Examination of the Mild Brain Injury Atypical Symptom Scale and the Validity-10 Scale to detect symptom exaggeration in US military service members

Lange, Rael T.; Brickell, Tracey A.; French, Louis M.

doi:10.1080/13803395.2015.1013021

Cited by 54 publications

(26 citation statements)

References 45 publications

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“…One study replicated the initial development and validation study in servicemembers with mTBI but identified a much lower cutoff score [27]. Additionally, no studies to date have examined the Validity-10's relationship to other variables of interest in this population such as demographics, injury variables, psychiatric characteristics, VA service connection, or PVT performance.…”

Section: Introductionmentioning

confidence: 51%

“…Those scoring above 22 on the Validity-10 were identified as the SVT-fail group while those scoring 22 or below were in the SVT-pass group. Lange and colleagues identified a cutoff score of 13 or above for "symptom exaggeration" in servicemembers with a history of mTBI [27]. Thus, a cutoff score of 13 was used for the exploratory aim.…”

Section: Validity Indicatorsmentioning

confidence: 99%

“…Elevations on PVTs and SVTs are related to compensationseeking and higher levels of psychiatric comorbidities, such as PTSD and depression, but not demographic variables or injury characteristics in those with a history of mTBI [27,29,[31][32][33][34]. The benefits of using an embedded SVT such as the Validity-10 are twofold.…”

Section: Introductionmentioning

confidence: 99%

“…Logistic regression using a clinical cross-validation sample and a cutoff score of 8 or more on the mBIAS [25] revealed that a cutoff score of greater than 22 on the Validity-10 was most effective at identifying symptom overreporting [23]. Since its publication, two studies have identified different cutoff scores for the Validity-10 in military servicemembers with mild [27] and all severities of TBI [28].…”

Section: Introductionmentioning

confidence: 99%

“…Consistent with the rationale employed by Vanderploeg and colleagues [23] supporting the use of both atypical and infrequent reporting to detect response bias, we hypothesized that the Validity-10 would significantly contribute to the model of PVT failure over and above psychiatric comorbidities and VA service connection. A final exploratory aim was to replicate all analyses using a lower cut score on the Validity-10 identified by Lange and colleagues [27] to determine how this lower cutoff would relate to demographics, injury variables, psychiatric symptoms, VA service connection, and PVT failure.…”

Section: Introductionmentioning

confidence: 99%

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Postconcussive symptom overreporting in Iraq/Afghanistan Veterans with mild traumatic brain injury

et al. 2016

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Abstract-A comprehensive evaluation, including the assessment of neurobehavioral symptoms, has been instituted at the Department of Veterans Affairs (VA) healthcare system to address the large number of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans returning with mild traumatic brain injuries (mTBIs). The Validity-10 is a measure of symptom overreporting embedded within the Neurobehavioral Symptom Inventory, a component of the comprehensive evaluation that assesses postconcussive symptom severity. The Validity-10 is composed of 10 unlikely/low-frequency items and a validated cutoff score to identify postconcussive symptom overreporting. We examined the items and cutoff used in the initial development and validation study of the Validity-10 through retrospective chart reviews of 331 treatment-seeking Veterans who sustained an mTBI. The Validity-10 exhibited significant relationships with psychiatric variables, VA service connection, and neuropsychological performance validity (all p < 0.01), but nonsignificant relationships with demographic and injury variables (all p > 0.05). Furthermore, the Validity-10 modestly predicted neuropsychological performance validity test failure over and above psychiatric comorbidities and VA service connection. The present study supports the use of the Validity-10 to assess symptom validity in treatment-seeking OIF/OEF Veterans with a history of mTBI.

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Section: Introductionmentioning

confidence: 51%

Section: Validity Indicatorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postconcussive symptom overreporting in Iraq/Afghanistan Veterans with mild traumatic brain injury

et al. 2016

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Streamlining screening of emotional function in Veterans with traumatic brain injury

et al. 2018

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Posttraumatic Stress Disorder is a Stronger Predictor of Long‐Term Neurobehavioral Outcomes Than Traumatic Brain Injury Severity

Lange

French

Bailie³

et al. 2020

Journal of Traumatic Stress

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Concurrent posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) is common in military populations. The purpose of this study was to examine long‐term neurobehavioral outcomes in service members and veterans (SMVs) with versus without PTSD symptoms following TBI of all severities. Participants were 536 SMVs prospectively enrolled from three military medical treatment facilities who were recruited into three experimental groups: TBI, injured controls (IC), and noninjured controls (NIC). Participants completed the PTSD Checklist, Neurobehavioral Symptom Inventory, and the TBI–Quality of Life (TBI‐QOL) and were divided into six subgroups based on the three experimental categories, two PTSD categories (i.e., present vs. absent), and two broad TBI severity categories (unMTBI, which included uncomplicated mild TBI; and smcTBI, which included severe TBI, moderate TBI, and complicated mild TBI): (a) NIC/PTSD‐absent, (b) IC/PTSD‐absent, (c) unMTBI/PTSD‐absent, (d) unMTBI/PTSD‐present, (e) smcTBI/PTSD‐absent, and (f) smcTBI/PTSD‐present. There were significant main effects across the six groups for all TBI‐QOL measures, ps < .001. Select pairwise comparisons revealed significantly lower scores, p < .001, on all TBI‐QOL measures in the PTSD‐present groups when compared to the PTSD‐absent groups within the same TBI severity classification, ds = 0.90–2.11. In contrast, when controlling for PTSD, there were no significant differences among the TBI severity groups for any TBI‐QOL measures. These results provide support for the strong influence of PTSD but not TBI severity on neurobehavioral outcomes following TBI. Concurrent PTSD and TBI of all severities should be considered a risk factor for poor long‐term neurobehavioral outcomes that require ongoing monitoring.

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Examination of the Mild Brain Injury Atypical Symptom Scale and the Validity-10 Scale to detect symptom exaggeration in US military service members

Abstract: These findings provide strong support for the use of the Validity-10 as a tool to screen for symptom exaggeration when administering the NSI and PCL-C. The mBIAS, however, was not a reliable tool for this purpose and failed to identify the vast majority of people who exaggerated symptoms.

Cited by 54 publications

References 45 publications

Postconcussive symptom overreporting in Iraq/Afghanistan Veterans with mild traumatic brain injury

Postconcussive symptom overreporting in Iraq/Afghanistan Veterans with mild traumatic brain injury

Streamlining screening of emotional function in Veterans with traumatic brain injury

Posttraumatic Stress Disorder is a Stronger Predictor of Long‐Term Neurobehavioral Outcomes Than Traumatic Brain Injury Severity

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