants with an amnestic profile who produced a false positive, improved specificity to 92%, which replicated the original findings. Replication efforts failed for BVMT-R Percent Retained; however, significant findings for RD were elucidated.
Conclusion: Replication efforts were positive for the HVLT-R embedded PVT, corroborating its ability to identify invalid performance in this heterogeneous clinical veteran sample with and without cognitive impairment.
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