Abstract
The Structured Inventory of Malingered Symptomatology (SIMS) is a measure of impression management that covers a range of symptomatology through 75 items and five scales, some of which are particularly relevant for cognitive evaluations. The aims of the current projects were to (1) reduce the length of the SIMS to the items most predictive of symptom validity on the Minnesota Multiphasic Inventory-2-RF, (2) explore the factor structure of the remaining items, and (3) test the degree to which the final scale identifies individuals with inadequate performance validity. The sample consisted of 249 veterans referred for outpatient neuropsychological assessment and completed the SIMS, most of whom also completed the MMPI-2-RF and measures of performance validity. Results identified items from the Neurological Injury (11 items) and Amnestic Disorders scales (8 items) that were most strongly related to its theoretically consistent MMPI-2-RF scales and that two distinct factors corresponding to the original scales were identified on factor analysis. The revised subscales correlated at r = 0.55, and each scale had acceptable internal consistency (α = 0.76–0.84), and the Amnestic and Total Revised SIMS were adequately able to identify individuals failing measures of performance validity. The reliability and validity of the SIMS for Neuropsychological Settings (SIMS-NS) and its Amnestic subscale, despite its brevity, were practically psychometrically equivalent to the original SIMS and one prior short form of the test.
Similar content being viewed by others
Data Availability
Not applicable.
References
Babikian, T., Boone, K. B., Lu, P., & Arnold, G. (2006). Sensitivity and specificity of various digit span scores in the detection of suspect effort. The Clinical Neuropsychologist, 20(1), 145–159. https://doi.org/10.1080/13854040590947362.
Bianchini, K. J., Mathias, C. W., & Greve, K. W. (2001). Symptom validity testing: a critical review. The Clinical Neuropsychologist, 15(1), 19–45.
Ben-Porath, Y. S., & Tellegen, A. (2011). The Minnesota multiphasic personality inventory -2 Restructured form: Manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota Press.
Benge, J. F., Wisdom, N. M., Collins, R. L., Franks, R., LeMaire, A., & Chen, D. K. (2012). Diagnostic utility of the structured inventory of malingered symptomatology for identifying psychogenic non-epileptic events. Epilepsy & Behavior, 24(4), 439–444.
Boone, K., Lu, P., & Herzberg, D. (2002). The dot counting test. WPS publishing.
Edens, J. F., Truong, T. N., & Otto, R. K. (2020). Classification accuracy of the rare symptoms and symptom combinations scales of the structured inventory of malingered symptomatology in three archival samples. Law and Human Behavior, 44(2), 167–177. https://doi.org/10.1037/lhb0000361.
Green, P. (2003). Green’s Word Memory Test for windows: User’s manual. Edmonton, Canada: Green’s Publishing.
Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York, NY: Wiley.
Larrabee, G. J. (2012). Performance validity and symptom validity in neuropsychological assessment. Journal of the International Neuropsychological Society, 18, 625–631. https://doi.org/10.1017/S1355617712000240.
Malcore, S., Schutte, C., Dyke, S., & Axelrod, B. (2015). The development of a reduced-item structured inventory of malingered symptomatology (SIMS). Psychological Injury and Law, 8(2), 95–99. https://doi.org/10.1007/s12207-015-9214-6.
Mazza, C., Orru, G., Burla, F., Monaro, M., Ferracuti, S., Colasanti, M., & Roma, P. (2019). Indicators to distinguish symptom accentuators from symptom producers in individuals with a diagnosed adjustment disorder: a pilot study on inconsistency subtypes using SIMS and MMPI-2-RF. PLoS One, 14, e0227113. https://doi.org/10.1371/journal.pone.0227113.
Merckelbach, H., & Smith, G. P. (2003). Diagnostic accuracy of the structured inventory of malingered symptomatology (SIMS) in detecting instructed malingering. Archives of Clinical Neuropsychology, 18(2), 145–152.
Parks, A. C. Gfeller, J., Emmert, N., & Lammert, H. (2016). Detecting feigned postconcussional and posttraumatic stress symptoms with the structured inventory of malingered symptomatology (SIMS). Applied Neuropsychology: Adult. https://doi.org/10.1080/23279095.2016.1189426
Pearson. (2009). Advanced clinical solutions for the WAIS-IV and WMS-IV: Clinical and interpretive manual. San Antonio, TX: Pearson.
Rabin, L. A., Paolillo, E., & Barr, W. B. (2016). Stability in test-usage practices of clinical neuropsychologists in the United States and Canada over a 10-year period: a follow-up survey of INS and NAN members. Archives of Clinical Neuropsychology, 31(3), 206–230. https://doi.org/10.1093/arclin/acw007.
Randolph, C. (1998). Repeatable battery for the assessment of neuropsychological status manual. San Antonio, TX: The Psychological Corporation.
Randolph, C. (2012). Repeatable battery for the assessment of neuropsychological status update. San Antonio, TX: The Psychological Corporation.
Rogers, R., Robinson, E. V., & Gillard, N. D. (2014). The SIMS screen for feigned mental disorders: the development of detection-based scales. Behavioral Sciences & the Law, 32(4), 455–466.
Silverberg, N. D., Wertheimer, J. C., & Fichtenberg, N. L. (2007). An effort index for the repeatable battery for the assessment of neuropsychological status (RBANS). The Clinical Neuropsychologist, 21(5), 841–854. https://doi.org/10.1080/13854040600850958.
Smith, G. P., & Burger, G. K. (1997). Detection of malingering: validation of the structured inventory of malingered symptomatology (SIMS). Journal of the American Academy of Psychiatry and the Law, 25(2), 183–189.
Spencer, R. J., Axelrod, B. N., Drag, L. L., Waldron-Perrine, B., Pangilinan, P. H., & Bieliauskas, L. A. (2013). WAIS-IV reliable digit span is no more accurate than age corrected scaled score as an indicator of invalid performance in a veteran sample undergoing evaluation for mTBI. The Clinical Neuropsychologist, 27(8), 1362–1372. https://doi.org/10.1080/13854046.2013.845248.
Spencer, R. J., Waldron-Perrine, B., Drag, L. L., Pangilinan, P. H., Axelrod, B. N., & Bieliauskas, L. A. (2017). Neuropsychological test validity in veterans presenting with subjective complaints of ‘very severe’ cognitive symptoms following mild traumatic brain injury. Brain Injury, 31(1), 32–38. https://doi.org/10.1080/02699052.2016.1218546.
Tombaugh, T. N. (1996). Test of memory malingering: TOMM. New York, NY: MHS Publishing.
van Beilen, M., Griffioen, B. T., Gross, A., & Leenders, K. L. (2009). Psychological assessment of malingering in psychogenic neurological disorders and non-psychogenic neurological disorders: relationship to psychopathology levels. European Journal of Neurology, 16(10), 1118–1123.
van Impelen, A., Merckelbach, H., Jelicic, M., & Merten, T. (2014). The structured inventory of malingered symptomatology (SIMS): a systematic review and meta-analysis. The Clinical Neuropsychologist, 28(8), 1336–1365.
Wechsler, D. (2008). Wechsler adult intelligence scale – Fourth edition (WAIS-IV). San Antonio, TX: The Psychological Corporation.
Widows, M. R., & Smith, G. P. (2005). Structured inventory of malingered symptomatology: Professional manual. Lutz, FL: Psychological Assessment Resources.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Disclaimer
This work was authored as part of the contributor’s official duties as an employee of the US Government and is therefore a work of the US Government. In accordance with 17 U. S. C 105, no copyright protection is available for such works under US Law.
Conflict of Interest
The authors declare that they have no conflicts of interest.
Ethics Approval
The study was approved by the facility’s IRB.
Consent to Participate
The participants consented to their clinical data being used for research purposes.
Consent for Publication
Not applicable.
Code Availability
Not Applicable
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Spencer, R.J., Gradwohl, B.D. & Kordovski, V.M. Initial Validation of Short Forms of the SIMS for Neuropsychological Evaluations. Psychol. Inj. and Law 14, 37–45 (2021). https://doi.org/10.1007/s12207-020-09394-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12207-020-09394-7