A-155 Association of Feigned Attentional Symptoms with Intra-Individual Variability in Intellectual Functioning
Abstract Objective The association between feigned Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms and intellectual functioning was examined in a sample of undergraduate students instructed to simulate ADHD. Method 90 undergraduate students completed the Wechsler Adult Intelligence Scale (WAIS-IV), b Test, and Green’s Word Memory Test (WMT) as part of a larger study [mean age 19.23 years (SD 1.67), range 17–26 years old; mean 12.47 years of education (SD .86); 58.9% female; 58.9% Caucasian, 32.2% African American, 8.9% Other]. Intra-individual variability (IIV) was calculated as standard deviation of the overall test battery mean for the 10 core WAIS-IV subtests. Results A moderate association was found between WAIS-IV IIV and b Test E-score (r = .397, p < .05). WAIS-IV IIV was also moderately associated with b Test errors (d errors r = .299, p < .05; commissions r = .284, p < .05; omissions r = .463, p < .01) and completion time (r = .332, p < .05). No significant relationships were found between WAIS-IV IIV and WMT performance. Conclusions Given that IIV within intellectual functioning was correlated with performance on b Test but not WMT, this suggests the variability in objectively measured intelligence for simulators is associated with feigned attentional symptoms but not feigned memory symptoms. These findings implicate detection of malingered symptom presentation for ADHD to be more sensitive in the attentional domain compared to memory. Therefore, performance validity tests assessing attentional abilities may be more applicable in diagnostic settings aimed at detection of ADHD.