Journal
ARCHIVES OF CLINICAL NEUROPSYCHOLOGY
Volume 19, Issue 5, Pages 693-702Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.acn.2004.04.001
Keywords
symptom validity; effortful; malingering; coaching; assessment; forensics
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The ability of the Test of Memory Malingering (TOMM; Tombaugh, 1996) to detect feigned-memory impairment was explored. The TOMM was administered to three groups: (a) a control group instructed to perform optimally, (b) a symptom-coached group instructed to feign memory problems after being educated about traumatic brain injury symptomatology, and (c) a test-coached group instructed to feign memory problems after being educated about test-taking strategies to avoid detection. The recommended cutoff scores (Tombaugh, 1996) on Trial 2 and the Retention Trial produced overall classification accuracy rates of 96%, with high levels of sensitivity and specificity. Although the symptom-coached group performed more poorly on the TOMM relative to the test-coached group, the test was equally sensitive in detecting suboptimal effort across the different coaching paradigms. (C) 2004 National Academy of Neuropsychology. Published by Elsevier Ltd. All rights reserved.
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