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Updated: May 12, 2026
The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
Comparison of select Advanced Clinical Solutions embedded Effort measures to the Word Memory Test in the detection of
Patrick Armistead-Jehle1, Brett Buican
1Department of Behavioral Health, Munson Army Health Center, Fort Leavenworth, KS 66027, USA. patrick.jehle@amedd.army.mil
Abstract:
This brief report sought to evaluate the classification statistics of the Advanced Clinical Solutions (ACS) embedded measures of symptom validity in relation to the Word Memory Test (WMT), a well-established standalone measure of effort in a sample of active duty military service members with a history of mild traumatic brain injury. Results demonstrated that relative to the WMT, the ACS embedded measures had adequate specificity, but lacked sensitivity. This result is in agreement with previous studies demonstrating poor sensitivity for embedded effort measures relative to standalone Symptom Validity Tests.
