在神经心理评估期间进行10次绩效有效性测试时,对偏斜的分析,对相互关联的检查和确定最佳的绩效残疾门
Mira I Leese1,2, John-Christopher A Finley3, Karen S Basurto2
1Department of Psychiatry, University of Illinois Chicago, Chicago, IL, USA.
Journal of clinical and experimental neuropsychology
|January 20, 2025
概括
在神经心理评估中,使用10个绩效有效性测试 (PVT) 检测无效表现的最佳门是三个失败. 这一门平衡了敏感性和特异性,确保可靠地评估有效的性能.
科学领域:
- 神经心理学 神经心理学
- 心理测量 心理测量 心理测量
背景情况:
- 性能有效性测试 (PVT) 在神经心理评估中至关重要,以检测响应偏差.
- 之前的研究表明,PVT故障的不同值表明无效的性能.
- 这项研究检查了在进行多次测试时PVT失败的最佳数量.
研究的目的:
- 为了确定PVT故障的最佳数量,在使用10个PVT时识别无效性能.
- 评估不同PVT故障值的灵敏度和特异性.
- 分析与性能有效性相关的PVT偏差和相互关联.
主要方法:
- 评估了283名成年神经心理学门诊患者.
- 根据四个标准的PVTs,参与者被归类为有效 (≤1次PVT失败) 或无效 (≥2次PVT失败).
- 对10个额外的PVT的故障率进行了比较,在≥1到≥6次故障的门上计算了灵敏度和特异性.
主要成果:
- 超过3次PVT故障的值产生了69%的灵敏度和92%的特异性.
- 超过4个PVT故障的值产生了57%的灵敏度和96%的特异性.
- 总体而言,PVT的相关性很小,在具有有效表现的患者中观察到更高的数据偏差.
结论:
- 这些发现支持一个三次失败的值作为最佳的检测无效的性能与10 PVTs.
- 这一门有效地平衡了高特异性的无效性能检测.
- 这些结果为在神经心理评估中多次PVT失败的临床解释提供了指导.
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