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Illness Perceptions Predict Cognitive Performance Validity

  • George K. Henry (a1), Robert L. Heilbronner (a2) (a3), Julie Suhr (a4), Jeffrey Gornbein (a1), Eveleigh Wagner (a5) and Daniel L. Drane (a6)...
Abstract

Objectives: The aim of this study was to investigate the relationship of psychological variables to cognitive performance validity test (PVT) results in mixed forensic and nonforensic clinical samples. Methods: Participants included 183 adults who underwent comprehensive neuropsychological examination. Criterion groups were formed, that is, Credible Group or Noncredible Group, based upon their performance on the Word Memory Test and other stand-alone and embedded PVT measures. Results: Multivariate logistic regression analysis identified three significant predictors of cognitive performance validity. These included two psychological constructs, for example, Cogniphobia (perception that cognitive effort will exacerbate neurological symptoms), and Symptom Identity (perception that current symptoms are the result of illness or injury), and one contextual factor (forensic). While there was no interaction between these factors, elevated scores were most often observed in the forensic sample, suggesting that these independently contributing intrinsic psychological factors are more likely to occur in a forensic environment. Conclusions: Illness perceptions were significant predictors of cognitive performance validity particularly when they reached very elevated levels. Extreme elevations were more common among participants in the forensic sample, and potential reasons for this pattern are explored. (JINS, 2018, 24, 1–11)

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Corresponding author
Correspondence and reprint requests to: George K. Henry, 11601 Wilshire Blvd., 5th Floor, Los Angeles, California, 90025. E-mail: GHenry0249@aol.com
References
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American Congress of Rehabilitation Medicine. (1993). Definition of mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 8, 8687.
Amrhein, C., Hengmith, S., Maragkos, M., & Hennig-Fast, K. (2008). Neuropsychological characteristics of highly dissociative healthy individuals. Journal of Trauma Dissociation, 9, 525542.
An, K.Y., Zakzanis, K.K., & Joordens, S. (2012). Conducting research with nonclinical healthy undergraduates: Does effort play a role in neuropsychological performance? Archives of Clinical Neuropsychology, 27, 849857.
Ardolf, B.K., Denney, R.L., & Houston, C.M. (2007). Base rates of negative response bias and malingered neurocognitive dysfunction among criminal defendants referred for neuropsychological evaluation. The Clinical Neuropsychologist, 21, 899916.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Barash, J., Suhr, J.A., & Manzel, K. (2004). Detecting poor effort and malingering with an expanded version of the Auditory Verbal Learning Test (AVLT): Validation with clinical samples. Journal of Clinical and Experimental Neuropsychology, 26, 125140.
Belanger, H.G., Barwick, F.H., Kip, K.E., Kretzmer, T., & Vanderploeg, R.D. (2013). Postconcussive symptom complaints and potentially malleable positive predictors. The Clinical Neuropsychologist, 27, 343355.
Ben-Porath, Y.S., & Tellegen, A. (2008). Minnesota Multiphasic Personality Inventory-2-Restructured Form: Manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota by NCS Pearson, Inc.
Bernstein, E.M., & Putnam, F.W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Diseases, 174, 727734.
Boone, K.B., Salazar, X., Lu, P., Warner-Chacon, K., & Razani, J. (2002). The Rey 15-item recognition trial: A technique to enhance sensitivity of the Rey 15-item memorization test. Journal of Experimental Neuropsychology, 24, 561573.
Boone, K., Lu, P., & Wen, J. (2005). Comparison of various RAVLT scores in the detection of noncredible memory performance. Archives of Clinical Neuropsychology, 20, 301319.
Crombez, G., Verbaet, L., Lysens, R., Baeyers, F., & Eelen, P. (1998). Avoidance and confrontation of painful, back straining movements in chronic back pain patients. Behavior Modification, 22, 6277.
Dean, A.C., Victor, T.L., Boone, K.B., & Arnold, G. (2008). The relationship of IQ to effort test performance. The Clinical Neuropsychologist, 22, 705722.
Dean, A.C., Victor, T.L., Boone, K.B., Philpott, L., & Hess, R. (2009). Dementia and effort test performance. The Clinical Neuropsychologist, 23, 133152.
Delis, D.C., Kramer, J.H., Kaplan, E., & Ober, B.A. (2000). California Verbal Learning Test-II (2nd Ed.). San Antonio, TX: The Psychological Corporation.
Delis, D.C., & Wetter, S.R. (2007). Cogniform Disorder and Cogniform Condition: Proposed diagnoses for excessive cognitive symptoms. Archives of Clinical Neuropsychology, 22, 589604.
DePrince, A.P., & Freyd, J.J. (1999). Dissociative tendencies, attention and memory. Psychological Science, 10, 449452.
DeRight, J., & Jorgensen, R.S. (2015). I just want my research credit: Frequency of suboptimal effort in a non-clinical healthy undergraduate sample. The Clinical Neuropsychologist, 29, 101107.
Diefenbach, M.A., & Leventhal, H. (1996). The Common-Sense Model of Illness Representation: Theoretical and practical considerations. Journal of Social Distress and the Homeless, 5, 1138.
Drane, D.L., Williamson, D.J., Stroup, E.S., Holmes, M.D., Jung, M., Koerner, E., & Miller, J.W. (2006). Cognitive impairment is not equal in patients with epileptic and psychogenic nonepileptic seizures. Epilepsia, 47, 18791886.
Drane, D.L., Ojemann, J.G., Kim, M., Gross, R.E., Miller, J.W., Faught, R.E. Jr., & Loring, D.W. (2016). Interictal epileptiform discharge effects on neuropsychological assessment and epilepsy surgical planning. Epilepsia and Behavior, 56, 131138.
Forbey, J.D., & Lee, T.T.C. (2011). An exploration of the impact of invalid MMPI-2 protocols on collateral self-report measure scores. Journal of Personality Assessment, 93, 556565.
Forbey, J.D., Lee, T.C.C., Ben-Porath, Y.S., Arbisi, P.A., & Gartland, D. (2013). Associations between MMPI-2-RF validity scales and extra-test measure of personality and psychopathology. Assessment, 20, 448461.
Fragale, A.R., & Health, C. (2004). Evolving informational credentials: The (mis) attribution of believable facts to credible sources. Personality and Social psychology Bulletin, 30, 226236.
Freyd, J., Martorello, S.R., Alvarado, J.S., Hayes, A.E., & Christman, J.C. (1998). Cognitive environments and dissociative tendencies: Performance on the Standard Stroop Task for high versus low dissociators. Applied Cognitive Psychology, 12, S91S103.
Gervais, R.O., Ben-Porath, Y.S., Wygant, D.B., & Green, P. (2007). Development and validation of a Response Bias Scale (RBS) for the MMPI-2. Assessment, 14, 196208.
Gervais, R.O., Wygant, D.B., Sellbom, M., & Ben-Porath, Y.S. (2011). Associations between Symptom Validity Test failure and scores on the MMPI-2-RF validity and substantive scales. Journal of Personality Assessment, 93, 508517.
Green, P. (2005). Green’s Word Memory Test for Windows: User’s manual. Edmonton, Canada: Green’s Publishing, Inc.
Greiffenstein, M., Baker, W., & Gola, T. (1994). Validation of malingered amnesia measures with a large clinical sample. Psychological Assessment, 6, 218224.
Greve, K.W., Heinly, M.T., Bianchini, K.J., & Love, J.M. (2009). Malingering detection with the Wisconsin Card Sorting Test in mild traumatic brain injury. The Clinical Neuropsychologist, 23, 343362.
Haggerty, K.A., Frazier, T.W., Busch, R.M., & Naugle, R.I. (2007). Relationships among Victoria Symptom Validity Test indices and personality assessment inventory validity scales in a large clinical sample. The Clinical Neuropsychologist, 21, 917928.
Henry, G.K., Heilbronner, R.L., Algina, J., & Kaya, Y. (2013). Derivation of the MMPI-2-RF Henry-Heilbronner Index-r (HHI-r) Scale. The Clinical Neuropsychologist, 27, 509515.
Ingram, P.B., & Ternes, M.S. (2016). The detection of content-based invalid responding: A meta-analysis of the MMPI-2-RF over-reporting scales. The Clinical Neuropsychologist, 30, 473496.
Jones, A., Ingram, V.M., & Ben-Porath, Y.S. (2012). Scores on the MMPI-2-RF Scales as a function of increasing levels of failure on cognitive symptom validity tests in a military sample. The Clinical Neuropsychologist, 26, 790815.
Johnson, S.K. (2008). Medically unexplained illness: Gender and biopsychosocial implications. Washington, DC: American Psychological Association.
Kemp, S., Coughlan, A.K., Rowbottom, C., Wilkinson, K., Teggart, V., & Baker, G. (2009). The base rate of effort test failure in patients with medically unexplained symptoms. Journal of Psychosomatic Research, 65, 319325.
Kotor, R.I., Bellman, S.B., & Watson, D.B. (2004). Multidimensional Iowa Suggestibility Scale. Stony Brook University: roman.Kotov@stonybrook.edu.
Lamberty, G.J. (2008). Understanding somatization in the practice of clinical neuropsychology. New York: Oxford University Press, Inc.
Larrabee, G.J. (2003). Detection of malingering using atypical performance patterns on standard neuropsychological tests. The Clinical Neuropsychologist, 17, 410425.
Lees-Haley, P.R., Iverson, G.L., Lange, R.T., Fox, D.D., & Allen, L.M. III (2002). Malingering in forensic neuropsychology: Daubert and the MMPI-2. Journal of Forensic Neuropsychology, 3, 167203.
Loring, D.W., Lee, G.P., & Meador, K.J. (2005). Victoria Symptom Validity Test performance in nonlitigating epilepsy surgery candidates. Journal of Clinical and Experimental Neuropsychology, 27, 610617.
Martelli, M.F., Zasler, N.D., Grayson, R.I., & Liljedahl, E.L. (1999). Kinesiophobia and cogniphobia: Assessment of avoidance conditioned pain related disability (ACPRD). Poster presentation. National Academy of Neuropsychology, San Antonio, TX.
Martin, P.K., Schroeder, R.W., Heinrichs, R.J., & Baade, L.E. (2015). Does true neurocognitive dysfunction contribute to Minnesota Multiphasic Personality Inventory-2 Edition-Restructured Form cognitive validity scale scores? Archives of Clinical Neuropsychology, 30, 377386.
Martin, P.K., Schroeder, R.W., & Odland, A.P. (2015). Neuropsychologists’ validity testing beliefs and practices: A survey of North American professionals. The Clinical Neuropsychologist, 29, 741776.
Martin, P.K., Schroeder, R.W., & Odland, A.P. (2016). Expert beliefs and practices regarding neuropsychological validity testing. The Clinical Neuropsychologist, 30, 515535.
Mittenberg, W., DiGiulio, V., Perrin, S., & Bass, A.E. (1992). Symptoms following mild head injury: Expectation as aetiology. Journal of Neurology, Neurosurgery, and Psychiatry, 55, 200204.
Mittenberg, W., Tremont, G., Zielinski, R.E., Fichera, S., & Rayls, K.R. (1996). Cognitive behavioral prevention of postconcussion syndrome. Archives of Clinical Neuropsychology, 11, 139145.
Mittenberg, W., Patton, C., Canyock, E.M., & Condit, D.C. (2002). Base rate of malingering and symptom exaggeration. Journal of Clinical and Experimental Neuropsychology, 24, 10941102.
Moss-Morris, R., Weinman, J., Petrie, K.J., Horne, R., Cameron, L.D., & Buick, D. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology and Health, 17, 116.
Nelson, N.W., Hoelzle, J.B., McGuire, K.A., Sim, A.H., Goldman, D., Ferrier-Auerbach, A.G., & Sponheim, S.R. (2011). Self-report of psychological function among OEF/OIF personnel who also report combat-related concussion. The Clinical Neuropsychologist, 25, 716740.
Nguyen, C.T., Green, D., & Barr, W.B. (2015). Evaluation of the MMPI-2-RF for detecting over-reported symptoms in a civil forensic and disability setting. The Clinical Neuropsychologist, 2, 255271.
Peck, C.P., Schroeder, R.W., Heinrichs, R.J., VonDran, E.J., Brockman, C.J., Webster, B.K., & Baade, L.E. (2013). Differences in MMPI-2 FBS and RBS scores in brain injury, probable malingering, and conversion disorder groups: A preliminary study. The Clinical Neuropsychologist, 27, 693707.
Rogers, R.R., Gillard, N.D., Berry, D.T.R., & Granacher, R.P. (2011). Effectiveness of the MMPI-2-RF validity scales for feigned mental disorders and cognitive impairment. Journal of Psychopathology and Behavioral Assessment, 33, 355367.
Schroeder, R.W., Baade, L.E., Peck, C.P., VonDran, E.J., Brockman, C.J., Webster, B.K., & Heinrichs, R.J. (2012). Validation of MMPI-2-RF validity scales in criterion group neuropsychological samples. The Clinical Neuropsychologist, 26, 129146.
Schroeder, R.W., & Marshall, P.S. (2011). Evaluation of the appropriateness of multiple symptom validity indices in psychotic and non-psychotic psychiatric populations. The Clinical Neuropsychologist, 25, 437453.
Schwarzer, R., & Jerusalem, M. (1995). The General Self-Efficacy Scale. In J. Weinman, S. Wright, & M. Johnson (Eds.), Measures in health psychology: A user’s portfolio. Casual and central beliefs. Windsor, UK: NFER-NELSON.
Sellbom, M., & Bagby, R.M. (2010). Detection of over reported psychopathology with the MMPI-2-RF [corrected] validity scales. Psychological Assessment, 22, 757767.
Sellbom, M., Toomey, J.A., Wygant, D.B., Kucharski, L.T., & Duncan, S. (2010). Utility of the MMPI-2-RF (restructured form) validity scales in detecting malingering in a criminal forensic setting: a known-groups design. Psychological Assessment, 22, 2231.
Silk-Eglit, G.M., Stenclik, J.H., Gavett, B.E., Adam, J.W., Lynch, J.K., & McCaffrey, R.J. (2014). Base rate of performance invalidity among non-clinical undergraduate research participants. Archives of Clinical Neuropsychology, 29, 415421.
Slick, D., Hopp, M.A., Strauss, E., & Thompson, G.B. (1997). Victoria Symptom Validity Test. Lutz, FL: Psychological Assessment Resources.
Snell, D.L., Hay-Smith, E.J., Surgenor, L.J., & Siegert, R.J. (2013). Examination of outcome after mild traumatic brain injury: The contribution of injury beliefs and Leventhal’s common sense model. Neuropsychological Rehabilitation, 23, 333362.
Suhr, J.A. (2003). Neuropsychological impairment in fibromyalgia: Relation to depression, fatigue and pain. Journal of Psychosomatic Research, 55, 321329.
Suhr, J.A., & Spickard, B. (2012). Pain-related fear is associated with cognitive task avoidance: Exploration of the cogniphobia construct in a recurrent headache sample. The Clinical Neuropsychologist, 26, 11281141.
Sweet, J.J., Condit, D.C., & Nelson, N.W. (2008). Feigned amnesia and memory loss. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed.). New York: Guilford Press.
Tarescavage, A.M., Wygant, D.B., Gervais, R.O., & Ben-Porath, Y.S. (2012). Association between the MMPI-2 restructured form (MMPI-2-RF) and malingered neurocognitive dysfunction among non-head injury disability claimants. The Clinical Neuropsychologist, 27, 313335.
Thomas, M.L., & Youngjohn, J.R. (2009). Let’s not get hysterical: Comparing the MMPI-2 validity, clinical, and RC scales in TBI litigants tested for effort. The Clinical Neuropsychologist, 23, 10671084.
Todd, D.D., MartelliM.,.F. M.,.F., & Grayson, R.L. (1998). The Cogniphobia Scale (C-Scale) (white paper). Retrieved from www.angelfire.com/va/MFMartelliPhD/nanposters.html.
Tombaugh, T.N. (1996). Test of Memory Malingering. North Tonawanda, NY: Multi-Health Systems, Inc.
Tutz, G., & Binder, H. (2006). Generalized additive modeling with implicit variable selection by likelihood-based boosting. Biometrics, 62, 961971.
Van Dyke, S.A., Millis, S.R., Axelrod, B.N., & Hanks, R.A. (2013). Assessing effort: Differentiating performance and symptom validity. The Clinical Neuropsychologist, 27, 12341246.
Vaquez-Justo, E., Alvarez, M.R., & Otero, M.J.F. (2003). Influence of depressed mood on neuropsychological performance in HIV-seropositive drug users. Psychiatry and Clinical Neurosciences, 57, 251258.
Whittaker, R., Kemp, S., & House, A. (2007). Illness perceptions and outcome in mild head injury: A longitudinal study. Journal of Neurology, Neurosurgery, and Psychiatry, 78, 644646.
Williamson, D.J., Drane, D.L., Stroup, E.S., Holmes, M.D., Wilensky, A.J., & Miller, J.W. (2005). Recent seizures may distort the validity of neurocognitive test scores in patients with epilepsy. Epilepsia, 46(Suppl. 8), 74.
Williamson, D.J., Holsman, M., Clayton, N., Miller, J.W., & Drane, D. (2012). Abuse, not financial incentive predicts noncredible cognitive performance in patients with psychogenic nonepileptic seizures. The Clinical Neuropsychologist, 26, 588598.
Wolfe, P.L., Millis, S.R., Hanks, R., Fichtenber, N., Larrabee, G.J., & Sweet, J.J. (2010). Effort indicators within the California Verbal Learning Test-II (CVLT-II). The Clinical Neuropsychologist, 24, 153168.
Wygant, D.B., Sellbom, M., Gervais, R.O., Ben-Porath, Y.S., Stafford, K.P., Freeman, D.B., & Heilbronner, R.L. (2010). Further validation of the MMPI-2 and MMPI-2-RF Response Bias Scale: Findings from disability and criminal forensic settings. Psychological Assessment, 22, 745756.
Wygant, D.B., Ben-Porath, Y.S., Arbisi, P.A., Berry, D.T., Freeman, D.B., & Heilbronner, R.L. (2009). Examination of the MMPI-2 restructured form (MMPI-2-RF) validity scales in civil forensic settings: Findings from simulation and known group samples. Archives of Clinical Neuropsychology, 24, 671680.
Youngjohn, J.R., Wershba, R., Stevenson, M., Sturgeon, J., & Thomas, M.L. (2011). Independent validation of the MMPI-2-RF somatic/cognitive and validity scales in TBI litigants tested for effort. The Clinical Neuropsychologist, 25, 463476.
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