Detection of insufficient effort and simulation of cognitive impairment during neuropsychological examination using RBANS and SIMS methods

Czech version

Authors: M. Krejčová ¹; L. Krámská ²
Authors‘ workplace: 1. LF UK, Praha ¹; Oddělení klinické psychologie, Nemocnice Na Homolce, Praha ²
Published in: Cesk Slov Neurol N 2024; 87(3): 181-184
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2024181

Overview

One of the current issues in neuropsychological diagnostics is the detection of simulation of cognitive impairment and inadequate effort during the examination. The reason for the simulation of cognitive impairment or lack of effort may be to obtain various benefits, such as financial, material or attention from others. Different types of methods are used to detect simulation and lack of effort. These include tests of cognitive abilities and tests specifically designed to detect malingering. This article focuses on describing two specific methods and their psychometric properties – The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and the Structured Inventory of Malingered Symptomatology (SIMS). Within the RBANS neuropsychological test, effort can be assessed using several indicators. SIMS is an inventory that focuses not only on the assessment of simulated cognitive impairment, but also on the assessment of other areas of psychopathology.

Keywords:

Simulation – Cognitive impairment – insufficient effort – neuropsychological diagnostics – RBANS – SIMS

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