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  1. Article ; Online: Neurobehavioral symptom validity in U.S. Department of Veterans Affairs (VA) mild traumatic brain injury evaluations.

    Ashendorf, Lee

    Journal of clinical and experimental neuropsychology

    2019  Volume 41, Issue 4, Page(s) 432–441

    Abstract: Introduction: The use of the Neurobehavioral Symptom Inventory (NSI) by U.S. Department of Defense and Veterans Affairs (VA) providers for all mild traumatic brain injury (mTBI) evaluations led to the development of methods to screen for symptom ... ...

    Abstract Introduction: The use of the Neurobehavioral Symptom Inventory (NSI) by U.S. Department of Defense and Veterans Affairs (VA) providers for all mild traumatic brain injury (mTBI) evaluations led to the development of methods to screen for symptom exaggeration. The present study was designed to explore the clinical utility of three metrics-the Validity-10 scale, the NSI total score, and the mild Brain Injury Atypical Symptoms Scale (mBIAS)-relative to the results of several different criterion measures of symptom validity.
    Method: Participants in this study were 82 U.S. military veterans referred for evaluations by a VA polytrauma clinic in the context of a history of mTBI. All participants were administered the Minnesota Multiphasic Personality Inventory-Second Edition-Restructured Form (MMPI-2-RF), NSI, and mBIAS.
    Results: None of the three scales displayed adequate accuracy at predicting failure on cognitive performance validity tests or on the MMPI-2-RF Fp-r scale. For the remaining MMPI-2-RF overreporting indices (F-r, Fs, FBS-r, RBS) and for an index based on elevation of any single MMPI-2-RF overreporting index, both the NSI total score and Validity-10 displayed high positive predictive power with adequate to good sensitivity values (39% to 76%).
    Conclusion: These findings support the use of Validity-10 and NSI total score as symptom validity tests (SVTs) that can be used to assess for neurobehavioral symptom exaggeration.
    MeSH term(s) Adult ; Brain Concussion/diagnosis ; Brain Injuries/diagnosis ; Brain Injuries/psychology ; Female ; Humans ; MMPI ; Male ; Malingering/diagnosis ; Malingering/psychology ; Middle Aged ; Military Personnel ; Neuropsychological Tests ; Psychometrics ; Reproducibility of Results
    Language English
    Publishing date 2019-02-04
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Validation Study
    ZDB-ID 605982-x
    ISSN 1744-411X ; 0168-8634 ; 1380-3395
    ISSN (online) 1744-411X
    ISSN 0168-8634 ; 1380-3395
    DOI 10.1080/13803395.2019.1567693
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Rey Auditory Verbal Learning Test and Rey-Osterrieth Complex Figure Test performance validity indices in a VA Polytrauma sample.

    Ashendorf, Lee

    The Clinical neuropsychologist

    2019  Volume 33, Issue 8, Page(s) 1388–1402

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Adult ; Female ; Humans ; Male ; Memory and Learning Tests/standards ; Multiple Trauma/therapy ; Neuropsychological Tests/standards ; Reproducibility of Results ; Task Performance and Analysis ; Veterans
    Language English
    Publishing date 2019-01-12
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639080-8
    ISSN 1744-4144 ; 0920-1637 ; 1385-4046
    ISSN (online) 1744-4144
    ISSN 0920-1637 ; 1385-4046
    DOI 10.1080/13854046.2018.1543454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Rey 15-Item Memory Test in US veterans.

    Ashendorf, Lee / Clark, Erika L / Humphreys, Clare T

    Journal of clinical and experimental neuropsychology

    2021  Volume 43, Issue 3, Page(s) 324–331

    Abstract: Introduction: The Rey 15-item Test is a public-domain, memory-based performance validity test, frequently used in clinical settings. Various efforts have been made to modify the test to make it more sensitive and more robust to effects of lower ... ...

    Abstract Introduction: The Rey 15-item Test is a public-domain, memory-based performance validity test, frequently used in clinical settings. Various efforts have been made to modify the test to make it more sensitive and more robust to effects of lower education and intelligence. The most promising of these is the addition of a recognition trial to the existing free recall paradigm.
    Method: The present study explored the use of the Rey-15 + Recognition Trial in a sample of 155 younger U.S. military veterans seen for evaluation of mild traumatic brain injury or attention deficit hyperactivity disorder (50 cases classified as invalid, 105 classified as valid).
    Results: Optimal classification accuracy was obtained on the Combination index (cutoff ≤23, sensitivity = 50%, specificity = 95%) and the Recognition Hits score (cutoff ≤11, sensitivity = 52%, specificity = 93%). The Free Recall score had somewhat lower sensitivity when a similar 95% specificity threshold was set (cutoff ≤11, 38% sensitivity). A qualitative error score used in previous studies did not improve classification accuracy.
    Conclusions: The Rey-15 + Recognition Trial proved to be effective, with particular advantage bestowed by the recognition trial. Implications of these findings in the context of the study's clinical sample of military veterans and in the broader literature are discussed.
    MeSH term(s) Humans ; Malingering/diagnosis ; Mental Recall ; Neuropsychological Tests ; Reproducibility of Results ; Sensitivity and Specificity ; Veterans
    Language English
    Publishing date 2021-06-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 605982-x
    ISSN 1744-411X ; 0168-8634 ; 1380-3395
    ISSN (online) 1744-411X
    ISSN 0168-8634 ; 1380-3395
    DOI 10.1080/13803395.2021.1932761
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: When is it appropriate to infer cognitive impairment on the basis of premorbid IQ estimates? A simulation study.

    Gavett, Brandon E / Ashendorf, Lee / O'Bryant, Sid E

    Psychological assessment

    2021  Volume 34, Issue 4, Page(s) 390–396

    Abstract: Whether an individual meets psychometric criteria for cognitive impairment is dictated by the comparison criterion, which is typically either a normative mean or a known or estimated previous level of ability. This study investigated the conditions under ...

    Abstract Whether an individual meets psychometric criteria for cognitive impairment is dictated by the comparison criterion, which is typically either a normative mean or a known or estimated previous level of ability. This study investigated the conditions under which adjusting normative expectations based on estimated premorbid intelligence would be appropriate. A simulated data set was derived and several parameters were systematically varied: the correlation between premorbid intelligence and the cognitive test score, the cutoff used to classify a score as "normal" or "abnormal", and the population base rate of cognitive impairment. Simulation results demonstrated that the correlation between premorbid intelligence and the cognitive score was the only parameter to substantially influence the trade-off between the two normative approaches, with correlations above ρ = .35 signifying greater advantage to adjusting normative expectations by premorbid intelligence. These findings inform common neuropsychological practices regarding the application of premorbid intelligence estimates to the detection of cognitive impairment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
    MeSH term(s) Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/psychology ; Humans ; Intelligence ; Intelligence Tests ; Neuropsychological Tests ; Psychometrics
    Language English
    Publishing date 2021-12-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1000939-5
    ISSN 1939-134X ; 1040-3590
    ISSN (online) 1939-134X
    ISSN 1040-3590
    DOI 10.1037/pas0001101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: An exploratory study of the use of the Wechsler Digit-Symbol Incidental Learning procedure with the WAIS-IV.

    Ashendorf, Lee

    Applied neuropsychology. Adult

    2012  Volume 19, Issue 4, Page(s) 272–278

    Abstract: The Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) does not include the optional Incidental Learning procedure for the Digit-Symbol subtest (now simply called Coding) that had been available in the WAIS-Third Edition (WAIS-III). However, the ... ...

    Abstract The Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) does not include the optional Incidental Learning procedure for the Digit-Symbol subtest (now simply called Coding) that had been available in the WAIS-Third Edition (WAIS-III). However, the procedure itself has been shown to have some utility in assessment of incidental memory processes. The current study of a mixed clinical outpatient sample (n = 75) sought to identify salient characteristics of the Incidental Learning tasks as applied to WAIS-IV Coding. Findings showed that the Pairing procedure, when applied to the WAIS-IV, has different characteristics than it did with the WAIS-III; it is more difficult overall, and different items tend to be more prominently recalled than others. The Free Recall procedure for the WAIS-IV is comparable to the WAIS-III version in overall difficulty. Implications and implementation of the current findings are discussed.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Mental Recall ; Middle Aged ; Motor Skills ; Neuropsychological Tests ; Wechsler Scales
    Language English
    Publishing date 2012
    Publishing country United States
    Document type Journal Article
    ISSN 2327-9109
    ISSN (online) 2327-9109
    DOI 10.1080/09084282.2012.670151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Decision rules for an abbreviated administration of the Test of Memory Malingering.

    Ashendorf, Lee / Withrow, Susanne / Ward, Sarah H / Sullivan, Sara K / Sugarman, Michael A

    Applied neuropsychology. Adult

    2022  , Page(s) 1–10

    Abstract: The present study investigated abbreviation methods for the Test of Memory Malingering (TOMM) in relation to traditional manual-based test cutoffs and independently derived more stringent cutoffs suggested by recent research (≤48 on Trial 2 or 3). ... ...

    Abstract The present study investigated abbreviation methods for the Test of Memory Malingering (TOMM) in relation to traditional manual-based test cutoffs and independently derived more stringent cutoffs suggested by recent research (≤48 on Trial 2 or 3). Consecutively referred outpatient U.S. military veterans (
    Language English
    Publishing date 2022-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2673736-X
    ISSN 2327-9109 ; 2327-9095
    ISSN (online) 2327-9109
    ISSN 2327-9095
    DOI 10.1080/23279095.2022.2026948
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Tobacco Use and Cognitive Functioning in Veterans of the Conflicts in Iraq and Afghanistan.

    Ashendorf, Lee / Shirk, Steven D / Kelly, Megan M

    Developmental neuropsychology

    2019  Volume 44, Issue 5, Page(s) 409–416

    Abstract: Tobacco use is a prevalent problem in the general population as well as among military veterans. Despite the fact that tobacco users are at an increased risk of many medical and psychiatric comorbidities, the risk of cognitive impairment in younger ... ...

    Abstract Tobacco use is a prevalent problem in the general population as well as among military veterans. Despite the fact that tobacco users are at an increased risk of many medical and psychiatric comorbidities, the risk of cognitive impairment in younger active tobacco users is less studied. Military veterans from the conflicts in Iraq and Afghanistan (n = 113) were administered a neuropsychological protocol. Even after controlling for the severity of PTSD symptoms, tobacco use was negatively related to performance on measures of processing speed, memory, and executive functioning. The current findings have implications for the neuropsychological evaluation of tobacco users.
    MeSH term(s) Adult ; Afghan Campaign 2001- ; Afghanistan ; Cognition/drug effects ; Comorbidity ; Executive Function/drug effects ; Female ; Humans ; Iraq ; Iraq War, 2003-2011 ; Male ; Memory/drug effects ; Middle Aged ; Military Personnel/psychology ; Neuropsychological Tests ; Prevalence ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology ; Tobacco Use/adverse effects ; Veterans/psychology ; Veterans/statistics & numerical data
    Language English
    Publishing date 2019-06-21
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 632665-1
    ISSN 1532-6942 ; 8756-5641
    ISSN (online) 1532-6942
    ISSN 8756-5641
    DOI 10.1080/87565641.2019.1632862
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Evaluation of performance validity using a Rey Auditory Verbal Learning Test forced-choice trial.

    Ashendorf, Lee / Sugarman, Michael A

    The Clinical neuropsychologist

    2016  Volume 30, Issue 4, Page(s) 599–609

    Abstract: 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).: ... ...

    Abstract 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.
    MeSH term(s) Acoustic Stimulation ; Adult ; Aged ; Choice Behavior ; Female ; Humans ; Male ; Middle Aged ; Neuropsychological Tests ; Psychomotor Performance ; Recognition (Psychology) ; Reproducibility of Results ; Sensitivity and Specificity ; Verbal Learning ; Veterans ; Young Adult
    Language English
    Publishing date 2016-05
    Publishing country England
    Document type Journal Article ; Validation Studies
    ZDB-ID 639080-8
    ISSN 1744-4144 ; 0920-1637 ; 1385-4046
    ISSN (online) 1744-4144
    ISSN 0920-1637 ; 1385-4046
    DOI 10.1080/13854046.2016.1172668
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Performance validity and processing speed in a VA Polytrauma sample.

    Ashendorf, Lee / Clark, Erika L / Sugarman, Michael A

    The Clinical neuropsychologist

    2017  Volume 31, Issue 5, Page(s) 857–866

    Abstract: Objective: While recognition memory has been the primary tool for the assessment of performance validity in neuropsychological evaluations, some consideration has also been given to embedded measures from other cognitive domains, including processing ... ...

    Abstract Objective: While recognition memory has been the primary tool for the assessment of performance validity in neuropsychological evaluations, some consideration has also been given to embedded measures from other cognitive domains, including processing speed. The present study evaluated the classification accuracy of several speed-based measures in a Veterans Affairs Medical Center Polytrauma sample.
    Method: The present sample consisted of 114 military veterans (Mean age = 35.5, SD = 9.4) referred for a suspected history of mild traumatic brain injury who were administered a full neuropsychological protocol that included several validity checks. Veterans were assigned to Valid (n = 80) or Invalid (n = 34) groups based on outcomes of performance validity measures (PVMs).
    Results: Several processing speed measures yielded acceptable or excellent classification accuracy; sensitivity values ranged from 29 to 53% with specificity values above 90%. Efforts to identify an improved algorithm that would collapse across multiple processing speed PVMs were unsuccessful compared to classification based on single measures.
    Conclusions: Processing speed measures can serve as efficient performance validity assessment tools.
    Language English
    Publishing date 2017-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 639080-8
    ISSN 1744-4144 ; 0920-1637 ; 1385-4046
    ISSN (online) 1744-4144
    ISSN 0920-1637 ; 1385-4046
    DOI 10.1080/13854046.2017.1285961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book: The Boston process approach to neuropsychological assessment

    Ashendorf, Lee / Swenson, Rod / Libon, David

    a practitioner's guide

    2013  

    Author's details edited by Lee Ashendorf, Rod Swenson, David J. Libon
    MeSH term(s) Neuropsychological Tests/history ; Neuropsychology/methods ; Diagnostic Techniques, Neurological ; Nervous System Diseases/diagnosis
    Language English
    Size xxviii, 431 pages :, illustrations ;, 25 cm
    Document type Book
    ISBN 9780199794300 ; 0199794308 ; 9780199794355 ; 0199794359
    Database Catalogue of the US National Library of Medicine (NLM)

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