A-185 An Analysis of Rarely Missed Items on the TOMM

Abstract Objective This study examined item performance on Trial 1 of the Test Memory Malingering (TOMM). We also identified items that were most often missed in individuals with genuine effort. Method Participants 106 adults seen for disability claims (87.7% male; 70.5% Caucasian, 26.7% Black; age range 22–84 years, Mage = 44.42 SD 13.07; Meducation 13.58, 2.05) who completed and passed TOMM as part a larger battery. Mean score was 43.08, 5.49. 2 48.98, 1.54. Results Frequency analysis indicated >95% sample correctly six 1: 1-spinning wheel (97.2%), 8-musical notes (99.1%), 38-ice cream (98.1%), 41-life preserver (95.3%), 45-iron 47-dart (98.1%). Nine by <80% sample: 2-tissue box (77.4%), 6-suitcase 20-motorcycle 22-jack-in-the (71.7%), 26-light bulb (75.5%), 27-maple leaf (72.6%), 32-racket (79.2%), 36-birdhouse 44-pail & shovel (66.0%). Conclusions These findings suggest differ difficulty performed genuinely TOMM. Items 1, 8, 38, 41, 45, 47 are good candidates rarely index where failure these would be probabilistically unlikely. Future research should evaluate whether failed at higher rates cases borderline to improve sensitivity feigning.