Are Self-Ratings of Functional Difficulties Objective or Subjective?

In this study, we compared objective neuropsychological data using the Meyers Neuropsychological Battery (MNB; Meyers & Rohling, 2004 ) and self-report measures of emotional distress using the Symptom Checklist 90-Revised (SCL-90-R; Derogatis, 1994 ) with self-ratings of functional difficulties...

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Published in:Applied neuropsychology. Adult Vol. 20; no. 3; pp. 179 - 186
Main Authors: Miller, Ronald Mellado, Haws, Nathan A., Murphy-Tafiti, Jason L., Hubner, Carlyn D., Curtis, Thomas D., Rupp, Zachary W., Smart, Taylor A., Thompson, Lisa M.
Format: Journal Article
Language:English
Published: Philadelphia, PA Taylor & Francis Group 01-07-2013
Taylor & Francis
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Summary:In this study, we compared objective neuropsychological data using the Meyers Neuropsychological Battery (MNB; Meyers & Rohling, 2004 ) and self-report measures of emotional distress using the Symptom Checklist 90-Revised (SCL-90-R; Derogatis, 1994 ) with self-ratings of functional difficulties as measured by the Patient Competency Rating Scale (PCRS; Prigatano, 1986 ). The results showed a high correlation between the PCRS and scales on the SCL-90-R (r = .65), whereas correlation with the overall test battery mean of the MNB was quite small (r = .18). Our results indicate that self-report of cognitive difficulties is more related to current emotional distress than to objective measures. Therefore, any diagnostic considerations that rely on self-report need to be tempered by considerations of current emotional status. This has implications for diagnoses such as posttraumatic stress disorder and other diagnoses that rely on self-report as a source of diagnostic information.
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ISSN:2327-9095
2327-9109
DOI:10.1080/09084282.2012.670172