Gervais, R., Rohling, M., Green, P., & Ford, W. (2004). A comparison of WMT, CARB, and TOMM failure rates. Archives of Clinical Neuropsychology, 19 (4), 475-487.
Two-alternative forced-choice digit recognition procedures have been the most widely employed for detecting incomplete effort and exaggeration of cognitive impairment. Other forced-choice tests based on word or picture recognition are also commonly used. However, it cannot be assumed that patients will be equally likely to fail different symptom validity tests (SVTs), whether the test involves digit recognition or some other procedure, such as word recognition memory. In this study, 519 patients referred for disability or personal injury related assessments were administered three SVTs, one based on digit recognition (Computerized Assessment of Response Bias, CARB), one using visual stimuli (Test of Memory Malingering, TOMM) and one employing verbal recognition memory (Word Memory Test, WMT). More than twice as many people failed the WMT than TOMM. CARB failure rates were intermediate between those on the other two tests. Thus, tests of recognition memory using digits, pictorial stimuli or verbal stimuli, all of which are objectively extremely easy tasks, resulted in widely different failure rates. This suggests that, while these tests may be highly specific, they vary substantially in their sensitivity to response bias. (author's abstract)Author's email address