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Performance validity assessment using response time on the Warrington Recognition Memory Test.

Sarah D Patrick¹, Lisa J Rapport¹, Robert J Kanser¹

¹Department of Psychology, Wayne State University, Detroit, MI, USA.

The Clinical Neuropsychologist

|February 19, 2020

Summary

This summary is machine-generated.

Response time (RT) on the Warrington Recognition Memory Test - Words (RMT-W) can improve the classification of feigned traumatic brain injury (TBI). Combining RT with accuracy enhances diagnostic accuracy for TBI detection.

Keywords:

Malingering performance validity response time traumatic brain injury

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Area of Science:

Neuropsychology
Forensic Psychology
Cognitive Neuroscience

Background:

Traumatic brain injury (TBI) assessment requires distinguishing genuine impairment from malingering.
Response time (RT) measures offer potential for detecting feigned cognitive deficits.
The Warrington Recognition Memory Test - Words (RMT-W) is a standard measure of verbal recognition memory.

Purpose of the Study:

To evaluate the incremental utility of RT indices from the RMT-W in classifying individuals with genuine TBI versus those feigning TBI.
To compare the diagnostic performance of RT measures against traditional accuracy scores on the RMT-W.

Main Methods:

173 adults participated: 55 with moderate-to-severe TBI, 69 healthy controls (HC), and 49 coached to simulate TBI (SIM).
Participants completed a computerized RMT-W. RT indices (mean RT, variability) and accuracy were analyzed.
Group differences in RT and accuracy were compared, and classification models were developed.

Main Results:

RT indices, particularly mean RT and RT variability, differed significantly across groups.
RMT-W accuracy was a stronger predictor than individual RT indices, but RT improved classification.
Multivariable models combining RMT-W accuracy with RT indices demonstrated acceptable to excellent discriminability, especially for SIM-HC comparisons.

Conclusions:

RT measures from the RMT-W provide incremental diagnostic value in identifying feigned TBI.
Combining RT with accuracy-based measures enhances the detection of malingering in TBI assessments.
These findings support the integration of RT data into neuropsychological evaluations for TBI.