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青少年后期伪装注意缺陷多动障碍的检测:三个 PAI-A 负性歪曲指标的检验。

Detecting feigned ADHD in later adolescence: an examination of three PAI-A negative distortion indicators.

机构信息

a Department of Psychology , Texas A&M University.

出版信息

J Pers Assess. 2013;95(6):594-9. doi: 10.1080/00223891.2013.821071. Epub 2013 Aug 7.

DOI:10.1080/00223891.2013.821071
PMID:23924156
Abstract

The validity of various indicators of response distortion on the Personality Assessment Inventory-Adolescent (PAI-A; Morey, 2007a) and its potential usefulness to detect malingering were evaluated by having 17- and 18-year-old students complete the PAI-A attempting to simulate Attention-Deficit/Hyperactivity Disorder (ADHD) under coached or noncoached conditions. Scores for these respondents on the Negative Impression and Positive Impression scales, the Malingering Index, and the Rogers Discriminant Function (RDF) were compared to those of 17- and 18-year-old patients receiving clinical diagnoses of ADHD. Simulating respondents also completed the Conners Adult ADHD Rating Scale (CAARS) to determine if they could successfully simulate self-reported symptoms of ADHD. A total of 45% of simulating participants obtained CAARS scores reflecting clinically significant symptoms of ADHD. All indicators demonstrated the ability to distinguish between actual patients and feigned responses of successful simulators, with the RDF demonstrating the greatest accuracy in distinguishing these groups.

摘要

通过让 17 岁和 18 岁的学生在指导或非指导条件下尝试模拟注意力缺陷/多动障碍 (ADHD),评估了人格评估量表-青少年版 (PAI-A; Morey, 2007a) 上各种反应失真指标的有效性及其检测伪装的潜在用途。这些被试者在负性印象和正性印象量表、伪装指数和罗杰斯判别函数 (RDF) 上的得分与接受 ADHD 临床诊断的 17 岁和 18 岁患者的得分进行了比较。模拟被试者还完成了 Conners 成人 ADHD 评定量表 (CAARS),以确定他们是否能够成功模拟 ADHD 的自我报告症状。共有 45%的模拟参与者的 CAARS 得分反映了 ADHD 的临床显著症状。所有指标都表明能够区分实际患者和伪装成功的模拟者的反应,RDF 表现出区分这些组的最大准确性。

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