The emotion word fluency test as an embedded performance validity indicator - Alone and in a multivariate validity composite.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology: Child Pub Date : 2022-10-01 Epub Date: 2021-08-23 DOI:10.1080/21622965.2021.1939027

Christopher A Abeare, Kelly An, Brad Tyson, Matthew Holcomb, Laura Cutler, Natalie May, Laszlo A Erdodi

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引用次数: 13

Abstract

Objective: This project was designed to cross-validate existing performance validity cutoffs embedded within measures of verbal fluency (FAS and animals) and develop new ones for the Emotion Word Fluency Test (EWFT), a novel measure of category fluency.

Method: The classification accuracy of the verbal fluency tests was examined in two samples (70 cognitively healthy university students and 52 clinical patients) against psychometrically defined criterion measures.

Results: A demographically adjusted T-score of ≤31 on the FAS was specific (.88-.97) to noncredible responding in both samples. Animals T ≤ 29 achieved high specificity (.90-.93) among students at .27-.38 sensitivity. A more conservative cutoff (T ≤ 27) was needed in the patient sample for a similar combination of sensitivity (.24-.45) and specificity (.87-.93). An EWFT raw score ≤5 was highly specific (.94-.97) but insensitive (.10-.18) to invalid performance. Failing multiple cutoffs improved specificity (.90-1.00) at variable sensitivity (.19-.45).

Conclusions: Results help resolve the inconsistency in previous reports, and confirm the overall utility of existing verbal fluency tests as embedded validity indicators. Multivariate models of performance validity assessment are superior to single indicators. The clinical utility and limitations of the EWFT as a novel measure are discussed.

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情感词流畅性测试作为嵌入效度指标-单独和多变量效度组合。

目的:本项目旨在交叉验证语言流利度(FAS和动物)测量中嵌入的现有表现效度截止值，并为情感单词流利度测试(EWFT)开发新的效度截止值，这是一种新的类别流利度测量方法。方法:以70名认知健康的大学生和52名临床患者为样本，采用心理测量学定义的标准测量方法对语言流畅性测试的分类准确性进行检验。结果:在两个样本中，FAS的人口统计学调整后的t分数≤31对不可信应答具有特异性(0.88 - 0.97)。T≤29的动物在0.27 -的学生中获得了高特异性(0.90 - 0.93)。38敏感性。在患者样本中需要一个更保守的截止值(T≤27)，以获得相似的敏感性(0.24 - 0.45)和特异性(0.87 - 0.93)。EWFT原始评分≤5具有高度特异性(0.94 - 0.97)，但对无效表现不敏感(0.10 - 0.18)。失败的多个截止提高特异性(0.90 -1.00)在可变灵敏度(0.19 - 0.45)。结论:结果有助于解决先前报告的不一致，并证实现有的语言流畅性测试作为嵌入效度指标的整体效用。绩效效度评价的多变量模型优于单一指标。本文讨论了EWFT作为一种新方法的临床应用和局限性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.00

自引率

5.90%

发文量

期刊介绍： Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.