TY - JOUR
T1 - Comparison of the Memory Complaints Inventory and the PAI Cognitive Bias Scale in a Military Sample
AU - Armistead-Jehle, Patrick
AU - Ingram, Paul B.
N1 - Publisher Copyright:
© 2022 Published by Oxford University Press.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Objective: The Memory Complaints Inventory (MCI) is a stand-alone memory-based symptom validity test (SVT). The measure is promising and has been used with relative frequency, but requires additional research (Armistead-Jehle Shura, 2022). The current study sought to expand the empirical base of the MCI by comparing it to the Cognitive Bias Scale, a new symptom validity measure assessing cognitive over reporting on the Personality Assessment Inventory (PAI). Method: Retrospective review of 273 military service members seen for neuropsychological evaluation and administered both the PAI and MCI. Results: Area under the curve values for the MCI overall mean score and MCI implausible scales for a PAI Cognitive Bias Scale (CBS) cut score of >14 were large in effect (0.77 and 0.78, respectively). The effect size between those that passed and failed the CBS on the mean of MCI scales was also large (d = 1.13). Classification statistics indicated that a cut score of 52% on the mean MCI scales and 29% on the mean MCI implausible subscales indicated specificities of 0.94 and 0.93 and sensitivities of 0.30 and 0.29, respectively. Conclusions: These data support the MCI as a cognitive SVT relative to the PAI CBS. We offer guidance on how to integrate these SVT measures in military samples.
AB - Objective: The Memory Complaints Inventory (MCI) is a stand-alone memory-based symptom validity test (SVT). The measure is promising and has been used with relative frequency, but requires additional research (Armistead-Jehle Shura, 2022). The current study sought to expand the empirical base of the MCI by comparing it to the Cognitive Bias Scale, a new symptom validity measure assessing cognitive over reporting on the Personality Assessment Inventory (PAI). Method: Retrospective review of 273 military service members seen for neuropsychological evaluation and administered both the PAI and MCI. Results: Area under the curve values for the MCI overall mean score and MCI implausible scales for a PAI Cognitive Bias Scale (CBS) cut score of >14 were large in effect (0.77 and 0.78, respectively). The effect size between those that passed and failed the CBS on the mean of MCI scales was also large (d = 1.13). Classification statistics indicated that a cut score of 52% on the mean MCI scales and 29% on the mean MCI implausible subscales indicated specificities of 0.94 and 0.93 and sensitivities of 0.30 and 0.29, respectively. Conclusions: These data support the MCI as a cognitive SVT relative to the PAI CBS. We offer guidance on how to integrate these SVT measures in military samples.
UR - http://www.scopus.com/inward/record.url?scp=85148678241&partnerID=8YFLogxK
U2 - 10.1093/arclin/acac079
DO - 10.1093/arclin/acac079
M3 - Article
C2 - 36303522
AN - SCOPUS:85148678241
SN - 0887-6177
VL - 38
SP - 270
EP - 275
JO - Archives of Clinical Neuropsychology
JF - Archives of Clinical Neuropsychology
IS - 2
ER -