Actual Versus Self-Reported Scholastic Achievement of Litigating Postconcussion and Severe Closed Head Injury Claimants

Psychologists typically rely on patients' self-report of premorbid status in litigated settings. The authors examined the fidelity between self-reported and actual scholastic performance in litigating head injury claimants. The data indicated late postconcussion syndrome (LPCS) and severe close...

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Veröffentlicht in:Psychological assessment 2002-06, Vol.14 (2), p.202-208
Hauptverfasser: Greiffenstein, M. Frank, Baker, W. John, Johnson-Greene, Douglas
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container_title Psychological assessment
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creator Greiffenstein, M. Frank
Baker, W. John
Johnson-Greene, Douglas
description Psychologists typically rely on patients' self-report of premorbid status in litigated settings. The authors examined the fidelity between self-reported and actual scholastic performance in litigating head injury claimants. The data indicated late postconcussion syndrome (LPCS) and severe closed head injury litigants retrospectively inflated scholastic performance to a greater degree than nonlitigating control groups. The LPCS group showed the highest magnitude of grade inflation, but discrepancy scores did not significantly correlate with a battery of malingering measures or with objective cerebral dysfunction. These findings support previous studies, which showed self-report is not a reliable basis for estimation of preinjury cognitive status. Retrospective inflation may represent a response shift bias shaped by an adversarial context rather than a form of malingering.
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subjects Academic Achievement
Adult
Biological and medical sciences
Brain Concussion - psychology
Cognitive Ability
Deception
Educational Status
Female
Head Injuries
Head Injuries, Closed - psychology
Human
Humans
Insurance Claim Review
Litigation
Male
Medical sciences
MMPI
Neuropsychological Tests
Patient History
Psychological Assessment
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Self Disclosure
Self-Report
Techniques and methods
title Actual Versus Self-Reported Scholastic Achievement of Litigating Postconcussion and Severe Closed Head Injury Claimants
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