Malingering is an important issue in neuropsychology. A person can malinger both cognitive and psychological symptoms and it is important for... Show moreMalingering is an important issue in neuropsychology. A person can malinger both cognitive and psychological symptoms and it is important for a clinician to assess for this possibility as malingering invalidates test findings. Several embedded and standalone effort tests exist for the purpose of malingering classification. This study looked to assess the effectiveness of embedded cognitive effort measures as compared to standalone effort measures. Additionally, the effectiveness of a smaller set of measures versus a larger set was analyzed for both cognitive and psychological measures. The likelihood of a person malingering both cognitive and psychological symptoms was assessed. Lastly, exploratory analyses were conducted to assess for differences between malingerers and non-malingerers. It was discovered that the California Verbal Learning Test-Second Edition-Forced Choice and the Victoria Symptom Validity Test were poor estimators of malingering classification. Therefore, the cognitive effort measures included in the analyses were the Reliable Digit Span, Rey 15-Item Test, Word Memory Test, and the Test of Memory Malingering. Psychological measures included the F and FBS indices from the Minnesota Multiphasic Personality Inventory-2 and the Negative Impression Management and Malingering Index scales from the Personality Assessment Inventory. Findings revealed that stand-alone tests add a significant amount of variance to malingering classification over and above embedded measures in a cognitive test battery. The most effective set of cognitive effort tests included the Reliable Digit Span, Rey 15-Item Test, and Word Memory Test. The Test of Memory Malingering did not add significant additional variance to the classification of malingering. Results showed that a vii person is not likely to malinger both cognitive and psychological symptoms. Lastly, the F and Negative Impression Management indices were just as effective at classifying malingering as when the FBS and Malingering Index scales were also used. Future research should further assess the actual sensitivities of the California Verbal Learning Test-Second Edition-Forced Choice and the Victoria Symptom Validity Test. Also, research should assess whether different cut off scores for the Test of Memory Malingering lead to increased efficiency of the measure for malingering classification. PH.D in Psychology, May 2013 Show less
