Validation of the repeatable battery for the assessment of neuropsychological status-effort index in a veteran sample

J. Christopher Young, Brandon Baughman, Brad L. Roper

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The RBANS Effort Index (RBANS-EI; Silverberg, Wertheimer, & Fichtenberg, 2007) is an embedded measure of effort within a frequently employed neuropsychological screening battery. While it has been criticized for inadequate specificity in older non-litigating samples (Hook, Marquine, & Hoelzle, 2009; Warren etal., 2010), the RBANS-EI has yet to be investigated in a non-geriatric veteran sample. Archival data were collected from 85 veterans who completed the RBANS and WMT within either a routine neuropsychological evaluation (n=66) or compensation evaluation (n=19). At a cutoff of >3 RBANS-EI exhibited strong specificity (.94) yet limited sensitivity (.31) in the prediction of WMT performance. Examination of RBANS-EI component subtests found that List Recognition <17 had strong specificity (.90) and moderate sensitivity (.52) in discriminating WMT performance groups. In contrast, Digit Span performance was comparable between those passing and failing the WMT. Present findings indicate that both the RBANS-EI and List Recognition subtest may be useful in detecting suboptimal effort yet raise questions regarding the Digit Span component of the RBANS-EI.

Original languageEnglish (US)
Pages (from-to)688-699
Number of pages12
JournalClinical Neuropsychologist
Volume26
Issue number4
DOIs
StatePublished - May 1 2012
Externally publishedYes

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Veterans
Battery
Specificity
Evaluation
Digit Span

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

Cite this

Validation of the repeatable battery for the assessment of neuropsychological status-effort index in a veteran sample. / Young, J. Christopher; Baughman, Brandon; Roper, Brad L.

In: Clinical Neuropsychologist, Vol. 26, No. 4, 01.05.2012, p. 688-699.

Research output: Contribution to journalArticle

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