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Title: The validity of effort tests in working age dementia and a review of the clinical validity of the test of memory malingering
Author: Rudman, Natalie
ISNI:       0000 0001 3539 3762
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2007
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Tests to detect suboptimal effort during neuropsychological assessment are becoming widely used in clinical practice based on their reported insensitivity to cognitive dysfunction. This study aimed to examine the performance of individuals with working age dementia on six tests of effort, the MSVT, NV-MSVT, TOMM, Rey 15, Rey Dot Counting and Coin in the Hand, in order to determine whether cognitive functioning adversely influences test performance. 42 participants who received a diagnosis of dementia before the age of65 completed measures of emotional and cognitive functioning and six effort tests. The results demonstrate that cognitive functioning, in particular the domain ofNew Learning, is significantly related to effort test performance. Participants with mild dementia performed significantly better on all six effort tests than those classified as having moderate/severe dem<:ntia. The results also suggest that the six effort tests are not equally sensitive to cognitive dysfunction. Rey's Dot Counting Te~t was the only effort test to be passed by all participants using the timing criterion, and therefore the only test that can be recommended for use in this population at this time until further validation studies are undertaken.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Clin.Psy.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available