Psychology Commons^™

A Comparison Of Simulated Schizophrenia In Mental Health Experts And Genuine Schizophrenia In Psychiatric Patients, Amanda Rosinski

Dissertations, Theses, and Capstone Projects

Malingering includes the intentional feigning of psychiatric symptoms combined with motivation for external gain (American Psychiatric Association, 2013). Malingering is likely to occur in the justice system in both criminal and civil contexts, as there is increased opportunity for secondary gain in these settings. When individuals successfully malinger, it can be very costly for the United States. For example, if an individual successfully malingers, it can delay their criminal proceedings, allow them to inappropriately use resources associated with psychiatric or medical treatment, allow them to gain access to unneeded medications or financial assistance, or allow them to avoid work (Chafetz …

Observation And Detection Of Adhd Malingering In College Students, Zoe Tenner

Honors Theses

The rate of college students attempting to obtain Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses in order to gain access to prescription stimulant medications has shown a large increase over the past 20 years. Research has also shown that college students are frequently able to convincingly present themselves as meeting clinical criteria for ADHD with relative ease, meaning that the barrier to false presentation for the purpose of obtaining inappropriately prescribed medication is minimal. There is a need for more concise, accurate tools to detect these efforts in clinical settings, which is an area of research pursued by members of the University of …

Chronic Pain, Malingering, And The Word Memory Test, Dawn Marie Emmett Bishop

Walden Dissertations and Doctoral Studies

AbstractThe importance of using scientifically grounded strategies to detect malingering has been established in the literature and past research. Many reliable tools have been established for the detection of malingered neurocognition; however, research on how pain may affect these tools is sparse. The purpose of this study was to investigate the effect of pain on cognitive symptom validity testing and to establish the validity of the Word Memory Test (WMT), a cognitive symptom validity test with good sensitivity and specificity, when the test taker is feigning pain (simulating) or remembering pain. The biopsychosocial model and the gate theory of pain …

Exploring Visual Attention Patterns Of Adults With Reported Adhd, Without Adhd, And Those With Malingering Adhd Symptoms, Roselia Juan

Electronic Theses and Dissertations

Noncredible performance and the intentional faking of symptoms during psychological evaluations have been observed in those seeking to obtain personal benefits. Cognitive deficits, such as impairments in attention are common in mental health settings and many seek an evaluation to rule out an attention-deficit/hyperactivity disorder. Previous literature establishes a base rate for malingering to be between 22-47% in adult ADHD evaluations (Sullivan, 2007; Suhr et al., 2008; Marshall et al., 2010). However, those faking or exaggerating ADHD can go unnoticed on self-report measures. There are limited studies that have identified methods that can specifically discriminate true ADHD from malingered ADHD. …

Adhd Malingering In A College Setting, Peerasin Chatchawarat

Electronic Theses and Dissertations

An increase in the number of adults seeking ADHD evaluations as college students in recent years raises concerns of malingered or exaggerated attentional impairments. Some students may falsely report ADHD symptoms in an attempt to obtain academic accommodations as well as prescriptions for stimulant medications. Meanwhile, little attention has been given to the development of either self-reported measures or performance-based tests that can ensure the validity of reported or exhibited attentional symptoms. In 2015, Multi-Health Systems Inc. (MHS) released an improved version of a continuous performance test, the Conners Continuous Performance 3rd Edition (Conners CPT 3), which may have improved …

The Eyes Never Lie: Detecting Simulated Traumatic Brain Injury With Eye-Tracking, Robert John Kanser

Wayne State University Dissertations

Performance validity test (PVT) inaccuracies can be explained by both test and extra-test (e.g., research design components) factors. Eye-tracking is a promising technology to enhance assessment of performance validity. Prior research has established that ocular behaviors are reliable biomarkers of (un)conscious cognitive processes. Experimental research on deception has shown that ocular behaviors reliably distinguish feigned concealment of information from honest responding. The primary objective of this study was to examine the incremental utility of incorporating eye-tracking into a clinical PVT to distinguish adults with verified TBI from adults coached to feign cognitive impairment. A secondary objective was to determine the …

Malingering Undetected Successfully: Does Extrinsic Motivation And Coaching Have A Significant Impact?, Jennifer Golanics

UNLV Theses, Dissertations, Professional Papers, and Capstones

The present study examined the effectiveness of a Mild Traumatic Brain Injury (mTBI) coaching (i.e., providing information about mTBI symptoms) and motivational incentive (i.e., a $50 gift card lottery) on the Automated Neuropsychological Assessment Metrics (ANAM) test performance. The sample included a total of 162 undergraduate and graduate students enrolled in an introductory educational psychology course. Participants were randomly assigned to one of six conditions: coached plus warning instruction and motivation incentive, coached instruction and motivation incentive, uncoached instruction and motivation incentive, coached plus warning instruction and no motivation incentive, coached instruction and no motivation incentive, and uncoached instruction and …

Latent Class Analysis Of Malingering Classifications Using Performance And Symptom Validity Measures In A Civil Forensic Setting, Willie Floyd Mcbride Iii

Psychology Theses & Dissertations

The study examined the applicability of various validity measures and their ability to identify patterns of invalid responding (i.e., malingering) in an archival sample of civil forensic litigants. A latent clustering approach was used to create profiles comprised of the response patterns from validity measures of different domains including three performance validity tests (PVT), five symptom validity scales (SVT), and an embedded validity indicator (EVI). Latent class analysis (LCA) was used to enumerate subgroups of malingering and to assess differences between the subgroups.

Results demonstrated five distinct classes. The classes revealed complex patterns of symptom endorsement and performance on validity …

Caars-S:L Infrequency Index Validation: A Pilot Comparison Of Paper And Online Assessments, Elizabeth R. Wallace

Theses and Dissertations--Psychology

One obstacle to the accurate diagnosis of ADHD in college students is malingering, although many symptom self-report measures do not contain feigning validity scales. The Infrequency Index (CII) for the Conners’ Adult ADHD Rating Scale–Self-Report: Long Version (CAARS-S:L) was developed for this purpose, although further validation of the index is needed. Another topic of interest in ADHD malingering research is the increasing use of online assessments. Little is known about how ADHD is malingered in an online format, particularly on the CAARS-S:L. The current study aims to integrate these strands of research by examining the utility of the CII in …

Eye Movement Effects In Simulated Object Recognition Memory Impairment, Dmitriy Kazakov

Theses and Dissertations

Malingering is the purposeful fabrication of symptoms for secondary gain. Memory problems are the most reported symptom, and object recognition tests are often used in clinical settings to evaluate these claims. Past research has shown that eye movements can indirectly index memory, in that greater viewing is directed at studied stimuli 500-750 ms after display onset. The present study evaluated eye movements as a potential method of detecting feigned memory impairment. Forty-eight participants, half simulators, studied standardized images and took a memory test. Several levels of analysis were used to detect broad trends and brief effects. Simulators performed significantly worse …

Detection Of Malingering In Bona Fide Traumatic Brain Injury And Simulated Traumatic Brain Injury: Combining Response Time With Pvt Accuracy Results, Robert John Kanser

Wayne State University Theses

Threats to performance validity test (PVT) security and utility have increased efforts to develop covert measures of performance validity. Response time (RT) is a promising covert measure to distinguish between honest and feigned performance; however, research investigating RT patterns on PVTs is sparse and troubled by methodological problems. This study examined the incremental utility of RT variables on a computerized version of the Test of Memory Malingering (TOMM-C) in distinguishing adults with verified traumatic brain injury (TBI) and healthy adults coached to feign neurocognitive impairment. Participants were 45 adults with moderate to severe TBI, 45 healthy adults coached to feign …

Using The Wais-Iv To Detect Malingering, Thomas E. Bybee

Walden Dissertations and Doctoral Studies

This study used subtests of the WAIS-IV to detect evidence of malingering. Developing reliable tests for malingering could significantly reduce costs paid to malingering individuals. A within-group known-group design was used. There were 3 known-group conditions. The first group (G1) was instructed to take the tests honestly. The second group (G2) was asked to fake a cognitive disability while taking the tests. The third group (G3) took the tests while undergoing the cold-pressor method (hand immersed in cold water) of inducing pain. Analysis of variance was performed. That analysis appeared to have significant differences; post hock Bonferroni testing was done. …

Utility Of The Caars Validity Scales In Identifying Feigned Adhd, Random Responding, And Genuine Adhd In A College Sample, Brittany D. Walls

Theses and Dissertations--Psychology

Due to increased concern about malingered self-report of symptoms of attention-deficit/hyperactivity disorder (ADHD) in college students, there is a need for instruments that can detect feigning. The present study provided further validation data for a recently developed validity scale for the Conners’ Adult ADHD Rating Scale (CAARS), the CAARS Infrequency Index (CII). The sample consisted of 139 undergraduate students; 21 individuals with diagnoses of ADHD, 29 individuals responding honestly, 54 individuals responding randomly (full or half), and 35 individuals assigned to malinger. The CII demonstrated modest sensitivity to malingering (.31-.46) and excellent specificity to ADHD (.91-.95). Sequential application of validity …

Assessment Of Validity And Response Bias In Neuropsychiatric Evaluations, Dustin Wygant, Robert Phillip Granacher

Psychology Faculty and Staff Research

BACKGROUND: Forensic neuropsychiatric assessment requires thorough consideration of malingering and response bias. Neuropsychiatric evaluations are complicated due to the multiple domains in which symptoms and impairment present. Moreover, symptom exaggeration in these evaluations can also present along various symptom domains (e.g., psychological, neurocognitive, somatic). Consequently, steps must be taken to ensure adequate coverage of response bias across all three domains of function.

PURPOSE: The following article reviews the conceptualization of malingering in neuropsychiatric settings, as well as various approaches and measures that can be helpful in the assessment of malingering and response bias.

CONCLUSIONS: Forensic neuropsychiatric assessment requires thorough consideration …

Effects Of Coaching In The Detection Of Malingered Attention Deficit/Hyperactivity Disorder In A College Sample, Maryanne Edmundson

Theses and Dissertations--Psychology

College students may feign symptoms of ADHD to gain access to stimulant medications and academic accommodations. Research has shown that it can be difficult to discriminate malingered from genuine symptomatology, especially when evaluations are based only on self-report. The present study investigated whether the average student given no additional information could feign ADHD as successfully as those who were coached on symptoms. Similar to Jasinski, Harp, Berry, Shandera-Ochsner, Mason, & Ranseen (2011) and other research on feigned ADHD, an extensive battery of neuropsychological, symptom validity, and self-report tests was administered. Undergraduates with no history of ADHD or other psychiatric disorders …

Discriminating Between Adhd, Adhd With A Comorbid Psychological Disorder And Malingered Adhd In A College Sample, Kimberly Dawn Williamson

Theses and Dissertations--Psychology

The current study examined the efficacy of various neuropsychological measures for differentiating ADHD and comorbid ADHD from malingered ADHD in a large state university sample. The sample consisted of 23 nonclinical individuals assigned to malinger ADHD (NLM), 9 nonclinical individuals responding honestly (NLH), 22 individuals with diagnoses of ADHD only (ADHD-H), 9 individuals with comorbid ADHD/Learning Disorder presentations (ADHD-LD), and 13 individuals with comorbid ADHD/Anxiety presentations (ADHD-ANX). Due to limited sample sizes, the ADHD-LD and ADHD-ANX participants were pooled to create a comorbid ADHD group (ADHD-CO n = 22). The study utilized a simulation design with a NLM group instructed …

A Multi-Method Assessment Approach To The Detection Of Malingered Pain: Association With The Mmpi-2 Restructured Form, Jaime L. Anderson

Online Theses and Dissertations

The present study investigated the utility of the MMPI-2-Restructured Form (MMPI-2-RF) over-reporting scales (F-r, Fp-r, Fs, and FBS-r) and the Response Bias Scale (RBS) to detect symptom exaggeration among litigants claiming chronic pain. Utilizing the Bianchini et al. (2005) multi-method criteria for Malingered Pain Related Disability (MPRD), patients were classified along a continuum ranging from incentive only to definite malingering. Malingering classification was found to have a significant effect on MMPI-2-RF over-reporting scales, particularly the RBS, Infrequent Symptoms Scale (F-r), and Infrequent Somatic Responses scale (Fs), which supports the use of the MMPI-2-RF in forensic disability evaluations.

Utility Of The Mmpi–2-Rf (Restructured Form) Validity Scales In Detecting Malingering In A Criminal Forensic Setting: A Known-Groups Design, Martin Sellbom, Joseph A. Toomey, Dustin B. Wygant, L. Thomas Kucharski, Scott Duncan

Psychology Faculty and Staff Research

The current study examined the utility of the recently released Minnesota Multiphasic Personality Inventory—2 Restructured Form (MMPI–2-RF; Ben-Porath & Tellegen, 2008) validity scales to detect feigned psychopathology in a criminal forensic setting. We used a known-groups design with the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992) as the external criterion to determine groups of probable malingering versus nonmalingering. A final sample of 125 criminal defendants, who were administered both the SIRS and the MMPI–2-RF during their evaluations, was examined. The results indicated that the two MMPI–2-RF validity scales specifically designed to detect overreported psychopathology, F-r and …

Incremental Validity Of The Mmpi-2-Rf Over-Reporting Scales And Rbs In Assessing The Veracity Of Memory Complaints, Roger O. Gervais, Yossef S. Ben-Porath, Dustin Wygant, Martin Sellbom

Dustin B. Wygant

The Response Bias Scale (RBS) has been found to be a better predictor of over-reported memory complaints than Minnesota Multiphasic Personality Inventory-2 (MMPI-2) F, Back Infrequency (Fb), Infrequency-Psychopathology (Fp), and FBS scales. The MMPI-2-Restructured Form (RF) validity scales were designed to meet or exceed the sensitivity of their MMPI-2 counterparts to symptom over-reporting. This study examined the incremental validity of MMPI-2-RF validity scales and RBS in assessing memory complaints. The MMPI-2-RF over-reporting validity scales were more strongly associated with mean Memory Complaints Inventory scores than their MMPI-2 counterparts

(d ¼ 0.22 to 0.49). RBS showed the strongest relationship with memory …

Utility Of The Mmpi–2-Rf (Restructured Form) Validity Scales In Detecting Malingering In A Criminal Forensic Setting: A Known-Groups Design, Martin Sellbom, Joseph A. Toomey, Dustin B. Wygant, L. Thomas Kucharski, Scott Duncan

Dustin B. Wygant

The current study examined the utility of the recently released Minnesota Multiphasic Personality Inventory—2 Restructured Form (MMPI–2-RF; Ben-Porath & Tellegen, 2008) validity scales to detect feigned psychopathology in a criminal forensic setting. We used a known-groups design with the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992) as the external

criterion to determine groups of probable malingering versus nonmalingering. A final sample of 125 criminal defendants, who were administered both the SIRS and the MMPI–2-RF during their evaluations, was examined. The results indicated that the two MMPI–2-RF validity scales specifically designed to detect overreported psychopathology, F-r and …

Examination Of The Mmpi-2 Restructured Form (Mmpi-2-Rf) Validity Scales In Civil Forensic Settings: Findings From Simulation And Known Group Samples, Dustin Wygant, Yossef Ben-Porath, Paul Arbisi, David Berry, David Freeman, Robert Heilbronner

Dustin B. Wygant

The current study examined the effectiveness of the MMPI-2 Restructured Form (MMPI-2-RF; Ben-Porath and Tellegen, 2008) over-reporting indicators in civil forensic settings. The MMPI-2-RF includes three revised MMPI-2 over-reporting validity scales and a new scale to detect over-reported somatic complaints. Participants dissimulated medical and neuropsychological complaints in two simulation samples, and a known-groups sample used symptom validity tests as a response bias criterion. Results indicated large effect sizes for the MMPI-2-RF validity scales, including a Cohen's d of .90 for Fs in a head injury simulation sample, 2.31 for FBS-r, 2.01 for F-r, and 1.97 for Fs in a medical …

Detection Of Malingering Via Cognitive Cues, Birgit M. Smart

Doctoral Dissertations

Malingering is a frequently encountered problem of faking psychological or physiological symptoms or exaggerating existing conditions for external gain. Malingerers typically are seen in clinical and forensic settings and create a burden to our society due to loss of economic resources or professional time. The impact of malingering is difficult to calculate due to problems with identifying actual cases of malingering. Psychological tests traditionally have been used in the assessment of malingering. Despite major improvements in instruments and clinical interviewing techniques, however, no failsafe assessment tool has been identified for the accurate detection of malingering. Cognitive studies of lie detection …