Effects of Coaching on Symptom Validity Testing in Chronic Pain Patients Presenting for Disability Assessments
Bibliographic record
Abstract
Abstract Assessment of cognitive impairment in people with chronic pain can be complicated by response bias or suboptimal effort. A total of 118 chronic pain patients seen for disability-related psychological evaluations were administered the CARB and the WMT. Failure rates of over 40% were observed on both tests. When subsequent patients were informed that the CARB is unaffected by pain or emotional distress, the CARB failure rate dropped to 6%. Coaching on the WMT, however, did not alter the failure rate on this test. This study illustrates the importance of assessing for biased responding in disability-related pain evaluations. It also shows that coaching is likely to influence performance on some SVTs more than others. Key Words: Symptom validityexaggerationpaindisabilityneuro-psychology
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".