The California Verbal Learning Test in the detection of incomplete effort in neuropsychological evaluation.

This study determined whether performance patterns on four California Verbal Learning Test variables (CVLT ; Trials 1-5 List A, discriminability, recognition hits, and long-delay cued recall) could differentiate participants with moderate and severe brain injuries from those with mild head injuries who were giving incomplete effort. Litigating mild head injury participants (n = 23) performing at chance level or worse on a forced-choice test obtained significantly lower scores on the four CVLT variables than participants with moderate and severe brain injuries (n = 23). The linear discriminant function accurately classified 91%, and the quadratic function, 96%. The discriminability cutoff score accurately classified 93% of the cases ; recognition hits, 89% ; long-delay cued recall, 87% ; and CVLT total, 83%.