The validity of the test of memory malingering (TOMM) with deaf individuals

C. Chovaz, V. Lynn Ashton Rennison, Dominica O. Chorostecki
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引用次数: 2

Abstract

Abstract Objective Administration of performance validity tests (PVT) during neuropsychological assessments is standard practice, with the Test of Memory Malingering (TOMM) being a commonly used measure. The TOMM has been well validated in hearing populations with various medical and psychiatric backgrounds. A major gap in the literature is the use of the TOMM amongst culturally Deaf individuals who use American Sign Language (ASL) as their first and preferred language. The purpose of this study was to explore the use of the TOMM with this population to determine if there may be differences related to the use of semantic knowledge and recall using signs rather than spoken phonemes. Method This study recruited 30 culturally Deaf, community-dwelling adults, who self-reported that they were not involved in litigation ordisability claims. In addition to the TOMM, participants were screened for cognitive ability using non-verbal components of the Wechsler Abbreviated Scale of Intelligence, Second Edition (WASI-II) and the Mini Mental State Examination: ASL Version (MMSE:ASL). Results Nonverbal intelligence for this sample was within the average range of ability. No participants scored lower than the standard cut-off score for Trial 2 or the Retention Trial on the TOMM (≤44 raw score to indicate invalid responding). Trial 1 performances ranged from 44 to 50, Trial 2 performances ranged from 49 to 50, and Retention performances ranged from 49 to 50. Conclusion These results support the use of the same standard cut-off scores established for hearing individuals in culturally Deaf individuals who use ASL.
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失聪个体记忆伪造测试的有效性
【摘要】目的在神经心理评估过程中进行效能效度测试(PVT)是一种标准做法,其中记忆装病测试(TOMM)是一种常用的测试方法。TOMM在具有各种医学和精神病学背景的听力人群中得到了很好的验证。文献中的一个主要空白是在使用美国手语(ASL)作为第一语言和首选语言的文化聋人中使用TOMM。本研究的目的是探索在这一人群中使用TOMM的情况,以确定在使用语义知识和使用符号而不是口语音素的记忆方面是否存在差异。方法本研究招募30名文化聋人,居住在社区,自述未卷入诉讼或残疾索赔。除TOMM外,参与者还使用韦氏简短智力量表第二版(WASI-II)和迷你精神状态检查(MMSE:ASL)的非语言部分进行认知能力筛选。结果本组学生的非语言智力水平在平均能力范围内。没有参与者在TOMM上的得分低于试验2或保留试验的标准分界点(≤44分为无效应答)。试验1的表现范围为44 ~ 50,试验2的表现范围为49 ~ 50,Retention的表现范围为49 ~ 50。结论这些结果支持在使用美国手语的文化聋人中使用与听力正常的人相同的标准分值。
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