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These findings likely extend to other pediatric populations that are known to have significant cognitive loss.Ĭhildhood neurologic disorders, Epilepsy, Malingering/symptom validity testing, Assessment Introduction These results suggest that RDS appears to yield a large number of false positives and, therefore, may be of limited utility in detecting poor effort in a pediatric epilepsy population. The difference between RDS and the TOMM on the participant outcome was statistically significant ( χ 2 = 9.05, p =. RDS scores were significantly correlated with IQ estimates ( r =.
#Sample backward digit span wisc trial
In contrast, when adult criteria were used on TOMM Trial 2, a 90% pass rate was observed. Using a previously published RDS cutoff of ≤6, a pass rate of only 65% was obtained, well below the recommended 90% pass rate for an effective effort index. Reliable Digit Spans (RDSs) were calculated and the Test of Memory Malingering (TOMM) was administered in the context of a comprehensive neuropsychological evaluation. The present study includes 54 clinically referred children and adolescents (32 males/22 females aged 6–17) with a confirmed diagnosis of epilepsy. While recent work has validated the appropriateness of adult-derived cutoffs for standalone effort measures in younger populations, little research has focused on embedded effort measures in children. The assessment of effort is an important aspect of a comprehensive neuropsychological evaluation, as this can significantly impact data interpretation.