Validation of an abbreviated version of the structured interview of reported symptoms in outpatient psychiatric and community settings
Department of Psychiatry; Systems and Psychosocial Advances Research Center
Adult; Aged; *Ambulatory Care Facilities; Community Mental Health Services; Female; Forensic Psychiatry; Humans; *Interview, Psychological; Male; Malingering; Middle Aged
Behavior and Behavior Mechanisms | Community Psychology | Health Services Research | Law and Psychology | Medical Jurisprudence | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
This study examined the effectiveness of an abbreviated version of the Structured Interview of Reported Symptoms (SIRS-A) in identifying malingered mental illness. The SIRS-A is comprised of 69 items drawn from the SIRS (R. Rogers et al. 1992, SIRS: Structured Interview of Reported Symptoms: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc.), substantially reducing the administration time. A simulation design was used with three samples; 87 psychiatric outpatients who responded honestly were compared to 29 community-dwelling adults and 24 psychiatric patients instructed to malinger psychopathology. The SIRS-A generated sensitivity comparable to or exceeding that of the SIRS normative data, but specificity was poorer; many genuinely impaired patients were misclassified as malingering. Although these findings suggest the SIRS-A may be an effective means to assess malingering in psychiatric populations, further research assessing the reasons for the elevated false positive rates is necessary.
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Citation: Law Hum Behav. 2008 Apr;32(2):177-86. Epub 2007 Jun 9. Link to article on publisher's site
Law and human behavior
Green, Debbie; Rosenfeld, Barry; Dole, Tia; Pivovarova, Ekaterina; and Zapf, Patricia A., "Validation of an abbreviated version of the structured interview of reported symptoms in outpatient psychiatric and community settings" (2008). Systems and Psychosocial Advances Research Center Publications and Presentations. 671.