Eye tracking as a mean to detect feigned cognitive impairment in the word memory test

Appl Neuropsychol Adult. 2020 Jan-Feb;27(1):49-61. doi: 10.1080/23279095.2018.1480483. Epub 2018 Sep 5.

Abstract

Eye movements showed initial promise for the detection of deception and may be harder to consciously manipulate than conventional accuracy measures. Therefore, we integrated an eye-tracker with the Word Memory Test (WMT) and tested its usefulness for the detection of feigned cognitive impairment. As part of the study, simulators (n = 44) and honest controls (n = 41) performed WMT's immediate-recognition (IR) subtest while their eye movements were recorded. In comparison to the control group, simulators spent less time gazing at relevant stimuli, spent more time gazing at irrelevant stimuli, and had a lower saccade rate. Group classification using a scale that combined the eye movement measures and the WMT's accuracy measure showed tentative promise (i.e., it enhanced classification compared to the use of the accuracy measure as the sole predictor of group membership). Overall, integration of an eye-tracker with the WMT was found to be feasible and the eye movement measures showed initial promise for the detection of feigned cognitive impairment. Moreover, eye movement measures proved useful in enhancing our understanding of strategies utilized by the simulators and the cognitive processes that affect their behavior. While the findings are clearly preliminary, we hope that they will encourage further research of these promising psychophysiological measures.

Keywords: Eye movements; feigned cognitive impairment; forensic neuropsychology; memory and learning; performance validity test (PVT); word memory test (WMT).

MeSH terms

  • Adult
  • Cognitive Dysfunction / diagnosis*
  • Eye Movement Measurements*
  • Female
  • Humans
  • Male
  • Malingering / diagnosis*
  • Memory and Learning Tests*
  • Memory, Short-Term / physiology*
  • Middle Aged
  • Recognition, Psychology / physiology*
  • Young Adult