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Using the WMS-III faces subtest to detect malingered memory impairment.

David M Glassmire¹, Rex A Bierley, Amy M Wisniewski

¹Pacific Graduate School of Psychology, Palo Alto, CA, USA. davidglassmire@hotmail.com

Journal of Clinical and Experimental Neuropsychology

|August 13, 2003

Summary

The WMS-III Faces I subtest effectively detects malingering in patients, showing lower scores when instructed to feign symptoms. It is more sensitive to malingering than to traumatic brain injury.

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Area of Science:

Neuropsychology
Forensic Psychology

Background:

Assessing malingering is crucial in clinical and forensic settings.
The WMS-III Faces I subtest is a potential tool for malingering detection.

Purpose of the Study:

To evaluate the WMS-III Faces I subtest's (Faces) effectiveness in identifying malingering.
To differentiate between genuine traumatic brain injury (TBI) symptoms and feigned deficits.

Main Methods:

Administered the Faces subtest to 30 nonlitigating TBI patients and 30 controls.
Tested participants under standard and instructed malingering conditions.
Analyzed performance differences between groups and conditions.

Main Results:

Both groups scored similarly under standard conditions.

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Scores significantly decreased for both groups when instructed to malinger.

The total raw score was more accurate in classifying malingering than floor effect items.

A raw score cutoff of 31 achieved 93.3% sensitivity and 80.0% specificity.

Conclusions:

The Faces subtest is sensitive to malingering.
The subtest is less sensitive to genuine traumatic brain injury.
A raw score cutoff of 31 is recommended for optimal malingering detection.