Objective: Service members (SMs) with pending disability claims (MEB) are much more likely to fail performance validity tests (PVTs) on neuropsychological (NP) evaluations than individuals in a non-MEB clinical evaluation. It is not known what role behavioral health (BH) diagnoses play in this finding. We compare SMs without a pending MEB or BH diagnosis to those who have either a pending MEB or BH diagnosis or both. Method: 231 consecutive NP evaluations from a military Concussion Clinic were analyzed. All participants had sustained a medically documented mild TBI. Past BH diagnoses and pending MEB was obtained from medical record review. All were administered a comprehensive NP battery containing PVTs. Participants were grouped as follows: 1) “NONE,” i.e. no BH or MEB (n = 98), 2) “BH” diagnosis only (n = 72), 3) “MEB” only (n = 19), and 4) “BOTH” BH diagnosis and MEB (n = 42). Two-tailed t-tests and...

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