确定假阳性率是否随着性能有效性测试电池扩展而增加
Robert J Kanser1, Martin L Rohling2, Jeremy J Davis3
1Department of Physical Medicine and Rehabilitation, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
The Clinical neuropsychologist
|October 17, 2024
概括
将性能验证测试 (PVT) 从4扩展到8并没有增加假阳性. 这项研究发现了稳定的失败率,这表明当前的方法是可靠的评估神经心理评估的有效性.
科学领域:
- 神经心理学 神经心理学
- 法医心理学 法医心理学
- 临床心理学 临床心理学
背景情况:
- 性能有效性测试 (PVT) 对于检测无效的神经心理评估至关重要.
- 在临床和法医环境中,PVTs的错误分类是一个重大问题.
- 增加PVT数量对错误分类率的影响需要调查.
研究的目的:
- 为了确定PVT分析从4个测试扩展到8个测试是否会提高错误的阳性性能有效性错误分类.
- 将观察到的故障率与蒙特卡洛模拟预测进行比较.
主要方法:
- 对443名接受固定神经心理电池治疗的患者进行了回顾性分析.
- 4-PVT和8-PVT分析之间的故障率的比较.
- 不确定的表演者 (IDT) 与PVT-Fail组进行比较.
主要成果:
- 两个PVT的失败率保持稳定 (12.9%至11.9%),同时从4个PVT扩大到8个PVT.
- 观察到的故障率明显低于蒙特卡洛模拟预测.
- 与PVT-Fail组相比,IDT组年轻,表现更强,推/诊断率相似.
结论:
- 蒙特卡洛模拟高估了故障率,因为PVT电池长度翻了一番.
- IDT 组的特征并不完全支持它们是假阳性.
- 需要进一步研究PVT电池长度对有效性分类准确性的影响.
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