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Preliminary findings from reevaluating the MMPI Response Bias Scale items in veterans undergoing neuropsychological evaluation.

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Title: Preliminary findings from reevaluating the MMPI Response Bias Scale items in veterans undergoing neuropsychological evaluation.
Authors: Ratcliffe, Lauren N., Hale, Andrew C., Gradwohl, Brian D., Spencer, Robert J.
Source: Applied Neuropsychology: Adult. Sep/Oct2024, Vol. 31 Issue 5, p1016-1023. 8p.
Subjects: United States. Dept. of Veterans Affairs, Stimulus & response (Psychology), Neuropsychological tests, Test validity, Disability insurance claims, Classical test theory, Minnesota Multiphasic Personality Inventory, Cognitive ability, Personality questionnaires, Post-traumatic stress disorder
Abstract: The Response Bias Scale (RBS) was developed to predict non-credible cognitive presentations among disability claimants without head injury. Developers used empirical keying, which is independent of apparent content, to select items from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) item pool that distinguished between individuals passing or failing performance validity tests (PVTs). No study has examined which of these items would have psychometric value when used in clinical neuropsychological evaluations. This study reexamined items comprising RBS with reference to manifest item content, internal consistency, PVTs, and a symptom validity test (SVT) in a sample of 173 predominately White male veterans (MAGE = 50.70, MEDU = 13.73) in a VA outpatient neuropsychology clinic. Participants completed the MMPI-2 Restructured Form (MMPI-2-RF), PVTs, and an SVT. The 28-item RBS appears to contain three types of items: those that manifestly address cognitive functioning, those that are supported but do not appear to address cognitive functioning, and nine items that were unrelated to cognition and not statistically supported. The 19 empirically supported items, or RBS-19, predicted PVT and SVT failures marginally better than the RBS. Both the RBS and RBS-19 had stronger relationships with SVTs relative to PVTs. Although the removal of the nine problematic items improved the diagnostic accuracy of the scale, it still did not reach the level that is generally considered to be clinically optimal. The RBS-19 offers a measure with improved internal consistency and predictive validity compared to the RBS and warrants additional research. [ABSTRACT FROM AUTHOR]
Copyright of Applied Neuropsychology: Adult 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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  Data: Preliminary findings from reevaluating the MMPI Response Bias Scale items in veterans undergoing neuropsychological evaluation.
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  Data: <searchLink fieldCode="AR" term="%22Ratcliffe%2C+Lauren+N%2E%22">Ratcliffe, Lauren N.</searchLink><br /><searchLink fieldCode="AR" term="%22Hale%2C+Andrew+C%2E%22">Hale, Andrew C.</searchLink><br /><searchLink fieldCode="AR" term="%22Gradwohl%2C+Brian+D%2E%22">Gradwohl, Brian D.</searchLink><br /><searchLink fieldCode="AR" term="%22Spencer%2C+Robert+J%2E%22">Spencer, Robert J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Applied+Neuropsychology%3A+Adult%22">Applied Neuropsychology: Adult</searchLink>. Sep/Oct2024, Vol. 31 Issue 5, p1016-1023. 8p.
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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="%22Stimulus+%26+response+%28Psychology%29%22">Stimulus & response (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychological+tests%22">Neuropsychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Test+validity%22">Test validity</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+insurance+claims%22">Disability insurance claims</searchLink><br /><searchLink fieldCode="DE" term="%22Classical+test+theory%22">Classical test theory</searchLink><br /><searchLink fieldCode="DE" term="%22Minnesota+Multiphasic+Personality+Inventory%22">Minnesota Multiphasic Personality Inventory</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+questionnaires%22">Personality questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink>
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  Data: The Response Bias Scale (RBS) was developed to predict non-credible cognitive presentations among disability claimants without head injury. Developers used empirical keying, which is independent of apparent content, to select items from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) item pool that distinguished between individuals passing or failing performance validity tests (PVTs). No study has examined which of these items would have psychometric value when used in clinical neuropsychological evaluations. This study reexamined items comprising RBS with reference to manifest item content, internal consistency, PVTs, and a symptom validity test (SVT) in a sample of 173 predominately White male veterans (MAGE = 50.70, MEDU = 13.73) in a VA outpatient neuropsychology clinic. Participants completed the MMPI-2 Restructured Form (MMPI-2-RF), PVTs, and an SVT. The 28-item RBS appears to contain three types of items: those that manifestly address cognitive functioning, those that are supported but do not appear to address cognitive functioning, and nine items that were unrelated to cognition and not statistically supported. The 19 empirically supported items, or RBS-19, predicted PVT and SVT failures marginally better than the RBS. Both the RBS and RBS-19 had stronger relationships with SVTs relative to PVTs. Although the removal of the nine problematic items improved the diagnostic accuracy of the scale, it still did not reach the level that is generally considered to be clinically optimal. The RBS-19 offers a measure with improved internal consistency and predictive validity compared to the RBS and warrants additional research. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Applied Neuropsychology: Adult 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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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/23279095.2022.2106571
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1016
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      – SubjectFull: United States. Dept. of Veterans Affairs
        Type: general
      – SubjectFull: Stimulus & response (Psychology)
        Type: general
      – SubjectFull: Neuropsychological tests
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      – SubjectFull: Test validity
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      – SubjectFull: Disability insurance claims
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      – SubjectFull: Classical test theory
        Type: general
      – SubjectFull: Minnesota Multiphasic Personality Inventory
        Type: general
      – SubjectFull: Cognitive ability
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      – SubjectFull: Personality questionnaires
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      – SubjectFull: Post-traumatic stress disorder
        Type: general
    Titles:
      – TitleFull: Preliminary findings from reevaluating the MMPI Response Bias Scale items in veterans undergoing neuropsychological evaluation.
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            NameFull: Ratcliffe, Lauren N.
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            NameFull: Hale, Andrew C.
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            – D: 01
              M: 09
              Text: Sep/Oct2024
              Type: published
              Y: 2024
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