Sivec H J, Hilsenroth M J, Lynn S J
Department of Psychiatry, SUNY Health Science Center, Syracuse 13210, USA.
J Pers Assess. 1995 Apr;64(2):295-311. doi: 10.1207/s15327752jpa6402_9.
This investigation extends current work on the impact of role-specific response sets on dissimulated Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) profiles. Specifically, one group of subjects was given specific symptom information and instructed to simulate borderline personality disorder on the MMPI-2. This dissimulation performance was compared to a clinical comparison group of clients diagnosed with borderline personality disorder, a group of subjects instructed to simulate major depression, and a group of subjects who responded honestly to the MMPI-2. In both simulating conditions, subjects produced significantly higher elevations on a majority of clinical and validity scales than the clinical comparison group. A rigorous evaluation of the F scale was conducted to provide a range of predictive values for different F scale cutting scores for detecting malingering. Sensitivity, specificity, and positive and negative predictive power were computed for this range of F scale values. A similar analysis was conducted for the Borderline Personality Disorder Scale (BPDsc) of Morey, Waugh, and Blashfield (1985). These results are integrated with extant research. A costs-benefits model is proposed for employing F scale cutting scores in clinical situations with different base rates of malingering.
本研究扩展了当前关于特定角色反应集对伪装的明尼苏达多相人格问卷第二版（MMPI - 2；Butcher、Dahlstrom、Graham、Tellegen和Kaemmer，1989）剖面图影响的研究工作。具体而言，一组受试者被给予特定症状信息，并被要求在MMPI - 2上模拟边缘性人格障碍。将这种伪装表现与一组被诊断为边缘性人格障碍的临床对照患者、一组被要求模拟重度抑郁症的受试者以及一组诚实地回答MMPI - 2的受试者进行比较。在两种模拟条件下，受试者在大多数临床量表和效度量表上的得分显著高于临床对照组。对F量表进行了严格评估，以提供不同F量表划界分数用于检测伪装的一系列预测值。针对该范围的F量表值计算了敏感性、特异性以及阳性和阴性预测能力。对Morey、Waugh和Blashfield（1985）的边缘性人格障碍量表（BPDsc）进行了类似分析。这些结果与现有研究相结合。提出了一个成本效益模型，用于在不同伪装基础率的临床情况下采用F量表划界分数。
