在成年人中,不同性能有效性测试的失败基准率作为年龄的函数,用于神经心理评估
Jaspreet K Rai1, Roger O Gervais, Nelson Rodriguez1
1Department of Psychology, Neuropsychology Track, University of Windsor.
Psychological assessment
|July 29, 2024
概括
年龄较大增加了许多在医学法律评估中使用的性能有效性测试 (PVT) 中假阳性错误的风险. 结果表明,根据个体患者的特征来解释PVT得分,而不仅仅是固定的切断值.
科学领域:
- 神经心理学 神经心理学
- 法医心理学 法医心理学
- 心理评估 心理评估
背景情况:
- 性能有效性测试 (PVT) 在医学法律评估中至关重要,以检测响应偏差.
- 年龄是影响PVT表现和基本失败率 (BR) 的潜在人口因素.
研究的目的:
- 在医学法律样本中检查各种PVT的年龄和BR之间的关系.
- 确定年龄是否会影响独立PVT与嵌入式PVT的准确性.
主要方法:
- 分析了来自3,297名成年人进行心理/神经心理评估的档案数据.
- 在五个年龄组 (16-69岁) 中,对10个PVT (3个独立,7个嵌入式) 的基准失败率 (BR) 进行了检查.
- 参与者通过了单词记忆测试,以确保在适当的努力下获得样本.
主要成果:
- 在大多数嵌入式PVT上,BR通常随着年龄的增长而增加,特别是那些使用原始分数的PVT.
- 可靠的数字跨度显示,在老年人中,在≤7.7的切线下,BR升高.
- 独立的PVT对年龄的影响更有抵抗力,但在老年人中,一些切断仍然产生了更高的BR.
结论:
- 年龄较大与几种常用的PVTs中假阳性错误的风险较高有关.
- 严格应用全方位PVT截止值可能不合适;解释时应考虑患者的特点.
- 在医学法律环境中,建议对PVT结果进行基于证据的解释,考虑年龄.
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