Archives of Clinical Neuropsychology, Journal Year: 2024, Volume and Issue: unknown
Published: Nov. 4, 2024
Abstract Objective This study investigated why certain embedded performance validity indicators (EVIs) are prone to higher false-positive rates (FPRs) in attention-deficit/hyperactivity disorder (ADHD) evaluations. The first aim was establish the relationship between FPRs and 15 EVIs derived from six cognitive tests when used independently together among adults with ADHD who have valid test performance. second determine which specific increase this population. Method Participants were 517 adult referrals neurocognitive as determined by multiple established empirical criteria. defined proportion of participants scored below an empirically EVI cutoff ≥0.90 specificity. Results two exhibited unacceptably high (>10%) independently, but total FPR decreased 8.1% aggregated. Several within a sustained attention associated around 11%. that did not include demographically adjusted cutoffs, specifically for race, 14%. Conversely, significantly differ based on whether included timed versus untimed, verbal nonverbal, or graphomotor non-graphomotor components, nor they had raw standardized cut scores. Conclusions Findings suggest practitioners should consider both type is aggregate number employed minimize also indicate more nuanced approaches selection development needed.
Language: Английский