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Further validation of the expanded auditory verbal learning test for detecting poor effort and response bias: data from temporal lobectomy candidates
Journal article   Peer reviewed

Further validation of the expanded auditory verbal learning test for detecting poor effort and response bias: data from temporal lobectomy candidates

Noah Silverberg and Joseph Barrash
Journal of clinical and experimental neuropsychology, Vol.27(7), pp.907-914
10/2005
DOI: 10.1080/13803390490919326
PMID: 16183623

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Abstract

The present study aimed to further examine the specificity of the Exaggeration Index of the expanded Auditory Verbal Learning Test procedure for detecting inadequate effort or response bias in a nonlitigating sample with unequivocal brain damage. Data from 56 patients with intractable epilepsy undergoing presurgical evaluation for temporal lobectomy were analyzed. In this sample, specificity was excellent at the recommended cut-off (94%), and comparable to that of another well-researched instrument for detecting inadequate effort, the Recognition Memory Test. Findings strongly support the generalizability of the specificity estimates obtained by Barrash et al. and, more broadly, the clinical utility of the Exaggeration Index. To facilitate diagnostic decision-making, the probability of invalid performances associated with each score on the Exaggeration Index, based on all clinical cross-validation samples reported to date, is also presented.
Reproducibility of Results Humans Middle Aged Probability Male Verbal Learning - physiology Learning Disorders - etiology Acoustic Stimulation - methods Neuropsychological Tests - statistics & numerical data Sensitivity and Specificity Anterior Temporal Lobectomy - adverse effects Adult Female Psychosurgery

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