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Archives of Clinical Neuropsychology Advance Access published online on June 23, 2009
Archives of Clinical Neuropsychology, doi:10.1093/arclin/acp026
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© The Author 2009. Published by Oxford University Press on behalf of the National Academy of Neuropsychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Repeatable Battery for the Assessment of Neuropsychological Status Effort Index performance in a medically ill geriatric sample

Julie N. Hooka,*, María J. Marquinea,b and James B. Hoelzlea,c

a Department of Behavioral Sciences, Rush University Medical Center, 1653 W. Congress Parkway, Chicago, IL 60612, USA
b Department of Psychiatry, Duke University Medical Center, Durham, NC, USA
c Psychology Services, Veterans Administration Hospital, Minneapolis, MN, USA

* Corresponding author at: Tel.: +1-312-942-2128; fax: +1-312-942-4990. E-mail address: julie_hook{at}rush.edu (J. N. Hook).


  Abstract

Using a sample of 44 clinically referred, non-litigating, older adults, we evaluated the Repeatable Battery for the Assessment of Neuropsychological Status Effort Index [RBANS EI; Silverberg, N. D., Wertheimer, J. C., & Fichtenberg, N. L. (2007). An effort index for the Repeatable Battery for the Assessment of Neurospcyhological Status (RBANS). The Clinical Neuropsychologist, 21, 841–854]. With the current RBANS EI cut-score guidelines, 31% of our sample was classified as putting forth suspect effort. With this, cognitive ability was significantly correlated with suspect effort scores. Thus, it appears that the current guidelines may not be useful in a cognitively impaired medically ill geriatric sample. Hence, further research on RBANS EI validation is warranted.

Keywords Malingering; Elderly; Assessment

Accepted: April 22, 2009


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