Symptom and performance validity with veterans assessed for attention-deficit/hyperactivity disorder (ADHD)
| Autor: | Jared A. Rowland, Holly M. Miskey, Robert D. Shura, John H. Denning |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology Malingering Psychometrics medicine.medical_treatment media_common.quotation_subject PsycINFO behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Test of Memory Malingering Minnesota Multiphasic Personality Inventory MMPI mental disorders medicine Attention deficit hyperactivity disorder Personality Humans 0501 psychology and cognitive sciences Brain Concussion media_common Veterans 05 social sciences Reproducibility of Results Middle Aged medicine.disease 030227 psychiatry Stimulant Psychiatry and Mental health Clinical Psychology Attention Deficit Disorder with Hyperactivity Female Psychology Neurocognitive Clinical psychology |
| Zdroj: | Psychological assessment. 29(12) |
| ISSN: | 1939-134X |
| Popis: | Little is known about attention-deficit/hyperactivity disorder (ADHD) in veterans. Practice standards recommend the use of both symptom and performance validity measures in any assessment, and there are salient external incentives associated with ADHD evaluation (stimulant medication access and academic accommodations). The purpose of this study was to evaluate symptom and performance validity measures in a clinical sample of veterans presenting for specialty ADHD evaluation. Patients without a history of a neurocognitive disorder and for whom data were available on all measures (n = 114) completed a clinical interview structured on DSM-5 ADHD symptoms, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), and the Test of Memory Malingering Trial 1 (TOMM1) as part of a standardized ADHD diagnostic evaluation. Veterans meeting criteria for ADHD were not more likely to overreport symptoms on the MMPI-2-RF nor to fail TOMM1 (score ≤ 41) compared with those who did not meet criteria. Those who overreported symptoms did not endorse significantly more ADHD symptoms; however, those who failed TOMM1 did report significantly more ADHD symptoms (g = 0.90). In the total sample, 19.3% failed TOMM1, 44.7% overreported on the MMPI-2-RF, and 8.8% produced both an overreported MMPI-2-RF and invalid TOMM1. F-r had the highest correlation to TOMM1 scores (r = -.30). These results underscore the importance of assessing both symptom and performance validity in a clinical ADHD evaluation with veterans. In contrast to certain other conditions (e.g., mild traumatic brain injury), ADHD as a diagnosis is not related to higher rates of invalid report/performance in veterans. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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