Use of Latent Class Analysis to define groups based on validity, cognition, and emotional functioning

• Published in: Clinical neuropsychologist Vol. 31; no. 6-7; pp. 1087 - 1099
• Main Authors: Morin, Ruth T., Axelrod, Bradley N.
• Format: Journal Article
• Language: English
• Published: England Routledge 03-10-2017
• Subjects: Cognition - physiology; Emotions - physiology; Female; Humans; Latent Class Analysis; Male; Neuropsychological Tests - standards; performance validity; Reproducibility of Results; symptom validity; performance validity; Latent Class Analysis; symptom validity
• ISSN: 1385-4046; 1744-4144
• DOI: 10.1080/13854046.2017.1341550

Objective: Latent Class Analysis (LCA) was used to classify a heterogeneous sample of neuropsychology data. In particular, we used measures of performance validity, symptom validity, cognition, and emotional functioning to assess and describe latent groups of functioning in these areas. Method: A data-set of 680 neuropsychological evaluation protocols was analyzed using a LCA. Data were collected from evaluations performed for clinical purposes at an urban medical center. Results: A four-class model emerged as the best fitting model of latent classes. The resulting classes were distinct based on measures of performance validity and symptom validity. Class A performed poorly on both performance and symptom validity measures. Class B had intact performance validity and heightened symptom reporting. The remaining two Classes performed adequately on both performance and symptom validity measures, differing only in cognitive and emotional functioning. In general, performance invalidity was associated with worse cognitive performance, while symptom invalidity was associated with elevated emotional distress. Conclusions: LCA appears useful in identifying groups within a heterogeneous sample with distinct performance patterns. Further, the orthogonal nature of performance and symptom validities is supported.