Response Time Measures as Supplementary Validity Indicators in Forced-Choice Recognition Memory Performance Validity Tests: A Systematic Review

Neuropsychol Rev. 2022 Mar;32(1):71-98. doi: 10.1007/s11065-021-09499-z. Epub 2021 Apr 5.

Abstract

Performance validity tests (PVTs) based on the forced-choice recognition memory (FCRM) paradigm are commonly used for the detection of noncredible performance. Examinees' response times (RTs) are affected by cognitive processes associated with deception and can also be gathered without lengthening the duration of the assessment. Consequently, interest in the utility of these measures as supplementary validity indicators in FCRM-PVTs has grown over the years. The current systematic review summarizes both clinical and simulation (i.e., healthy participants simulating cognitive impairment) studies of RTs in FCRM-PVTs. The findings of 25 peer-reviewed articles (n = 26 empirical studies) indicate that noncredible performance in FCRM-PVTs is associated with longer RTs. Additionally, there are indications that noncredible performance is associated with larger variability in RTs. RT measures, however, have lower discrimination capacity than conventional accuracy measures. Their utility may therefore lie in reaching decisions regarding cases with border zone accuracy scores, as well as aiding in the detection of more sophisticated examinees who are aware of the use of accuracy-based validity indicators in FCRM-PVTs. More research, however, is required before these measures are incorporated in daily practice and clinical decision-making processes.

Keywords: Feigned cognitive impairment; Forced-choice recognition memory; Neuropsychological assessment; Noncredible performance; Response time; Validity tests.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Cognition*
  • Humans
  • Neuropsychological Tests
  • Reaction Time / physiology
  • Recognition, Psychology*
  • Reproducibility of Results