Abstract
Objective
This study examined Rey 15-Item Test (RFIT), RFIT/Recognition Trial, and Test of Memory Malingering-Trial 1 (TOMM-T1) performance as a function of increasing visual memory impairment to assess the effect of bona fide memory deficits on these performance validity tests (PVTs).
Method
Cross-sectional data from 146 patients who were administered the RFIT, TOMM-T1, and Brief Visuospatial Memory Test-Revised Delayed Recall (BVMT-R DR) trial were examined. In total, 120/146 (82%) were classified as valid and 26/146 (18%) as invalid per 4 independent criterion PVTs. The valid sample was 55% female/45% male, 39% Caucasian, 33% African American, 19% Hispanic, 7% Asian, and 3% other, with mean age of 46.2 (SD = 16.7) and education of 14.0 years (SD = 2.6). BVMT-R DR memory impairment bands were defined as ≥40 T (unimpaired; N = 70), 30-39 T (mild impairment; N = 26), and ≤ 29 T (severe impairment; N = 24).
Results
Multivariate analysis of variance with memory impairment bands as the fixed factor was significant, (p < .001, np2 = .21). Follow-up ANOVAs for RFIT (p < .001, np2 = .29) and RFIT/Recognition (p < .001, np2 = .34) were significant with large effect sizes, whereas TOMM-T1 (p < .05, np2 = .07) exhibited significant, albeit smaller, differences across memory bands. Post-hoc comparisons showed the unimpaired group outperformed the mild and severe impairment groups on the RFIT and RFIT/Recognition, whereas nonsignificant TOMM-T1 differences emerged between the three memory groups. Finally, significantly more patients with memory impairment failed the RFIT (X2 = 18.01, p < .001), and RFIT/Recognition (X2 = 23.70, p < .001), but not TOMM-T1 (X2 = 3.70, p = .16).
Conclusions
Results showed the RFIT and RFIT/Recognition were more highly affected by memory impairment and yielded significantly greater false positives with increasing memory impairment compared to TOMM-T1.