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Embedded cognitive and emotional/affective self-reported symptom validity indices on the patient competency rating scale.

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Title: Embedded cognitive and emotional/affective self-reported symptom validity indices on the patient competency rating scale.
Authors: Weitzner, Daniel S. (AUTHOR), Miller, Brian I. (AUTHOR), Webber, Troy A. (AUTHOR)
Source: Journal of Clinical & Experimental Neuropsychology. Oct2022, Vol. 44 Issue 8, p533-549. 17p. 8 Charts.
Subjects: United States. Dept. of Veterans Affairs, Domain specificity, Receiver operating characteristic curves, Symptoms, Test validity, Activities of daily living
Abstract: Although there is an abundance of research on stand-alone and embedded performance validity tests and stand-alone symptom validity tests (SVTs), less emphasis has been placed on embedded SVTs. The goal of the current study was to examine the ability of embedded indicators within the Patient Competency Rating Scale (PCRS) to separately detect invalid cognitive and/or emotional/affective symptom responding. Participants included 299 veterans assessed in a VA medical center epilepsy monitoring unit from 2013–2017 (mean age = 48.8 years, SD = 13.5 years). Two SVT composites were created; self-reported cognitive symptom validity (SVT-C) and self-reported emotional/affective symptom validity (SVT-E). Groups were compared on PCRS total and index scores (i.e., cognitive, activities of daily living, emotional, and interpersonal competencies) using ANOVAs. Receiver operating characteristic (ROC) curve analyses assessed the classification accuracy of the PCRS total and index scores for SVT-C and SVT-E. In ANOVAs, SVT-C was significantly associated with all PCRS indices, while SVT-E was only significantly associated with the PCRS total, emotional, and interpersonal competency indices. Although the PCRS-T ≤ 90 had the strongest classification of SVT-C and SVT-E (specificities:.90, sensitivities:.44 to.50), PCRS index scores showed suggestive evidence of domain specificity, with PCRS-ADL ≤22, PCRS-C ≤ 20, and PCRS-CADL ≤45 best classifying SVT-C (specificities:.92, sensitivities:.33) and the PCRS-E ≤ 18 best classifying the SVT-E group (specificity:.93, sensitivity:.40). Results suggest the PCRS may be used to obtain clinically useful information while including embedded indicators that can assess cognitive and/or emotional/affective symptom invalidity. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Embedded cognitive and emotional/affective self-reported symptom validity indices on the patient competency rating scale.
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  Data: <searchLink fieldCode="AR" term="%22Weitzner%2C+Daniel+S%2E%22">Weitzner, Daniel S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Brian+I%2E%22">Miller, Brian I.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Webber%2C+Troy+A%2E%22">Webber, Troy A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+%26+Experimental+Neuropsychology%22">Journal of Clinical & Experimental Neuropsychology</searchLink>. Oct2022, Vol. 44 Issue 8, p533-549. 17p. 8 Charts.
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  Data: <searchLink fieldCode="DE" term="%22United+States%2E+Dept%2E+of+Veterans+Affairs%22">United States. Dept. of Veterans Affairs</searchLink><br /><searchLink fieldCode="DE" term="%22Domain+specificity%22">Domain specificity</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Test+validity%22">Test validity</searchLink><br /><searchLink fieldCode="DE" term="%22Activities+of+daily+living%22">Activities of daily living</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Although there is an abundance of research on stand-alone and embedded performance validity tests and stand-alone symptom validity tests (SVTs), less emphasis has been placed on embedded SVTs. The goal of the current study was to examine the ability of embedded indicators within the Patient Competency Rating Scale (PCRS) to separately detect invalid cognitive and/or emotional/affective symptom responding. Participants included 299 veterans assessed in a VA medical center epilepsy monitoring unit from 2013–2017 (mean age = 48.8 years, SD = 13.5 years). Two SVT composites were created; self-reported cognitive symptom validity (SVT-C) and self-reported emotional/affective symptom validity (SVT-E). Groups were compared on PCRS total and index scores (i.e., cognitive, activities of daily living, emotional, and interpersonal competencies) using ANOVAs. Receiver operating characteristic (ROC) curve analyses assessed the classification accuracy of the PCRS total and index scores for SVT-C and SVT-E. In ANOVAs, SVT-C was significantly associated with all PCRS indices, while SVT-E was only significantly associated with the PCRS total, emotional, and interpersonal competency indices. Although the PCRS-T ≤ 90 had the strongest classification of SVT-C and SVT-E (specificities:.90, sensitivities:.44 to.50), PCRS index scores showed suggestive evidence of domain specificity, with PCRS-ADL ≤22, PCRS-C ≤ 20, and PCRS-CADL ≤45 best classifying SVT-C (specificities:.92, sensitivities:.33) and the PCRS-E ≤ 18 best classifying the SVT-E group (specificity:.93, sensitivity:.40). Results suggest the PCRS may be used to obtain clinically useful information while including embedded indicators that can assess cognitive and/or emotional/affective symptom invalidity. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/13803395.2022.2138270
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        Text: English
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      – SubjectFull: Domain specificity
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      – SubjectFull: Activities of daily living
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              Text: Oct2022
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