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Use of Validity Indicators on the Personality Assessment Inventory to Detect Feigning of Post-traumatic Stress Disorder

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Abstract

This study examined the ability of several Personality Assessment Inventory (PAI) validity indicators to detect feigning of post-traumatic stress disorder (PTSD). Participants included 491 individuals recruited through Amazon Mechanical Turk (MTURK): 44 participants were asked to feign PTSD, 25 participants carried a diagnosis of PTSD and demonstrated at least moderate levels of current symptom, and 422 served as control subjects. Results indicated that all of the PAI negative distortion validity indicators significantly distinguished the true PTSD from the feigned PTSD group. The indicators with the largest effect sizes were the Hong Malingering Function and the Multiscale Feigning Index, both of which demonstrated moderate sensitivity to feigned PTSD with specificity above 90%.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Bowen, C., & Bryant, R. A. (2006). Malingering posttraumatic stress on the Personality Assessment Inventory. International Journal of Forensic Psychology, 1, 22–28.

    Google Scholar 

  • Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Minnesota Multiphasic Personality Inventory-2: Manual for Administration and Scoring. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Calhoun, P. S., Earnst, K. S., Tucker, D. D., Kirby, A. C., & Beckham, J. C. (2000). Feigning combat-related posttraumatic stress disorder on the personality assessment inventory. Journal of Personality Assessment, 75(2), 338–350.https://doi.org/10.1207/S15327752JPA7502_11.

    Article  Google Scholar 

  • Davidson, J. R. T., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., et al. (1997). Assessment of a new self-rating scale for posttraumatic stress disorder: The Davidson Trauma Scale. Psychological Medicine, 27, 153–160.

    Article  Google Scholar 

  • Drury, P., Calhoun, P. S., Boggs, C., Araujo, G., Dennis, M. F., & Beckham, J. C. (2009). Influences of comorbid disorders on Personality Assessment Inventory profiles in women with Posttraumatic Stress Disorder. Journal of Psychopathology and Behavioral Assessment, 31, 119–128.

    Article  Google Scholar 

  • Eakin, D. E., Weathers, F. W., Benson, T. B., Anderson, C. F., & Funderburk, B. (2006). Detection of feigned posttraumatic stress disorder: A comparison of the MMPI-2 and PAI. Journal of Psychopathology and Behavioral Assessment, 28, 145–155.

    Article  Google Scholar 

  • Fairbank, J. A., McCaffrey, R. J., & Keane, T. M. (1985). Psychometric detection of fabricated symptoms of posttraumatic stress disorder. The American Journal of Psychiatry, 142(4), 501–503.https://doi.org/10.1176/ajp.142.4.501.

  • Frueh, B. C., Hamner, M. B., Cahill, S. P., Gold, P. B., & Hamlin, K. L. (2000). Apparent symptom overreporting in combat veterans evaluated for PTSD. Clinical Psychology Review, 20(7), 853–885.

    Article  Google Scholar 

  • Gaines, M. V., Giles, C. L., & Morgan, R. D. (2013). The detection of feigning using multiple PAI scale elevations: A new index. Assessment, 20(4), 437–447. https://doi.org/10.1177/1073191112458146.

    Article  PubMed  Google Scholar 

  • Haley, R. W., Kurt, T. L., & Hom, J. (1997). Is there a Gulf War syndrome? Searching for syndromes by factor analysis of symptoms. JAMA : The Journal of the American Medical Association, 277, 215–222.

    Article  Google Scholar 

  • Hawes, S. W., & Boccaccini, M. T. (2009). Detection of over reporting of psychopathology on the personality assessment inventory: A meta-analytic review. Psychological Assessment, 21(1), 112–124. https://doi.org/10.1037/a0015036.

    Article  PubMed  Google Scholar 

  • Hong, S. H., & Kim, Y. H. (2001). Detection of random response and impression management in the PAI: II. Detection indices. Korean Journal of Clinical Psychology, 20, 751–761.

    Google Scholar 

  • Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi scale for combat-related posttraumatic stress disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.

    Article  Google Scholar 

  • Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., Taylor, K. L., & Mora, C. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment, 1, 53–55.

    Article  Google Scholar 

  • Lacoursiere, R. B. (1993). Diverse motives for fictitious post-traumatic stress disorder. Journal of Traumatic Stress, 6(1), 141–149. https://doi.org/10.1007/BF02093368.

    Article  Google Scholar 

  • Lange, R. T., Sullivan, K. A., & Scott, C. (2010). Comparison of MMPI-2 and PAI validity indicators to detect feigned depression and PTSD symptom reporting. Psychiatry Research, 176(2–3), 229–235.

    Article  Google Scholar 

  • Lees-Haley, P., & Dunn, J. T. (1994). The ability of naive subjects to report symptoms of mild brain injury, post-traumatic stress disorder, major depression, and generalized anxiety disorder. Journal of Clinical Psychology, 50(2), 252–256. https://doi.org/10.1002/1097-4679(199403)50:2<252:AID-JCLP2270500217>3.0.CO;2-T.

  • Liljequist, L., Kinder, B. N., & Schinka, J. A. (1998). An investigation of malingering posttraumatic stress disorder on the personality assessment inventory. Journal of Personality Assessment, 71(3), 322–336. https://doi.org/10.1207/s15327752jpa7103_3.

    Article  Google Scholar 

  • McCredie, M. N., & Morey, L. C. (2018). Who are the Turkers? A characterization of MTurk workers using the Personality Assessment Inventory. Assessment, 1073191118760709.

  • McDevitt-Murphy, M., Weathers, F. W., Flood, A. M., Eakin, D. E., & Benson, T. A. (2007). The utility of the PAI and the MMPI-2 for discriminating PTSD, depression, and social phobia in trauma-exposed college students. Assessment, 14(2), 181–195. https://doi.org/10.1177/1073191106295914.

    Article  PubMed  Google Scholar 

  • McDevitt-Murphy, M. E., Weathers, F. W., Adkins, J. W., & Daniels, J. B. (2005). Use of the Personality Assessment Inventory in assessment of Posttraumatic Stress Disorder in women. Journal of Psychopathology and Behavioral Assessment, 27, 57–65.

    Article  Google Scholar 

  • Mogge, N. L., Lepage, J. S., Bell, T., & Ragatz, L. (2010). The negative distortion scale: A new PAI validity scale. Journal of Forensic Psychiatry and Psychology, 21(1), 77–90. https://doi.org/10.1080/14789940903174253.

    Article  Google Scholar 

  • Morey, L. C. (1991). The Personality Assessment Inventory professional manual. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Morey, L. C. (1996). An interpretive guide to the Personality Assessment Inventory (PAI). Psychological Assessment Resources.

  • Morey, L. C. (2003). Essentials of PAI assessment. Hoboken: Wiley.

    Google Scholar 

  • Morey, L. C. (2012). Detection of response bias in applied assessment. Psychological Injury and Law, 5, 153–161. https://doi.org/10.1007/s12207-012-9131-x.

    Article  Google Scholar 

  • Mozley, S. L., Miller, M. W., Weathers, F. W., Beckham, J. C., & Feldman, M. E. (2005). Personality assessment inventory (PAI) profiles of male veterans with combat-related posttraumatic stress disorder. Journal of Psychopathology and Behavioral Assessment, 27(3), 179–189. https://doi.org/10.1007/s10862-005-0634-6.

    Article  Google Scholar 

  • Rogers, R., Gillard, N.D., Wooley, C.N., & Kelsey, K.R. (2013). Cross-Validation of the PAI Negative Distortion Scale for feigned mental disorders: A research report. Assessment, 20, 36–42.  https://doi.org/10.1177/1073191112451493.

    Article  Google Scholar 

  • Rogers, R., Gillard, N.D., Wooley, C.N., & Ross, C.A.. (2012). The detection of feigned disabilities : The effectiveness of the Personality Assessment Inventory in a traumatized inpatient sample. Assessment, 19, 77–88. https://doi.org/10.1177/1073191111422031.

    Article  Google Scholar 

  • Rogers, R., Sewell, K.W., Morey, L.C., & Ustad, K.L.  (1996). Detection of feigned mental disorders on the Personality Assessment Inventory: A discriminant analysis. Journal of Personality Assessment, 67, 629–640. https://doi.org/10.1207/s15327752jpa6703_15.

    Article  Google Scholar 

  • Scragg, P., Robert, B., & Mendham, M.-C. (2000). Feigning post-traumatic stress disorder on the PAI. Clinical Psychology & Psychotherapy, 7(2), 155–160. https://doi.org/10.1002/(SICI)1099-0879(200005)7:2<155:AID-CPP237>3.0.CO;2-Z.

    Article  Google Scholar 

  • Thomas, K. M., Hopwood, C. J., Orlando, M. J., Weathers, F. W., & McDevitt-Murphy, M. E. (2012). Detecting feigned PTSD using the personality assessment inventory. Psychological Injury and Law, 5(3–4), 192–201. https://doi.org/10.1007/s12207-011-9111-6.

    Article  Google Scholar 

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Correspondence to Leslie C. Morey.

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Leslie Morey is the author of the Personality Assessment Inventory and receives royalties from its sale. Duncan Russell declares that he has no conflict of interest.

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Russell, D.N., Morey, L.C. Use of Validity Indicators on the Personality Assessment Inventory to Detect Feigning of Post-traumatic Stress Disorder. Psychol. Inj. and Law 12, 204–211 (2019). https://doi.org/10.1007/s12207-019-09349-7

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