The fear of cognitive testing: How do we explain invalid clinical examinations?

Bernáth, Levente (2022) The fear of cognitive testing: How do we explain invalid clinical examinations? Bachelor thesis, Psychology.

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Abstract

Noncredible responding is a problem many clinicians working in practice have to face. Clinicians must be prepared for a substantial number of patients responding noncredibly. The reason for invalid responding can be of various nature. These include lack of effort, careless responding, frustration, intentional feigning or a “cry for help”. In the current study, we investigated the nature of another explanation named Cogniphobia. Cogniphobia is the avoidance of mental tasks out of fear of worsening one’s current condition. The study explored the exploratory value of cogniphobia for noncredible responding on attention deficit hyperactive disorder (ADHD) measures. We developed a questionnaire consisting of the Conners’ Adult ADHD Rating Scale (CAARS), an instrument used for the assessment of Attention-Deficit-Hyperactivity Disorder (ADHD) and the Cogniphobia Scale, measuring avoidance behavior and dangerousness beliefs. Data was collected from a total of 342 respondents from the community who filled out the questionnaire. Results show two of the CAARS credibility measures (INC, ACI) to significantly predict cogniphobia with a high explained variance (87.8%). High scores of cogniphobia were associated with high scores on the non-credibility measures. Participants with a history of migraine attacks did not have higher levels of Cogniphobia. We concluded that cogniphobia has a powerful exploratory value for noncredible responding on ADHD instruments. Implications of these relationships are discussed. Keywords: Cogniphobia, ADHD, noncredible responding, migraine attacks

Item Type:	Thesis (Bachelor)
Supervisor name:	Fuermaier, A.B.M.
Degree programme:	Psychology
Differentiation route:	None [Bachelor Psychology]
Date Deposited:	14 Jul 2022 07:17
Last Modified:	14 Jul 2022 07:17
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/924

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