Actual versus self-reported scholastic achievement of litigating postconcussion and severe closed head injury claimants |
| |
Authors: | Greiffenstein M Frank Baker W John Johnson-Greene Douglas |
| |
Institution: | Psychological Systems, Inc., 26862 Woodward, Suite 103, Royal Oak, Michigan 48067, USA. mfg@neuro-psychology.com |
| |
Abstract: | Psychologists typically rely on patients' self-report of premorbid status in litigated settings. The authors examined the fidelity between self-reported and actual scholastic performance in litigating head injury claimants. The data indicated late postconcussion syndrome (LPCS) and severe closed head injury litigants retrospectively inflated scholastic performance to a greater degree than nonlitigating control groups. The LPCS group showed the highest magnitude of grade inflation, but discrepancy scores did not significantly correlate with a battery of malingering measures or with objective cerebral dysfunction. These findings support previous studies, which showed self-report is not a reliable basis for estimation of preinjury cognitive status. Retrospective inflation may represent a response shift bias shaped by an adversarial context rather than a form of malingering. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|