Correa Amor A, Rogers Richard, Williams Margot M
Federal Medical Center Carswell, Fort Worth, TX, USA.
University of North Texas, Denton, TX, USA.
Assessment. 2020 Sep;27(6):1163-1175. doi: 10.1177/1073191118778895. Epub 2018 Jun 21.
Psychological assessments can be essentially invalidated by examinees' intentional response styles, such as (i.e., fabrication or marked overreporting of symptoms/impairment) and (i.e., denial or minimization of symptoms/impairment). As a psychometric strength, the Personality Assessment Inventory (PAI) has established validity indicators for identifying both response styles. With the United States' increasing ethnic and cultural diversity, predominantly Spanish-speaking individuals are now estimated in the range of 15 million persons. Unfortunately, very little research has been conducted on the Spanish-translated PAI regarding its effectiveness in clinical populations. Using a between-subjects design, a sample of mostly Spanish-speaking outpatients was randomly assigned to genuine, feigning, or defensive conditions. For feigning, PAI malingering indicators using rare symptoms strategies (i.e., Negative Impression [NIM] and Negative Distortion [NDS] scales) demonstrated moderate to large effect sizes. For defensiveness, the Defensive (DEF) index proved the most effective with a very large effect size ( = 1.68). Different cut scores were examined to increase the clinical utility of the Spanish PAI for determining response styles.
心理评估可能会因受测者故意的反应方式而基本失效，例如（即，编造或显著夸大症状/损伤）和（即，否认或淡化症状/损伤）。作为一种心理测量优势，人格评估量表（PAI）已经建立了用于识别这两种反应方式的效度指标。随着美国种族和文化多样性的增加，目前主要说西班牙语的人口估计在1500万人左右。不幸的是，关于西班牙语翻译版PAI在临床人群中的有效性，几乎没有进行过研究。采用组间设计，将主要说西班牙语的门诊患者样本随机分配到真实、伪装或防御条件组。对于伪装，使用罕见症状策略的PAI诈病指标（即负面印象[NIM]和负面扭曲[NDS]量表）显示出中等至较大的效应量。对于防御性，防御（DEF）指数被证明是最有效的，效应量非常大（=1.68）。研究了不同的划界分数，以提高西班牙语PAI在确定反应方式方面的临床效用。
