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人格评估问卷(PAI)中的欺骗性:一项关于精神病住院患者单纯伪装的研究。

Deceptiveness on the PAI: a study of naïve faking with psychiatric inpatients.

作者信息

Baity Matthew R, Siefert Caleb J, Chambers Anthony, Blais Mark A

机构信息

Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

出版信息

J Pers Assess. 2007 Feb;88(1):16-24. doi: 10.1080/00223890709336830.

Abstract

In this study, we sought to explore the diagnostic accuracy of the Personality Assessment Inventory (PAI; Morey, 1991) Validity scales (Negative Impression Management [NIM] and Positive Impression Management [PIM]) and indexes (Malingering index, Defensiveness index [DEF]; Morey, 1993, 1996; Cashel Discriminant Function; Cashel, Rogers, Sewell, & Martin-Cannici, 1995; and Rogers Discriminant Function [RDF]; Rogers, Sewell, Morey, & Ustad, 1996) to identify differences in profiles completed by psychiatric inpatients under standardized instructions (Time 1) and after random assignment (Time 2) to a fake good (n=21), fake bad (n=20), or retest (n=21) scenario. Repeated measures analysis of variance revealed a significant interaction effect. Whereas the retest group did not show any significant changes on the PAI variables from Time 1 to Time 2, both faking groups showed changes in expected directions. Discriminant function analyses revealed that NIM, RDF, and lower scores on DEF best differentiated between the faking bad and retest groups. PIM was the only nonredundant significant score discriminating the faking good and retest groups. Cutoffs for these scales and indexes established in prior research were supported using diagnostic efficiency statistics. Results suggest that NIM and RDF in faking bad scenarios and PIM in faking good scenarios are most sensitive to unsophisticated attempts to dissimulate by inpatient psychiatric patients.

摘要

在本研究中,我们试图探究人格评估量表(PAI;莫雷,1991)效度量表(负面印象管理[NIM]和正面印象管理[PIM])以及指标(诈病指数、防御性指数[DEF];莫雷,1993,1996;卡舍尔判别函数;卡舍尔、罗杰斯、休厄尔和马丁 - 坎尼奇,1995;以及罗杰斯判别函数[RDF];罗杰斯、休厄尔、莫雷和乌斯塔德,1996)的诊断准确性,以识别在标准化指导下(时间1)以及随机分配后(时间2),精神科住院患者完成的测评结果在伪装成好(n = 21)、伪装成坏(n = 20)或重测(n = 21)情景下的差异。重复测量方差分析显示出显著的交互效应。重测组从时间1到时间2在PAI变量上未显示出任何显著变化,而两个伪装组均呈现出预期方向的变化。判别函数分析表明,NIM、RDF以及DEF较低得分能最好地区分伪装成坏组和重测组。PIM是区分伪装成好组和重测组的唯一非冗余显著得分。使用诊断效率统计数据支持了先前研究中为这些量表和指标设定的临界值。结果表明,在伪装成坏的情景下,NIM和RDF以及在伪装成好的情景下PIM对精神科住院患者不熟练的伪装尝试最为敏感。

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