Gold P B, Frueh B C
Mental Health Service (116), Veterans Affairs Medical Center, Charleston, South Carolina 29401-5799, USA.
J Nerv Ment Dis. 1999 Nov;187(11):680-4. doi: 10.1097/00005053-199911000-00005.
We extended the work of Smith and Frueh (1996) by evaluating whether combat veterans classified as "extreme exaggerators" were more likely to be compensation-seeking, and to report greater levels of psychopathology across self-report instruments than "nonexaggerators." Of 119 veterans who completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) at an outpatient posttraumatic stress disorder (PTSD) clinic, 26 (22%) and 17 (14%) were identified as extreme exaggerators using two MMPI-2 validity indicators with stringent cutoffs (F-K > or = 22; F(p) > or = 8). These veterans were much more likely to be compensation seeking and scored much higher on self-report measures of various psychological symptoms than nonexaggerators, despite having lower rates of PTSD diagnoses and similar rates of other comorbid diagnoses. Findings suggest that the validity indices of the MMPI-2 can play a critical role, as a screening instrument, in identifying veterans who may be exaggerating their psychopathology to gain disability compensation.
我们拓展了史密斯和弗吕厄（1996年）的研究工作，评估被归类为“极度夸大者”的退伍军人是否更有可能寻求赔偿，以及与“非夸大者”相比，他们在各种自陈式量表上报告的精神病理学水平是否更高。在一家门诊创伤后应激障碍（PTSD）诊所完成明尼苏达多相人格调查表第二版（MMPI - 2）的119名退伍军人中，使用两个具有严格临界值（F - K≥22；F(p)≥8）的MMPI - 2效度指标，分别有26名（22%）和17名（14%）被确定为极度夸大者。尽管这些退伍军人的PTSD诊断率较低且其他共病诊断率相似，但他们比非夸大者更有可能寻求赔偿，并且在各种心理症状的自陈式测量中得分要高得多。研究结果表明，MMPI - 2的效度指标作为一种筛查工具，在识别可能夸大其精神病理学症状以获取残疾赔偿的退伍军人方面可以发挥关键作用。
