Are Measures of Cognitive Effort and Motivation Useful in Differentiating Feigned from Genuine Psychiatric Symptoms?
Department of Psychiatry; Systems and Psychosocial Advances Research Center
Clinical Psychology | Health Services Research | Law and Psychology | Psychiatry | Psychiatry and Psychology
This study examined the accuracy of two measures of cognitive effort and motivation, the Test of Memory Malingering (TOMM; Tombaugh, 1996) and the Validity Indicator Profile Verbal subtest (VIP-V; Frederick, 2003) using a simulation study design with psychiatric patients (n = 88) and community participants instructed to feign mental illness (n = 29). Little research has evaluated either the TOMM or the VIP in psychiatric patients, a group that may be at an increased risk of misclassification, despite the common use of these measures by forensic evaluators to assess for malingering. Specificity for the TOMM (94.2%) and the VIP-V (71.6%) were somewhat lower than the original validation samples, but Sensitivity rates were mixed: lower for the TOMM (62.1%) but higher for the VIP-V (73.1%). Additionally, VIP-V indicators were examined using Receiver Operating Curve (ROC) and stepwise discriminant analyses. The implications of these results for forensic assessment are discussed.
Pivovarova, Ekaterina; Rosenfeld, Barry; Dole, Tia; Green, Debbie; and Zapf, Patricia A., "Are Measures of Cognitive Effort and Motivation Useful in Differentiating Feigned from Genuine Psychiatric Symptoms?" (2009). Systems and Psychosocial Advances Research Center Publications and Presentations. 684.