Use of trial 1 of the Test of Memory Malingering (TOMM) as a screening measure of effort: Suggested discontinuation rules

Robin C. Hilsabeck, Shalanda N. Gordon, Tammy Hietpas-Wilson, Andrea L. Zartman

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Trial 1 of the Test of Memory Malingering (TOMM) has been suggested as a screening tool, with several possible cut-off scores proposed. The purpose of the present study was to replicate the utility of previously suggested cut-off scores and to characterize neuropsychological profiles of persons who pass the TOMM but obtain Trial 1 scores <45 and of persons with cognitive disorders. A total of 229 veterans were administered the TOMM as part of a neuropsychological evaluation. Trial 1 scores 41 and 25 showed good utility as discontinuation scores for adequate and poor effort, respectively, beyond which administration of additional trials were unnecessary. Findings suggest better Trial 1 performance is significantly related to better speeded mental flexibility and memory.

Original languageEnglish (US)
Pages (from-to)1228-1238
Number of pages11
JournalClinical Neuropsychologist
Volume25
Issue number7
DOIs
StatePublished - Oct 1 2011

Keywords

  • Cognitive disorders
  • Discontinuation rules
  • Effort
  • Malingering
  • TOMM
  • Test of Memory Malingering

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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