ABSTRACT This study examined whether individuals who were assaultive at a forensic psychiatric inpatient hospital were more likely to be referred for malingering assessment and whether there was a difference in assaultive behavior between individuals who had non-valid test performance (NVTP) on Performance Validity Tests (PVTs) and those who demonstrated valid test performance (VTP). Of 136 assessments that met inclusion criteria, there were no statistically significant differences in inpatient aggression between the NVTP and VTP groups. However, when inpatient aggression of those 136 subjects was compared to the base rates of inpatient aggression in the general hospital population, a significant difference was found, suggesting that those patients who were referred for malingering testing by their treatment team had higher rates of inpatient aggression than the general hospital population. Implications regarding the role of clinical judgment in identifying individuals who are malingering will be discussed.

中文翻译：

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法医住院情况下的性能有效性测试和攻击性

摘要这项研究调查了在法医精神病医院接受攻击的人是否更可能被转送进行恶意评估，以及在效度测试中具有无效测试表现（NVTP）的人之间的攻击行为是否存在差异（ PVTs）和证明有效测试性能（VTP）的人员。在符合入选标准的136项评估中，NVTP组和VTP组之间在患者侵略性方面没有统计学上的显着差异。但是，将这136名受试者的住院攻击性与综合医院人口中住院攻击性的基本比率进行比较时，发现存在显着差异，这表明，由治疗小组转诊接受恶意检查的患者的住院侵略率要高于综合医院的患者。将讨论有关临床判断在识别患病个体中的作用的含义。