Normative indicators for a black, Xhosa speaking population without tertiary education on four tests used to access malingering

Abstract

Malingering has become an increasing concern in neuropsychological assessment in recent years, and a wide range of tests have been designed and examined for the purpose of detecting malingering. Cut-off scores have been recommended for these tests in order to provide indications of malingering performances. However, the derived scores have been in respect of westernised populations of people with relatively high levels of education who speak English as their first language. Accordingly, the current study aimed to attain normative data and cut-off scores for four commonly employed neuropsychological tools, administered in English, on a population of black, South African, Xhosa-speaking people (N = 33), who attended a former DET-type school in the Eastern Cape, with a Grade 11-12 level of education, in the age range of 18 - 40 years. The targeted measures included the TOMM, the Rey-15 Item Memory Test, the Digit Span subtest of the WAIS-III, and the Trail Making Test. The obtained scores were poorer than the previously published cut-offs for at least one component of each of the tests investigated, except the TOMM. The fmdings of this study highlight the important role that the factors of culture, quality of education, and language play in neuropsychological test performance.