Smith, S.T., Cox, J., Mowle, E., & Edens, J.F. (2017). Intentional inattention: Detecting feigned Attention-Deficit/Hyperactivity Disorder on the Personality Assessment Inventory. Psychological Assessment, 29, 1447-1457.
Given the increasing number of college students seeking Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses as well as the potential secondary gains associated with this disorder (e.g., access to stimulant medication, academic accommodations), the detection of malingered symptom presentations in this population is a major concern. The present study examined the ability of validity indicators on the widely used Personality Assessment Inventory (PAI; Morey, 1991) to distinguish between individuals experiencing genuine ADHD symptoms and individuals instructed to present with ADHD symptomatology for secondary gain. Sixty-six participants who successfully simulated ADHD (based on elevations on the Conners’ Adult ADHD Rating Scale; Conners, Erhardt, & Sparrow, 1998) were compared with a sample of undergraduate students meeting diagnostic criteria for ADHD (N = 22) and an archival sample of adults who received an ADHD diagnosis at a university psychology clinic following a comprehensive psychological evaluation (N = 41). Successful simulators obtained significantly higher scores on all relevant PAI validity indicators compared with the clinical and archival comparison samples, with the Rogers Discriminant Function demonstrating the highest predictive accuracy (AUC = .86). Traditional cut scores on the Negative Impression (NIM) validity scale used to designate probable malingering, however, were not sensitive to simulated ADHD symptoms, although they did demonstrate excellent specificity. The PAI may be informative as an indicator of potentially exaggerated or malingered symptom presentation, but alternative cut scores for symptom validity indicators may be necessary to maximize its utility in these particular types of psychological evaluations.
3/18/2022 04:24:52 pm
It's awesome that this article talked about the importance of detecting the symptoms to find a solution for them. My cousin told me that she is planning to have an ADHD diagnostic assessment because of being unable to concentrate on tasks, and he asked if I have any idea where is the best option to consider. Thanks to this informative article and I'll be sure to tell her that it will be much better if she consults a trusted ADHD diagnostic assessment service in town as they can help provide proper treatment.
Leave a Reply.