E-ISSN : 2733-4538
This study was to examined the effectiveness of the Rey Complex Figure Test to detect malingering. This test was administrated to three groups: the malingering (n=24) and the effortful (n=25) groups with mild traumatic brain injury and the normal control group without head injury (n=24). The malingering group did consistently poorer than the effortful group and the normal control group on the various variables for the Rey Complex Figure Test, these variables are the copy time, the copy score, the immediate recall, the delayed recall, the true positive, the false positive, the true negative, the recognition index and the atypical recognition errors. When examining the classification accuracy between the malingering group and the effortful group, the copy time (.54), the immediate recall (.54) and the delayed recall (.58), showed better sensitivity as single variables while maintaining a specificity of at least .95. From the result of this study, we can suggest a new malingering detection index, which is the copy score + the recognition index - (the atypical recognition errors * 3), with including the recognition index (the sum of the true positives and the true negatives) instead of just the true positives in the combination score of Lu, Boone, Cozolino, & Mitchell (2003). This malingering detection index has high sensitivity and classification accuracy, (.83 and .90, respectively), while maintaining the specificity of .96 when classified between the malingering and the effortful groups. The clinical implications and the limitations of this study are also discussed.
김은경, (1995) 벤튼 신경심리 검사의 임상적 활용. -질적 분석을 중심으로-, 한국심리학회지: 임상
김진아, (2003) 한국판 벤튼신경심리검사(K-BNA)에서 외상성 뇌손상 환자와 사병 모사 집단의 수행비교, 한국심리학회지: 임상
김홍근, (2003) K-사병진단검사 해설서, 도서출판 신경심리
박유정, (1997) 사병 집단의 벤튼 신경심리검사 수행패턴, 한국심리학회지: 임상
Demakies, G. J. , (1999) Serial malingering on verbal and nonverbal fluency and memory measures: an analog investigation, Archives of Clinical Neuropsychology
Barrisdh, J., (2004) Detecting poor effort and malingering with an expended version of the auditory verbal learning test(AVLTX): Validation with clinical samples, Journal of Clinical and Experimental Neuropsychology
Greve, K. W., (2006) Sensitivity and specificity of MMPI-2 validity scales and indicators to malingered neurocognitive dysfunction in traumatic brain injury, The Clinical Neuropsychologist
Grieffenstein, M. F., (1994) Validation of malingered amnesia measures with a large clinical sample, Psychological Assessment
Heinly, M. T., (2005) WAIS digit span-based indictors of malingered neurocognitive dysfunction: classification accuracy in traumatic brain injury, Assessment
Lu, P. H., (2003) Effectiveness of the Rey- Osterrieth Complex Figure Test and the Meyers and Meyers recognition trial in the detection of suspect effort, The Clinical Neuropsychologist
Meyers, J. E., (1995) Rey-complex figure and recognition trial: professional manual, Psychological Assessment Resources
Meyers, J. E., (1999) Detection of malingerers using the Rey-complex figure and recognition trial, Applied Neuropsychology
Millis, S. R., (1995) The California verbal learning test in the detection of incomplete effort in neuropsychological evaluation, Psychological Assessment
Millis, S. R., (2001) Assessment of response bias in mild head injury; beyond malingering tests, Journal of Clinical and Experimental Neuropsychology
Mittenberg, W., (1995) Identification of malingered head injury on the Wechsler adult intelligence scale-revised, Professional Psychology
Lezac, M. D., (1995) Neuropsychological Assessment, Oxford University Press
Sherman, D. S., (2002) Re-examination of a Rey auditory verbal learning test/Rey complex figure discriminant function to detect suspect effort, The Clinical Neuropsychologist
Slick, D. J., (1999) Diagnostic criteria for malingered neurocognitive dysfunction; Proposed standard for clinical practice and research, The Clinical Neuropsychologist
Slick, D. J., (2000) California Verbal Learning Test indicators of suboptimal performance in a sample of head-injury litigants, Journal of Clinical and Experimental Neuropsychology
van Gorp, W. G., (1999) How well do standard clinical neuropsychological test identify malingering? A preliminary analysis. Journal of Clinical and Experiment,