Comparative study reveals reaction time variability distinguishes feigned impairment from traumatic brain injury, indicating improved detection of invalid performance.
to malinger for financial compensation; a procedure that more closely parallels real-world settings where individuals are incentivized to malinger but are not explicitly instructed to do so. Reaction time indices for those who chose to simulate were compared to 30 individuals who experienced a diagnosed TBI. Both the Coefficient of Variation (CoV) of RT and the standard deviation of RT for Trial 2 differentiated simulators from those with TBIs. In Study 2, 69 individuals were explicitly instructed to feign in a more traditional simulator design and compared on the TOMM 2 reaction time indices. The findings from Study 1 were replicated, showing both standard deviation and CoV of RT in Trial 2 differentiated between TBIs and simulators, and the effect size for the CoV of RT was larger. Classification statistics were maximized using a base rate of 40%. The present findings provide preliminary evidence for the utility of the TOMM 2 reaction time measures in detecting subnormal performance, especially when respondents score below the typical passing score of 45, but do not score significantly below chance on the performance validity test.
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Barry et al. (2026) studied this question.
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