Several recent clinical case series have also consistently found that a small percentage of general pediatric patients perform suboptimally because of effort-related problems ( Carone, 2008 Donders, 2005 Kirk et al., 2011 MacAllister, Nakhutina, Bender, Karantzoulis, & Carlson, 2009). However, a number of single-case reports have clearly documented that children can feign cognitive impairment during neuropsychological examination ( Flaro & Boone, 2009 Henry, 2005 Kirkwood, Kirk, Blaha, & Wilson, 2010 Lu & Boone, 2002 McCaffrey & Lynch, 2009). In comparison to the vast literature focused on noncredible neuropsychological performance in adults, the pediatric literature is relatively sparse. Indeed, classification statistics produced in this pediatric sample compare favorably with those produced in many real-world adult patients.ĭigit span, Reliable digit span, Wechsler intelligence scale for children, Symptom validity testing, Response bias, Postconcussion, Mild traumatic brain injury Introduction ![]() Although only moderately sensitive, Digit Span scores are likely to have good utility in identifying noncredible performance in relatively high-functioning older children and adolescents. For Reliable Digit Span, the optimal cut-score was ≤6, with sensitivity of 51% and specificity of 92%. For age-corrected scaled scores, a score of ≤5 resulted in the optimal cut-score, yielding sensitivity of 51% and specificity of 96%. Fourteen percent of the participants failed both the Medical Symptom Validity Test and Test of Memory Malingering, which was used as the criterion for noncredible effort. The sample consisted of 274 clinically referred mild traumatic brain injury patients aged 8 through 16 years. The present study examined the classification value of several scores derived from the WISC-IV Digit Span subtest. Although several recent studies have demonstrated the appropriateness of using stand-alone symptom validity tests with younger populations, a near absence of pediatric work has investigated embedded validity indicators. Far less work has focused on methods appropriate for children. Hoboken, NJ: John Wiley.In adult populations, research on methodologies to identify negative response bias has grown exponentially in the last two decades. Investigation of the factor structure of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV): Exploratory and higher order factor analyses. Independent examination of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV): What does the WAIS-IV measure? Psychological Assessment, 22(1), 121-130.Ĭanivez, G. The Wechsler Adult Intelligence Scale®, Fourth Edition (WAIS®-IV) is a proprietary instrument and can be obtained through:īenson, N., Hulac, D., & Kranzler, J. The Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV). Wechsler Adult Intelligence Scale?, Digit Span subtest, Fourth Edition (WAIS?-IV) Sourceĭavid Wechsler. Spatial Reasoning - Adolescents and Adults.Motor and Attentional Impulsivity (Immediate and Delayed Memory Task).Intelligence Scale - Birth to 3.5 years.Intelligence Scale - 6 to 16 years 11 months.Intelligence Scale - 2 years, 6 months to 7 years, 7 months.Inhibitory Control (Stop Signal Paradigm).Global Mental Status Screener - Older Children and Adolescents.Executive Function - Questionnaire - Preschool Children.Executive Function - Questionnaire - Children.Executive Function - Questionnaire - Adult.Executive Function - Direct Assessment - Adult.Executive Function - Direct Assessment - Adolescent.Decision Making (Iowa Gambling Task) - Child.Decision Making (Iowa Gambling Task) - Adult.Cognitive Flexibility (Dimensional Change Card Sort) - Young Children.Cognitive Flexibility (Dimensional Change Card Sort) - Children, Adolescents, and Adults.
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