Evaluation of performance validity using a Rey Auditory Verbal Learning Test forced-choice trial

摘要

Objective: Forced-choice (FC) recognition memory is a common performance validity assessment methodology. This study introduces and evaluates the classification accuracy of a FC recognition trial for the Rey Auditory Verbal Learning Test (RAVLT). Method: The present sample of 122 military veterans (Mean age=35.4, SD=9.3) were all administered the RAVLT along with the FC procedure as part of a full neuropsychological protocol. Veterans were assigned to valid (n=94) or invalid (n=28) groups based on outcomes of performance validity measures. Results: The FC procedure was found to have strong sensitivity (67.9%) and specificity (92.6%) in predicting validity group status based on a cutoff score of 13. The FC trial outperformed RAVLT recognition hits (sensitivity=46.4%, specificity=91.5%) as a predictor of invalid performance. Conclusions: The RAVLT FC is demonstrated to be an effective measure of performance validity and is recommended for use as an adjunctive trial for the RAVLT.