INS NYC 2024 Program

Paper	Paper Session 18 Program Schedule 02/17/2024 09:00 am - 10:30 am Room: West Side Ballroom - Salon 3 Paper Session 18: Neuromedical Disorders Final Abstract #4 Performance validity, external incentives, and cognitive functioning in Long COVID Douglas whiteside, University of Minnesota, Minneapolis, United States Michael basso, Mayo Clinic, Rochester, United States Chen Shen, University of Minnesota, Minneapolis, United States Laura Fry, University of Minnesota, Minneapolis, United States Savana Naini, University of Minnesota, Minneapolis, United States Nicole Thayer, University of Minnesota, Minneapolis, United States Eric Waldron, University of Minnesota, Minneapolis, United States Erin Holker, University of Minnesota, Minneapolis, United States James Porter, University of Minnesota, Minneapolis, United States Courtney Eskridge, University of Minnesota, Minneapolis, United States Allison Logemann, University of Minnesota, Minneapolis, United States Category: Infectious Disease (HIV/COVID/Hepatitis/Viruses) Keyword 1: performance validity Keyword 2: noncredible presentations Keyword 3: assessment Objective: Research has shown PVT failures occur in clinical practice and at higher rates when external incentives are present but little PVT research has been applied to Long COVID, so this study aims to fill this gap in the literature. Participants and Methods: Participants were 247 consecutive Long COVID patients seen for neuropsychological evaluation who completed 4 PVTs , a standardized neuropsychological test battery, and the Personality Assessment Inventory (PAI). The sample consisted of 66% females, while 84.2% were White. The mean age was 51.16 years and mean education was 14.75 years. Electronic medical records were searched for external incentive (e.g., disability claims). Three groups were created based on PVT failures (Pass [no failures], Intermediate [1 failure], and Fail [2+ failures)]. Results: 8.9% participants failed 2+ PVTs, 6.4% failed one PVT, and 85% passed PVTs. 25.1% of participants had external incentive. No differences were found in age, education, ethnicity, and gender for PVT failure or external incentives. However, there was a significant difference between external incentives in the Fail group (54.5%) compared to Pass (22.1%) and Intermediate (20%). Further, the Fail group generally had lower cognitive scores, consistent with other populations. On the PAI, only the somatization subscale (SOM-S) had a modest relationship with PVT failure. Additionally, the presence of external incentive was not correlated with cognitive scores. Conclusions: Consistent with other populations, results suggest Long COVID cases are not immune to PVT failure and external incentives are associated with PVT failure. Thus, PVTs should be routinely administered in Long COVID cases.

Paper

02/17/2024
09:00 am - 10:30 am
Room: West Side Ballroom - Salon 3

Paper Session 18: Neuromedical Disorders

Final Abstract #4

Performance validity, external incentives, and cognitive functioning in Long COVID

Douglas whiteside, University of Minnesota, Minneapolis, United States
Michael basso, Mayo Clinic, Rochester, United States
Chen Shen, University of Minnesota, Minneapolis, United States
Laura Fry, University of Minnesota, Minneapolis, United States
Savana Naini, University of Minnesota, Minneapolis, United States
Nicole Thayer, University of Minnesota, Minneapolis, United States
Eric Waldron, University of Minnesota, Minneapolis, United States
Erin Holker, University of Minnesota, Minneapolis, United States
James Porter, University of Minnesota, Minneapolis, United States
Courtney Eskridge, University of Minnesota, Minneapolis, United States
Allison Logemann, University of Minnesota, Minneapolis, United States

Category: Infectious Disease (HIV/COVID/Hepatitis/Viruses)

Keyword 1: performance validity
Keyword 2: noncredible presentations
Keyword 3: assessment

Objective:

Research has shown PVT failures occur in clinical practice and at higher rates when external incentives are present but little PVT research has been applied to Long COVID, so this study aims to fill this gap in the literature.

Participants and Methods:

Participants were 247 consecutive Long COVID patients seen for neuropsychological evaluation who completed 4 PVTs , a standardized neuropsychological test battery, and the Personality Assessment Inventory (PAI). The sample consisted of 66% females, while 84.2% were White. The mean age was 51.16 years and mean education was 14.75 years. Electronic medical records were searched for external incentive (e.g., disability claims). Three groups were created based on PVT failures (Pass [no failures], Intermediate [1 failure], and Fail [2+ failures)].

Results:

8.9% participants failed 2+ PVTs, 6.4% failed one PVT, and 85% passed PVTs. 25.1% of participants had external incentive. No differences were found in age, education, ethnicity, and gender for PVT failure or external incentives. However, there was a significant difference between external incentives in the Fail group (54.5%) compared to Pass (22.1%) and Intermediate (20%). Further, the Fail group generally had lower cognitive scores, consistent with other populations. On the PAI, only the somatization subscale (SOM-S) had a modest relationship with PVT failure. Additionally, the presence of external incentive was not correlated with cognitive scores.

Conclusions:

Consistent with other populations, results suggest Long COVID cases are not immune to PVT failure and external incentives are associated with PVT failure. Thus, PVTs should be routinely administered in Long COVID cases.