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Examining embedded validity indicators in Conners continuous performance test-3 (CPT-3).

Anna S Ord1,2, Holly M Miskey1,2,3,4, Sagar Lad1,2

  • 1W.G. Hefner VA Medical Center, Salisbury, NC, USA.

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Summary
This summary is machine-generated.

The Conners Continuous Performance Test-3 (CPT-3) includes embedded validity indicators that can help identify invalid performance in ADHD evaluations. However, these CPT-3 scores should be used cautiously and not in isolation.

Keywords:
CPT-3EVIPVTcontinuous performancevalidity

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Area of Science:

  • Neuropsychology
  • Psychometrics

Background:

  • Previous research identified embedded performance validity indicators on the Conners' Continuous Performance Test-II (CPT-II).
  • The Conners Continuous Performance Test-3 (CPT-3) is an updated version requiring examination of its embedded validity indicators.

Purpose of the Study:

  • To examine the embedded validity indicators within the Conners Continuous Performance Test-3 (CPT-3).

Main Methods:

  • Retrospective chart review of 197 military veterans from an ADHD evaluation clinic.
  • Participants completed the CPT-3 and the Test of Memory Malingering, Trial 1 (TOMM1).

Main Results:

  • Logistic regression identified five CPT-3 variables (d', omissions, commissions, HRT SD, HRT ISI change) predicting TOMM1 validity.
  • Hit reaction time (HRT) standard deviation (SD) and HRT inter-stimulus interval (ISI) change showed the highest AUC values.
  • Composite embedded validity indicators (EVIs) created from CPT-3 scores significantly differentiated between pass and fail on the TOMM1.

Conclusions:

  • Several CPT-3 variables serve as clinically useful embedded validity indicators for performance validity.
  • Due to low sensitivity, CPT-3 scores should not be used in isolation to rule out invalid performance.
  • CPT-3 scores can be a valuable component in a multivariate approach to performance validity assessment.