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Symptom coaching and symptom validity tests: An analog study using the structured inventory of malingered symptomatology, Self-Report Symptom Inventory, and Inventory of Problems-29.
Applied Neuropsychology: Adult ( IF 1.7 ) Pub Date : 2022-04-13 , DOI: 10.1080/23279095.2022.2057856
Irena Boskovic 1, 2 , Ali Yunus Emre Akca 3 , Luciano Giromini 3
Affiliation  

In this pilot and exploratory study, we tested the robustness of three self-report symptom validity tests (SVTs) to symptom coaching for depression, with and without additional information available on the Internet. Specifically, we divided our sample (N = 193) so that each subject received either the Structured Inventory of Malingered Symptomatology (SIMS; n = 64), the Self-Report Symptom Inventory (SRSI; n = 66), or the Inventory of Problems-29 (IOP-29; n = 63). Within each of the three subgroups, approximately one third of participants were instructed to respond honestly (Genuine Condition, nSIMS = 21; nSRSI = 24; nIOP-29 = 26) and approximately two-thirds were instructed to feign depression. One half of the feigners were presented with a vignette to increase their compliance with instructions and were given information about symptoms of depression (Coached Feigning, nSIMS = 25; nSRSI = 18; nIOP-29 = 21), and the other half were given the same vignette and information about symptoms of depression, plus two Internet links to review before completing the test (Internet-Coached Feigning, nSIMS = 18; nSRSI = 24; nIOP-29 = 16). Overall, the results showed that the genuine conditions yielded the lowest total scores on all three measures, while the two feigning conditions did not significantly differ from each other. Looking at the detection rates for all feigning participants, all three measures showed satisfactory results, with IOP-29 performing slightly better than SIMS and SIMS performing slightly better than SRSI. Internet-Coached Feigners scored slightly lower on all three measures than feigners who were coached without the Internet links. Taken together, the results of this preliminary and exploratory study suggest that all three SVTs examined are sensitive to feigned depression even in the presence of symptom coaching, both with and without additional Internet-based information.

中文翻译:

症状指导和症状有效性测试:使用伪装症状学结构化清单、自我报告症状清单和问题清单的模拟研究-29。

在这项试点和探索性研究中,我们测试了三个自我报告症状有效性测试 (SVT) 对抑郁症症状指导的稳健性,无论是否有互联网上提供的其他信息。具体来说,我们对样本 (N = 193) 进行了划分,因此每个受试者都收到了伪装症状学的结构化清单 (SIMS; n = 64)、自我报告症状清单 (SRSI; n = 66) 或问题清单-29(IOP-29;n = 63)。在三个亚组中的每一个中,大约三分之一的参与者被指示诚实回应(真实情况,nSIMS = 21;nSRSI = 24;nIOP-29 = 26),大约三分之二的参与者被指示假装抑郁。向一半的假装者提供了一个小插曲,以提高他们对指示的遵守程度,并获得了有关抑郁症状的信息(教练假装,nSIMS = 25;nSRSI = 18;nIOP-29 = 21),另一半被给予相同的小插曲和有关抑郁症症状的信息,加上两个互联网链接以在完成测试之前进行审查(互联网教练假装,nSIMS = 18;nSRSI = 24;nIOP-29 = 16)。总体而言,结果表明,真实条件在所有三个测量中的总分最低,而两个伪装条件彼此之间没有显着差异。查看所有假装参与者的检测率,所有三个测量都显示出令人满意的结果,IOP-29 的表现略好于 SIMS,SIMS 的表现略好于 SRSI。互联网教练的伪装者在所有三项测量中的得分都略低于没有互联网链接的伪装者。总而言之,这项初步和探索性研究的结果表明,即使在有症状指导的情况下,无论有没有额外的基于互联网的信息,所检查的所有三种 SVT 都对假装抑郁症敏感。
更新日期:2022-04-13
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