Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children.

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  • Additional Information
    • Author-Supplied Keywords:
      Effort testing
      Embedded validity indicators
      Pediatric neuropsychological assessment
      Pediatric PVTs
      Performance validity testing
      WCST
    • Abstract:
      Past studies have examined the ability of the Wisconsin Card Sorting Test (WCST) to discriminate valid from invalid performance in adults using both individual embedded validity indicators (EVIs) and multivariate approaches. This study is designed to investigate whether the two most stable of these indicators--failures to maintain set (FMS) and the logistical regression equation S-BLRE--can be extended to pediatric populations. The classification accuracy for FMS and S-BLRE was examined in a mixed clinical sample of 226 children aged 7 to 17 years (64.6% male, MAge = 13.6 years) against a combination of established performance validity tests (PVTs). The results show that at adult cutoffs, FMS and S-BLRE produce an unacceptably high failure rate (33.2% and 45.6%) and low specificity (.55-.72), but an upward adjustment in cutoffs significantly improves classification accuracy. Defining Pass as <2 and Fail as =4 on FMS results in consistently good specificity (.89-.92) but low and variable sensitivity (.00-.33). Similarly, cutting the S-BLRE distribution at 3.68 produces good specificity (.90-.92) but variable sensitivity (.06-.38). Passing or failing FMS or S-BLRE is unrelated to age, gender and IQ. The data from this study suggest that in a pediatric sample, adjusted cutoffs on the FMS and S-BLRE ensure good specificity, but with low or variable sensitivity. Thus, they should not be used in isolation to determine the credibility of a response set. At the same time, they can make valuable contributions to pediatric neuropsychology by providing empirically-supported, expedient and cost-effective indicators to enhance performance validity assessment. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Psychiatry, Neuropsychology Services, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
      2Department of Psychology, Neuropsychology Track, University of Windsor, ON, USA
      3Department of Psychology, Chicago School of Professional Psychology, IL, USA
      4Department of Psychiatry and Behavioral Science, Oklahoma State University, Tulsa, OK, USA
      5Private practice, Edmonton, AB, USA
    • Full Text Word Count:
      6690
    • ISSN:
      0929-7049
    • Accession Number:
      10.1080/09297049.2016.1259402
    • Accession Number:
      126582256
  • Citations
    • ABNT:
      LICHTENSTEIN, J. D. et al. Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children. Child Neuropsychology, [s. l.], v. 24, n. 2, p. 247–260, 2018. DOI 10.1080/09297049.2016.1259402. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=126582256&custid=s6224580. Acesso em: 6 dez. 2019.
    • AMA:
      Lichtenstein JD, Erdodi LA, Rai JK, Mazur-Mosiewicz A, Flaro L. Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children. Child Neuropsychology. 2018;24(2):247-260. doi:10.1080/09297049.2016.1259402.
    • APA:
      Lichtenstein, J. D., Erdodi, L. A., Rai, J. K., Mazur-Mosiewicz, A., & Flaro, L. (2018). Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children. Child Neuropsychology, 24(2), 247–260. https://doi.org/10.1080/09297049.2016.1259402
    • Chicago/Turabian: Author-Date:
      Lichtenstein, Jonathan D., Laszlo A. Erdodi, Jaspreet K. Rai, Anya Mazur-Mosiewicz, and Lloyd Flaro. 2018. “Wisconsin Card Sorting Test Embedded Validity Indicators Developed for Adults Can Be Extended to Children.” Child Neuropsychology 24 (2): 247–60. doi:10.1080/09297049.2016.1259402.
    • Harvard:
      Lichtenstein, J. D. et al. (2018) ‘Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children’, Child Neuropsychology, 24(2), pp. 247–260. doi: 10.1080/09297049.2016.1259402.
    • Harvard: Australian:
      Lichtenstein, JD, Erdodi, LA, Rai, JK, Mazur-Mosiewicz, A & Flaro, L 2018, ‘Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children’, Child Neuropsychology, vol. 24, no. 2, pp. 247–260, viewed 6 December 2019, .
    • MLA:
      Lichtenstein, Jonathan D., et al. “Wisconsin Card Sorting Test Embedded Validity Indicators Developed for Adults Can Be Extended to Children.” Child Neuropsychology, vol. 24, no. 2, Mar. 2018, pp. 247–260. EBSCOhost, doi:10.1080/09297049.2016.1259402.
    • Chicago/Turabian: Humanities:
      Lichtenstein, Jonathan D., Laszlo A. Erdodi, Jaspreet K. Rai, Anya Mazur-Mosiewicz, and Lloyd Flaro. “Wisconsin Card Sorting Test Embedded Validity Indicators Developed for Adults Can Be Extended to Children.” Child Neuropsychology 24, no. 2 (March 2018): 247–60. doi:10.1080/09297049.2016.1259402.
    • Vancouver/ICMJE:
      Lichtenstein JD, Erdodi LA, Rai JK, Mazur-Mosiewicz A, Flaro L. Wisconsin Card Sorting Test embedded validity indicators developed for adults can be extended to children. Child Neuropsychology [Internet]. 2018 Mar [cited 2019 Dec 6];24(2):247–60. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=126582256&custid=s6224580