Memphis Veterans Affairs Medical Center, TN, USA.
Arch Clin Neuropsychol. 2011 Apr;26(3):165-75. doi: 10.1093/arclin/acr013. Epub 2011 Mar 25.
Adults with attention-deficit/hyperactivity disorder (ADHD) are frequently prescribed stimulant medication and eligible for accommodations at work or school that serve as potent incentives to feign ADHD symptoms. The current investigation examined the predictive validity of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) validity scales in detecting and accurately classifying individuals attempting to feign ADHD. An archival ADHD clinical group (n = 34), normal control group (n = 37), and group instructed to feign ADHD symptoms (n = 32) completed the MMPI-2 and ADHD Current and Childhood Symptoms Scales. Behavior rating scales were unable to differentiate the clinical group from the simulated malingering group. Logistic regressions revealed that Infrequency-Psychopathology scale best detected response bias, followed by Infrequency scale, Back-Infrequency scale, Response Bias Scale (RBS), Henry-Heilbronner Index scale (HHI), and Fake Bad Scale (FBS). Results also indicate that recommended cutoffs for HHI, RBS, and FBS display inadequate sensitivity and specificity. Nevertheless, the MMPI-2 offers a number of validity indices that may assist in detecting individuals attempting to feign ADHD.
成人注意力缺陷/多动障碍（ADHD）患者经常被开处兴奋剂药物，并被允许在工作或学校中获得适应措施，这些措施成为了他们伪装 ADHD 症状的强大动机。目前的研究检验了明尼苏达多相人格问卷-2（MMPI-2）效度量表在检测和准确分类试图伪装 ADHD 症状的个体方面的预测效度。一个 ADHD 临床组（n=34）、正常对照组（n=37）和被指示伪装 ADHD 症状的组（n=32）完成了 MMPI-2 和 ADHD 现症和儿童期症状量表。行为评定量表无法将临床组与模拟伪装组区分开来。逻辑回归显示，不常见-精神病理学量表最能检测出反应偏差，其次是不常见量表、反向不常见量表、反应偏差量表（RBS）、亨利-赫尔布伦纳指数量表（HHI）和假坏量表（FBS）。结果还表明，HHI、RBS 和 FBS 的推荐临界值显示出不足的敏感性和特异性。尽管如此，MMPI-2 提供了许多有效性指标，可能有助于检测试图伪装 ADHD 的个体。
