Children and the Test of Memory Malingering: Is one trial enough?

There is a growing body of research suggesting that the first trial of the TOMM may provide an accurate screener of effort in children. During neuropsychological assessments, some circumstances result in only one completed trial of the TOMM. Research on adults reflects that passing scores on Trial 1 (based on Trial 2 cutoff) are highly predictive of passing scores on Trial 2 and the TOMM overall. Pediatric research found that 100% of children and adolescents who passed Trial 1 of the TOMM also passed Trial 2. Our research hypothesis is that children who pass Trial 1 will also pass Trial 2. Data from 75 clinically diagnosed children (ages 6–18 years) found that 64% performed above the published adult TOMM cutoff on Trial 1. All children who passed Trial 1 also passed Trial 2 suggesting support for the research hypothesis. Sensitivity was 1.0, specificity was 0.72, positive predictive value was .33, and negative predictive value was 1.0. These findings suggest that in this sample, the children who performed above the Trial 2 cutoff on Trial 1 also all passed Trial 2 (so there were no false negatives, thus a perfect sensitivity and negative predictive value). Of the 36% of children who did not pass the Trial 1 cutoff, 67% passed on Trial 2. Data clearly support that children passing Trial 1 have a high likelihood of passing Trial 2, thus drawing conclusions about performance validity after passing Trial 1. Conclusions after failing Trial 1 require further investigation.     

Performance on the Test of Memory Malingering in children with neurological conditions

Despite increasing interest in the use of performance validity tests with youth, relatively little is known about how children and adolescents with neurological diagnoses perform on these measures. The purpose of this study was to examine performance on the Test of Memory Malingering (TOMM) in a general pediatric neurologic sample. Data were obtained from 266 consecutive patients (mean age = 13.0, SD = 3.7, range = 5–18) referred for a neuropsychological assessment in a tertiary care pediatric hospital. As part of a broader neuropsychological battery, patients were administered the TOMM. In this sample, 94% of children passed the TOMM. Pass rate was 87% for 5–7 year-olds but was ≥ 90% for all other ages. Children with a history of stroke had the lowest pass rate (86%), with other diagnostic groups scoring ≥ 90%, including epilepsy, traumatic brain injury, and hydrocephalus. Lower TOMM performance was related to slower processing speed and weaker memory performance. The results support using the TOMM with children and adolescents who have neurological diagnoses. Caution may still be warranted when interpreting scores in those who are younger and/or who have more significant cognitive difficulty.     

Construct validity of the Sivik Psychosomaticism test and test of Operational style: Correlations with Karolinska Scheme of Personality

To evaluate the construct validity (convergent and divergent) of Sivik Psycho Somaticism test (SPS) and test of Operationality (OPER), Pearson correlation coefficients between SPS scales and subscales and Karolinska Scheme of Personality (KSP) were calculated. Seventy-eight healthy individuals and 196 psychosomatic patients completed the SPS and OPER tests and KSP. The results show that the SPS and OPER subscales are significantly correlated to most KSP subscales. The correlations were higher for the psychosomatic group than for the normal population. The results confirm the validity of the SPS and OPER constructs.     

Measuring test anxiety in children: Scale development and internal construct validation

Given the increased testing of school-aged children in the United States there is a need for a current and valid scale to measure the effects of test anxiety in children. The domain of children's test anxiety was theorized to be comprised of three dimensions: thoughts, autonomic reactions, and off-task behaviors. Four stages are described in the evolution of the Children's Test Anxiety Scale (CTAS): planning, construction, quantitative evaluation, and validation. A 50-item scale was administered to a development sample (N=230) of children in grades 3–6 to obtain item analysis and reliability estimates which resulted in a refined 30-item scale. The reduced scale was administered to a validation sample (N=261) to obtain construct validity evidence. A three-factor structure fit the data reasonably well. Recommendations for future research with the scale are described.     

Influence of memory strategies on memory test performance: A study in healthy and pathological aging

ABSTRACT

The ability to generate memory strategies is a key factor in the performance of episodic memory tasks. Whether the ability to generate memory strategies exerts an influence in the performance of memory tests in the elderly population is still a matter of debate. Here we present results from an experimental memory task (Test of Memory Strategies, TMS), comprised of five lists of words starting from an incidental learning task, and four more lists which progressively gain in their external organization of the material, reducing the necessity of mobilizing complex memory strategies. TMS has been applied to four groups of elderly patients (amnestic Mild Cognitive Impairment – aMCI, multidomain (mMCI), and Vascular Cognitive Impairment – VCI and Depression) and a healthy aging group. In conditions with low organization of the material, the mMCI and VCI groups (both showing a greater executive function impairment) have shown lower performance. However, as the material was progressively organized, they improved their performance. The aMCI group showed similar performance to the control group at the lower level of external organization but did not improve performance in conditions with a high level of external organization. The mMCI and VCI groups showed lower performance on all TMS conditions compared with controls. Discriminant analysis revealed 90% sensitivity and specificity to differentiate between groups based on TMS conditions. These results indicate how executive functions influence performance on memory tasks in elderly subjects with different neuropsychological profiles.     

Construct validity of the Sivik Psychosomaticism test and test of Operational style: Correlations with four Minnesota Multiphasic Personality Inventory (MMPI) subscales

To evaluate the construct validity (convergent and divergent) of the Sivik Psycho Somaticism test (SPS) and test of Operationality (OPER), Pearson correlation coefficients between SPS scales and subscales, OPER and Minnesota Multiphasic Personality Inventory (MMPI) subscales Hypochondria (Hs), Depression (D), Hysteria (Hy) and Alexithymia (Al) were calculated. Eighty-eight healthy individuals and 285 psychosomatic patients completed the SPS and OPER tests and MMPI; Hs, D, Hy and Al. The results show that most of the SPS subscales and OPER are significantly correlated to several MMPI subscales in both a normal and a psychosomatic population. The results are in concordance with the theoretical hypotheses and confirm the validity of the SPS and OPER constructs.     

Associations between components of rumination and autobiographical memory specificity as measured by a Minimal Instructions Autobiographical Memory Test

Clinical studies have shown that rumination functions as a mediator between overgeneral memory—the tendency to retrieve autobiographical memories in a non-specific format—and depression. Recently, rumination has been dismantled into two distinct subcomponents: reflection, which is more adaptive, and brooding, which is more maladaptive. In the present study we examined the differential relationships of these two rumination subcomponents with autobiographical memory specificity and their mediational role for the relationship between reduced memory specificity and depression in a non-clinical sample. In addition, we investigated the usefulness of a “minimal instructions” version of the Autobiographical Memory Test (AMT) to measure memory specificity in non-clinical populations. Results indicated that the use of minimal instructions can increase the AMT's sensitivity to detect reduced autobiographical memory specificity in non-clinical individuals. Further it was found that brooding, and not reflection, is significantly associated with reduced autobiographical memory specificity and functions as a mediator between reduced memory specificity and depression.     

Autobiographical memory specificity, psychopathology, depressed mood and the use of the Autobiographical Memory Test: a meta-analysis

Reviewing the literature on autobiographical memory overgenerality, as measured by a cueing task like the Autobiographical Memory Test (AMT), gives a diffuse view of the moderating role of depression. This meta-analysis is an attempt to investigate the role of depression in the specificity of autobiographical memory, while accounting for the role of patient and task variables as possible moderators. Meta-analytic techniques are used to synthesize data from 14 studies on the recall of specific autobiographical memories in psychiatric and non-psychiatric samples. The results confirm the relationship between overgenerality and depression. The psychiatric patients are less specific than their non-clinical controls. It is not possible to establish that this result is solely due to a (co-morbid) diagnosis of depression. Self-reported depressed mood is also related to an impairment of autobiographical memory specificity. The way of presenting cues, audio taping responses and the maximum available amount of time to respond, are moderators of AMT performance.     

Test anxiety and comprehension efficiency: The role of prior knowledge and working memory deficits

The hypotheses that test anxiety is associated with a deficit in prior knowledge and/or working memory capacity, that anxiety impairs comprehension efficiency, and that deficits in knowledge and capacity underlie the efficiency impairment, were tested. In Study 1, high-anxiety students were characterized by lower scores in several vocabulary measures, compared with low-anxiety students. In Study 2, high-anxiety individuals showed inferior working memory capacity to low-anxiety individuals under evaluative stress conditions, but not under non-stress conditions. In Study 3 high-anxiety subjects exhibited lower efficiency scores than low-anxiety subjects in expository texts without a summary: The former employed a greater amount of reading time than the latter to acquire an equivalent amount of information. In addition, the disadvantage in efficiency associated with anxiety was removed when differences in vocabulary knowledge were partialled out statistically. Instead, that disadvantage was only reduced, but not eliminated, when differences in transitory working memory capacity were partialled out. Therefore, the prior knowledge deficit hypothesis accounts for the impairment in reading efficiency associated with high anxiety better than the transitory working memory reduction hypothesis.     

Reliability and validity of the Leuven Perceptual Organization Screening Test (L‐POST)

Neuropsychological tests of visual perception mostly assess high‐level processes like object recognition. Object recognition, however, relies on distinct mid‐level processes of perceptual organization that are only implicitly tested in classical tests. Furthermore, the psychometric properties of the existing instruments are limited. To fill this gap, the Leuven perceptual organization screening test (L‐POST) was developed, in which a wide range of mid‐level phenomena are measured in 15 subtests. In this study, we evaluated reliability and validity of the L‐POST. Performance on the test is evaluated relative to a norm sample of more than 1,500 healthy control participants. Cronbach's alpha of the norm sample and test–retest correlations for 20 patients provide evidence for adequate reliability of L‐POST performance. The convergent and discriminant validity of the test was assessed in 40 brain‐damaged patients, whose performance on the L‐POST was compared with standard clinical tests of visual perception and other measures of cognitive function. The L‐POST showed high sensitivity to visual dysfunction and decreased performance was specific to visual problems. In conclusion, the L‐POST is a reliable and valid screening test for perceptual organization. It offers a useful online tool for researchers and clinicians to get a broader overview of the mid‐level processes that are preserved or disrupted in a given patient.     

A comparison of normative data for the Trail Making Test from several countries: equivalence of norms and considerations for interpretation

The Trail Making Test may not be equivalent across cultures, i.e., differences in the scores across different cultures may not reveal real differences in the ability of the subjects on the construct being measured. In order to assess this hypothesis, normative samples from ten different countries were compared. Age decade subgroups across samples were ranked based on mean time taken to complete each part of the task. Large Z scores differences were found between these samples when comparing the first with the second, and the last in the rank. These differences were significant even when age and education were comparable across samples. Following Van de Vijver & Tanzer (1997), several possible sources of bias were identified. Incomparability of samples and administration differences were the most likely factors accounting for differences. Because of the lack of validity studies in the countries considered, no firm conclusions could be obtained regarding construct bias. Although the TMT may be measuring visual scanning, psychomotor speed and mental flexibility, normative data from different countries and cultures are not equivalent which might lead to serious diagnostic errors.     

Knowledge of memory functions in European and Asian American adults and children: The relation to autobiographical memory

This study investigated explicit knowledge of autobiographical memory functions using a newly developed questionnaire. European and Asian American adults (N = 57) and school-aged children (N = 68) indicated their agreement with 13 statements about why people think about and share memories pertaining to four broad functions—self, social, directive and emotion regulation. Children were interviewed for personal memories concurrently with the memory function knowledge assessment and again 3 months later. It was found that adults agreed to the self, social and directive purposes of memory to a greater extent than did children, whereas European American children agreed to the emotion regulation purposes of memory to a greater extent than did European American adults. Furthermore, European American children endorsed more self and emotion regulation functions than did Asian American children, whereas Asian American adults endorsed more directive functions than did European American adults. Children's endorsement of memory functions, particularly social functions, was associated with more detailed and personally meaningful memories. These findings are informative for the understanding of developmental and cultural influences on memory function knowledge and of the relation of such knowledge to autobiographical memory development.     

非词复述测验的编制和初步分析

本研究编制了一种用于测量儿童语音工作记忆的测验———非词复述测验,并在48名四年级小学生中初步进行信度、效度检验和项目分析。结果表明:(1)该测验有较高的重测信度;(2)该测验具有较高的结构效度和效标效度;(3)分测验二的项目难度分布比较合理,多数项目鉴别力较高,而分测验一的项目难度分布和项目鉴别力则有待于在今后的研究中进一步提高。     

The measurement of participant-reported memory across diverse populations and settings: a systematic review and meta-analysis of the Multifactorial Memory Questionnaire

ABSTRACT

The Multifactorial Memory Questionnaire (MMQ) is a participant-reported measure of memory satisfaction, ability, and strategy use. Initially validated with healthy older adults, it has since been used in many different populations and settings for a variety of purposes. We conducted a systematic review and meta-analysis of the measurement properties of the MMQ across multiple, diverse studies. Methods: The study was designed using the Consensus-Based Standards for the Selection of Health Measurement Instruments and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We calculated aggregate statistics and evaluated the methodological quality of 29 studies retrieved from PsycINFO, MEDLINE, EMBASE, and Web of Science. Results: Analyses revealed high-quality evidence for internal consistency, stability, measurement error, convergent validity, and known-groups validity of the three MMQ scales. There was moderate-quality evidence for responsiveness and structural validity, with some studies identifying separate factors for internal and external memory strategy use. Measurement properties were similar across languages, participant samples, and study designs. Conclusions: The MMQ is a valid, reliable, and responsive measure across diverse settings and populations. Future research is needed to determine whether more detailed information can be obtained from the scales, specifically, internal versus external strategy use.     

The validity of form F of the Matching Familiar Figures Test with kindergarten children

Egeland and Weinberg's contention that form F of the Matching Familiar Figures Test is inappropriate for kindergarten children was examined. White, middle-class, suburban kindergarten children were given form F of the Matching Familiar Figures Test, as well as a series of tests varying in degree of response uncertainty. It was hypothesized that tasks identified as high in response uncertainty would be the best predictors of norm-referenced composite reflection-impulsivity scores. Stepwise multiple regression analysis supported this hypothesis. The results were interpreted as supporting the construct validity of the Matching Familiar Figures Test as an index of reflection-impulsivity among kindergarten children.     

The future-orientation of memory: Planning as a key component mediating the high levels of recall found with survival processing

In a series of papers, Nairne and colleagues have demonstrated that tasks encouraging participants to judge words for relevance to survival led to better recall than did tasks lacking survival relevance. Klein, Robertson, and Delton (2010) presented data suggesting that the future-directed temporal orientation of the survival task (e.g., planning), rather than survival per se, accounts for the good recall found with the task. In the present studies we manipulated the amount of survival and planning processing encouraged by a set of encoding tasks. Participants performed tasks that encouraged processing stimuli for their relevance to (a) both survival and planning, (b) planning, but not survival, or (c) survival but not planning. We predicted, and found, that recall performance associated with tasks encouraging planning (i.e., survival with planning and planning without survival) should exceed tasks that encouraged survival but not planning (i.e., survival without planning). We draw several conclusions. First, planning is a necessary component of the superior recall found in the survival paradigm. Second, memory, from an evolutionary perspective, is inherently prospective—tailored by natural selection to support future decisions and judgements that cannot be known in advance with certainty.     

A new method of administering the Grooved Pegboard Test: performance as a function of handedness and sex

The purpose of the present study was twofold: first to examine the influences of sex and handedness on manual performance on the Grooved Pegboard Test; and secondly to provide normative data for two versions (Place and Remove tasks) of the Grooved Pegboard Test, as previous work (Bryden & Roy, 1999) had suggested that the Remove task of the Grooved pegboard may provide a purer measure of motor speed of the two hands than the standard administration of the Grooved Pegboard Test. One hundred and fifty-three (47 males and 106 females) participants completed the Grooved Pegboard Test. Individuals performed the standard version of the Grooved Pegboard Test (Place task) and a novel version of the test (Remove task). In the standard version, participants were timed on their speed for placing the pegs, while in the novel version they were timed on their speed for removing the pegs. Results confirmed previously noted hand and sex differences in the Place task of the Grooved Pegboard Test, as well as the lack of effect of handedness on performance (Bornstein, 1995; Ruff & Parker, 1993). Significant performance differences between the hands were also noted for the Remove task. Findings also indicated that the Remove task was sensitive to sex and handedness effects.     

Differences in Fear of Isolation as an explanation of Cultural Differences: Evidence from memory and reasoning

Previous research suggests that members of East Asian cultures show a greater preference for dialectical thinking and sensitivity to context information than do Westerners. We suggest this difference is rooted in a greater chronic Fear of Isolation (FOI) in East Asians than in Westerners. To support this hypothesis, we manipulated FOI in a group of Westerners and assessed their relative preference for dialectical proverbs and sensitivity to context. For cross-cultural validation of our hypothesis, we assessed the relationship between chronic levels of FOI and dialectical reasoning in Koreans. Consistent with our proposal, both experimentally primed FOI (Experiment 1A and 2) and chronic levels of FOI (Experiment 1B) were positively related to relative preference for dialectical proverbs. This effect was independent of participants’ level of negative mood (Experiment 2). A third experiment showed that sensitivity to context was affected by FOI in a manner consistent with previous studies of cultural differences (Experiment 3).