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Effects of Distraction on Performance Validity: A Pilot Study with Veterans
Robert D Shura1,2,3, Katherine H Taber1,4,5, Patrick Armistead-Jehle6
1VA Mid-Atlantic Mental Illness, Research, Education, and Clinical Center (MA-MIRECC), Salisbury, NC, USA.
Cognitive distraction significantly impacts performance validity testing, specifically the Medical Symptom Validity Test (MSVT), while physical distraction does not. This finding is crucial for accurate assessments in veterans.
Area of Science:
- Neuroscience
- Psychology
- Military Medicine
Background:
- Performance validity testing (PVT) is essential for identifying non-organic memory impairments.
- Distraction paradigms are increasingly explored to understand cognitive load effects on PVT.
Purpose of the Study:
- To investigate the impact of cognitive and physical distractions on performance validity testing.
- To determine if different types of distraction affect results of the Medical Symptom Validity Test (MSVT).
Main Methods:
- Thirty-three US military veterans (mean age 38.60 years) completed the Test of Memory Malingering (TOMM), Trail Making Test, and MSVT.
- Participants were randomly assigned to complete the MSVT under standard, cognitive distraction (serial 2s), or physical distraction (hand in ice water) conditions.
Main Results:
- All participants passed the TOMM, indicating a valid baseline performance.
- Physical distraction did not significantly alter MSVT performance.
- Cognitive distraction led to a significant negative impact on MSVT performance.
Conclusions:
- Cognitive distraction can substantially impair MSVT performance in a subset of individuals.
- Physical distraction appears to have a negligible effect on MSVT performance.
- These findings highlight the vulnerability of PVT to cognitive load.
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