Use of the Wisconsin Card Sorting Test in the detection of malingering in student simulator and patient samples

We analyzed the ability of the Wisconsin Card Sorting Test to distinguish between 41 malingering and 31 normal undergraduates, and 17 probable malingering and 16 brain injured patients. A logistic regression consisting of number of categories (CAT) and failure to maintain set (FMS) distinguished malingering and normal undergraduates with 70.7% sensitivity, 87.1% specificity, and 77.8% overall classification, and distinguished patients suspected of malingering from brain injured controls with 82.4% sensitivity, 93. 3% specificity, and 87.5% overall classification.