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1.
Clin Neuropsychol ; 25(2): 302-22, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21184348

ABSTRACT

The current investigation identified characteristics that discriminated authentic dyslexia from its simulation using measures common to postsecondary learning disability evaluations. Analyses revealed accurate simulation on most achievement measures but inaccurate feigning on neurolinguistic processing measures, speed on timed tasks, and error quantity. The largest group separations were on rapid naming, speeded orthographic, and reading fluency tasks. Simulators accurately feigned dyslexia profiles on cut-score and discrepancy diagnostic models but not on the more complex aspects of the clinical judgment model. Regarding simulation detection, a multivariate rule exhibited the greatest classification accuracy, followed by univariate indices developed from rapid naming tasks. The findings of the current study suggest that aspects of a comprehensive evaluation may aid in the detection of simulated dyslexia.


Subject(s)
Dyslexia/diagnosis , Malingering/diagnosis , Neuropsychological Tests , Adolescent , Analysis of Variance , Cluster Analysis , Deception , Dyslexia/physiopathology , Dyslexia/psychology , Female , Humans , Male , Malingering/classification , Reading , Reproducibility of Results , Self Report , Students , Young Adult
2.
Arch Clin Neuropsychol ; 24(7): 659-69, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19778916

ABSTRACT

The current exploratory investigation examined the diagnostic accuracy of the Word Memory Test (WMT), Test of Memory Malingering (TOMM), and Word Reading Test (WRT) with three groups of postsecondary students: controls, learning disability (LD) simulators, and a presumed honest LD group. Each measure achieved high overall diagnostic accuracy, yet each contributed differently to suboptimal effort detection. False-negative classifications varied by measure, yet no simulator went undetected by all three tests. The WMT and WRT identified different members of the presumed honest LD group as demonstrating poor effort, whereas the TOMM identified none. Each measure contributed unique variance in a logistic regression, with effort status best predicted by WMT Consistency. Findings provided preliminary evidence that all three measures may be useful when assessing effort during postsecondary LD evaluations. Implications for future practice and research are discussed.


Subject(s)
Disability Evaluation , Learning Disabilities/diagnosis , Malingering/diagnosis , Neuropsychological Tests , Adolescent , Analysis of Variance , Cognition Disorders/diagnosis , Deception , Female , Humans , Male , Memory/physiology , Multivariate Analysis , Patient Simulation , Pilot Projects , Reading , Sensitivity and Specificity , Young Adult
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