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首页> 外文期刊>Journal of psychopathology and behavioral assessment >The Effectiveness of the MMPI-2-RF in Detecting Feigned Mental Disorders and Cognitive Deficits: a Meta-Analysis
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The Effectiveness of the MMPI-2-RF in Detecting Feigned Mental Disorders and Cognitive Deficits: a Meta-Analysis

机译:MMPI-2-RF在检测假冒精神障碍和认知缺陷中的有效性:META分析

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摘要

A cornerstone of forensic assessments involves the assessment of response styles, including feigning and malingering. As a forensic relevant instrument (FRI), the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) contains embedded overreporting scales that cover the three major domains: feigned mental disorders (i.e., F-r and Fp-r), feigned cognitive impairment (RBS and FBS-r), and feigned medical complaints (Fs). This meta-analytic review of 30 studies examined the effectiveness of various detection strategies and cut scores for the MMPI-2-RF. As an important clinical concern, several feigning scales (F-r, FBS-r, and RBS) exhibited marked elevations (Ms > 80 T) for genuine responders diagnosed with major depressive or somatoform disorders. However, the Fp-r-a true rare-symptoms detection strategy-proved highly effective for discriminating feigned from genuine psychopathology (ds > .90). For feigned cognitive impairment, the FBS-r produced very large effect sizes with feigned TBI (M d = 1.41); however, its cut scores were more indicative of general feigning than feigned cognitive impairment. Finally, Fs yielded a large effect size (d = 1.23) for feigned medical complaints, but its cut scores were more likely to identify examinees feigning mental disorders (M sensitivity = .74) than medical complaints (M sensitivity = .43). These findings are discussed within the context of clinical forensic evaluations.
机译:法医评估的基石涉及评估反应风格,包括假扮和恶意。作为一种法医相关仪器(FRI),明尼苏达多相人格库存-2重组形式(MMPI-2-RF)包含覆盖三个主要领域的嵌入式过度级别:假装精神障碍(即FR和FP-R),假影认知障碍(RBS和FBS-R),以及假期的医疗投诉(FS)。该荟萃分析综述30项研究检测了各种检测策略的有效性,并为MMPI-2-RF切割得分。作为一个重要的临床关注,若干假期缩度(F-R,FBS-R和RBS)表现出显着的升高(MS> 80t),用于诊断出患有主要抑郁或躯体造型疾病的真正响应者。然而,FP-R-A真正的罕见症状检测策略 - 证明了从真正的精神病理学辨别(DS> .90)的歧视性高效。对于假日的认知障碍,FBS-R与假装TBI产生了非常大的效果尺寸(M D = 1.41);然而,它的削减得分比假期的认知障碍更为指示。最后,FS为假期的医疗投诉产生了很大的效果大小(d = 1.23),但其切割得分更容易识别假冒精神障碍(m敏感性= .74)的考生(m sensitive = .43)。这些发现是在临床法医评估的背景下讨论的。

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