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Using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Effort Index to Predict Treatment Group Attendance in Patients with Schizophrenia

Published online by Cambridge University Press:  13 December 2012

Raeanne C. Moore ,
Taylor Davine ,
Alexandrea L. Harmell ,
Veronica Cardenas ,
Barton W. Palmer  and
Brent T. Mausbach
Raeanne C. Moore
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, California
Taylor Davine
Affiliation:
Department of Psychology, San Diego State University, San Diego, California
Alexandrea L. Harmell
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California Joint Doctoral Program in Clinical Psychology, University of California, San Diego/San Diego State University, San Diego, California
Veronica Cardenas
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Barton W. Palmer
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Brent T. Mausbach*
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
*
Correspondence and reprint requests to: Brent T. Mausbach, Department of Psychiatry, University of California San Diego, 9500 Gilman Drive; La Jolla, CA, 92093-0993. E-mail: bmasubach@ucsd.edu
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Abstract

In a psychosocial treatment study, knowing which participants are likely to put forth adequate effort to maximize their treatment, such as attending group sessions and completing homework assignments, and knowing which participants need additional motivation before engagement in treatment is a crucial component to treatment success. This study examined the ability of the Repeatable Battery for Assessment of Neuropsychological Status (RBANS) Effort Index (EI), a newly developed measure of suboptimal effort that is embedded within the RBANS, to predict group attendance in a sample of 128 middle-aged and older adults with schizophrenia. This study was the first to evaluate the EI with a schizophrenia sample. While the EI literature recommends a cutoff score of >3 to be considered indicative of poor effort, a cutoff of >4 was identified as the optimal cutoff for this sample. Receiver Operating Characteristics curve analyses were conducted to determine if the EI could predict participants who had high versus low attendance. Results indicated that the EI was successfully able to discriminate between group attendance, and this measure of effort appears to be most valuable as a tool to identify participants who will have high attendance. Of interest, overall cognitive functioning and symptoms of psychopathology were not predictive of group attendance. (JINS, 2013, 19, 1–8)

Keywords

SchizophreniaNeuropsychologyRBANSSymptom validity testingPositive and Negative SymptomsReceiver Operating Characteristics (ROC) curve
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 2 , February 2013 , pp. 198 - 205
Copyright
Copyright © The International Neuropsychological Society 2012

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