当前位置: X-MOL 学术Appl. Neuropsychol. Adult › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Detecting feigned symptoms of depression, anxiety, and ADHD, in college students with the structured inventory of malingered symptomatology
Applied Neuropsychology: Adult ( IF 1.7 ) Pub Date : 2020-05-26 , DOI: 10.1080/23279095.2020.1769097
Alexandra F Grant 1 , John W Lace 1 , Carson L Teague 1 , Kimberly T Lowell 1 , Phillip D Ruppert 1, 2 , Annie A Garner 1 , Jeffrey D Gfeller 1
Affiliation  

Abstract

Objective

Research consistently shows how easily students can feign symptoms of ADHD on self-report checklists to determine eligibility for curricular and standardized testing accommodations. However, it is unclear how easily students can feign psychological symptoms to accesses academic accommodations, making the assessment of symptom validity important in both populations.

Method

Using a between-subjects design, 75 college students were randomly assigned to one of three groups: (1) coached feigning of ADHD, (2) coached feigning of depression and anxiety (DA), and (3) honest responding (HR). Participants completed the Depression, Anxiety, and Stress Scale (DASS-21) and the Structured Inventory of Malingered Symptomatology (SIMS).

Results

The SIMS showed 100% specificity, but low sensitivity (36–52%) for detecting feigned symptoms with different cutoffs. Differences on SIMS subtests were apparent by group with elevated scores for the DA group on the Affective Disorders subscale and elevation for the ADHD group on the Low Intelligence and Amnestic subscales. Participants identified as feigning by the SIMS typically reported more severe symptoms than participants not identified on the DASS-21.

Conclusions

The SIMS equally classified the feigned ADHD and DA participants for both cutoff scores utilized. Potential reasons for low sensitivity rates are discussed and future research recommendations are made.



中文翻译:

通过伪装症状学的结构化清单检测大学生中抑郁、焦虑和 ADHD 的假装症状

摘要

客观的

研究一致表明,学生可以很容易地在自我报告清单上假装 ADHD 症状,以确定是否有资格参加课程和标准化测试。然而,尚不清楚学生假装心理症状获得学术住宿的难易程度,因此评估症状有效性在这两个人群中都很重要。

方法

使用受试者间设计,75 名大学生被随机分配到三组之一:(1)指导假装多动症,(2)指导假装抑郁和焦虑(DA),以及(3)诚实回应(HR)。参与者完成了抑郁、焦虑和压力量表 (DASS-21) 和伪装症状学结构化清单 (SIMS)。

结果

SIMS 显示出 100% 的特异性,但对于检测具有不同临界值的假冒症状的敏感性较低 (36-52%)。SIMS 分测验的差异在 DA 组的情感障碍分量表和 ADHD 组的低智力和遗忘分量表得分升高的组中很明显。被 SIMS 识别为假装的参与者通常报告的症状比 DASS-21 上未识别的参与者更严重。

结论

SIMS 对假装的 ADHD 和 DA 参与者进行了同样的分类,以使用两个截止分数。讨论了低敏感率的潜在原因,并提出了未来的研究建议。

更新日期:2020-05-26
down
wechat
bug