Morel Kenneth R, Marshman Kimberly C
Neuropsychology Laboratory/Psychology Service, Department of Veterans Affairs Tennessee Valley Health Care System, Psychology Service 116B, 1310 24th Avenue South, Nashville, TN 37212-2637, United States.
J Anxiety Disord. 2008 Dec;22(8):1542-50. doi: 10.1016/j.janxdis.2008.03.008. Epub 2008 Mar 13.
The differential diagnosis of malingering in psychological evaluations for Posttraumatic Stress Disorder (PTSD) is complex and relies upon the integration of clinical knowledge and appropriate psychometric instruments. Over the years, there has been an increase in the use of validity measures, including Symptom Validity Tests (SVTs). In 2005, the National Academy of Neuropsychology published Symptom validity assessment: Practice issues and medical necessity, an official policy statement recognizing the importance of effort on test performance and recommending the utilization of specific SVTs to assess for response bias in neurocognitive and personality evaluations. As new SVTs become available, clinicians need a clear understanding of how to critique these tests and determine the strengths and limitations. This article demonstrates the fundamental principles of critiquing an SVT by applying a modified set of Hartman's [Hartman, D. E. (2002). The unexamined lie is a lie worth fibbing: Neuropsychological malingering and the Word Memory Test. Archives of Clinical Neuropsychology, 17, 709-714] criteria, originally developed for neuropsychological SVTs, to the Morel Emotional Numbing Test for Posttraumatic Stress Disorder (MENT).
在创伤后应激障碍（PTSD）心理评估中，诈病的鉴别诊断很复杂，需要综合临床知识和恰当的心理测量工具。多年来，包括症状效度测试（SVT）在内的效度测量方法的使用有所增加。2005年，美国国家神经心理学学会发表了《症状效度评估：实践问题与医学必要性》，这一官方政策声明认可了努力程度对测试表现的重要性，并建议使用特定的SVT来评估神经认知和人格评估中的反应偏差。随着新的SVT不断出现，临床医生需要清楚了解如何评判这些测试，并确定其优缺点。本文通过将一组经过修改的、最初为神经心理学SVT制定的哈特曼[哈特曼，D.E.（2002年）。未经检验的谎言是值得撒的谎：神经心理学诈病与词语记忆测试。《临床神经心理学档案》，17，709 - 714]标准应用于创伤后应激障碍的莫雷尔情感麻木测试（MENT），阐述了评判SVT的基本原则。
