Symptom Validity Test Performance in the Huntington Disease Clinic

Barbara C SIECK; Megan M SMITH; Kevin DUFF; Jane S PAULSEN; Leigh J BEGLINGER

doi:10.1093/arclin/acs109

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Symptom Validity Test Performance in the Huntington Disease Clinic

Journal article

Open access

Peer reviewed

Symptom Validity Test Performance in the Huntington Disease Clinic

Barbara C SIECK, Megan M SMITH, Kevin DUFF, Jane S PAULSEN and Leigh J BEGLINGER

Archives of clinical neuropsychology, Vol.28(2), pp.135-143

2013

DOI: 10.1093/arclin/acs109

PMID: 23266566

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Abstract

Symptom validity tests (SVTs) are often used in neuropsychological assessment; however, recent studies indicate that cognitive impairment/dementia may contribute to failing scores on some effort tests. The purpose of this study was to characterize how individuals with Huntington disease (HD) perform on three SVTs and to examine the relationship between SVT performance and demographic and clinical variables. Results indicate that while the majority of HD patients passed the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Effort Index (EI; 82% of n = 121) and the Test of Memory Malingering (92% of n = 36), failure of these SVTs was associated with poorer cognitive and adaptive functioning, and greater motor impairment. Results showed that less than one-third passed the RBANS Effort Scale (ES; 30% of n = 43) and few clinical and demographic variables were correlated with this SVT performance. Although some SVTs may be better suited to HD, cognitive ability should be considered when evaluating effort in HD.

Neurology

Organic mental disorders. Neuropsychology

Psychology. Psychoanalysis. Psychiatry

Adult and adolescent clinical studies

Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases

Psychopathology. Psychiatry

Biological and medical sciences

Nervous system as a whole

Medical sciences

Nervous system (semeiology, syndromes)

Details

Title: Subtitle: Symptom Validity Test Performance in the Huntington Disease Clinic
Creators: Barbara C SIECK - Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA, United States
Megan M SMITH - Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA, United States
Kevin DUFF - Department of Neurology, University of Utah, Salt Lake City, UT, United States
Jane S PAULSEN - Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA, United States
Leigh J BEGLINGER - Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA, United States
Resource Type: Journal article
Publication Details: Archives of clinical neuropsychology, Vol.28(2), pp.135-143
Publisher: Oxford University Press
DOI: 10.1093/arclin/acs109
PMID: 23266566
ISSN: 0887-6177
eISSN: 1873-5843
Grant note: DOI: 10.13039/100008893, name: University of Iowa; DOI: 10.13039/100000887, name: Huntington’s Disease Society of America; DOI: 10.13039/100000002, name: NIH
Language: English
Date published: 2013
Academic Unit: Psychiatry; Psychological and Brain Sciences
Record Identifier: 9984083247102771

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