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Detection of malingering in assessment of adult ADHD.

Comparisons of two assessment measures for ADHD: the ADHD Behavior Checklist and the Integrated Visual and Auditory Continuous Performance Test (IVA CPT) were examined using undergraduates (n=44) randomly assigned to a control or a simulated malingerer condition and undergraduates with a valid diagnosis of ADHD (n=16). It was predicted that malingerers would successfully fake ADHD on the rating scale but not on the CPT for which they would overcompensate, scoring lower than all other groups. Analyses indicated that the ADHD Behavior Rating Scale was successfully faked for childhood and current symptoms. IVA CPT could not be faked on 81% of its scales. The CPT's impairment index results revealed: sensitivity 94%, specificity 91%, PPP 88%, NPP 95%. Results provide support for the inclusion of a CPT in assessment of adult ADHD.

Adult↗

Detecting malingering on the WAIS-III. Unusual Digit Span performance patterns in the normal population and in clinical groups.

In several studies, suppressed Digit Span performance has been proposed as a potential marker for deliberately poor performance in a neuropsychological evaluation. The purpose of this study was to document Digit Span performance patterns in the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III; ) standardization sample and selected clinical groups. Base rate tables were generated for the Digit Span scaled score, longest span forward, longest span backward, and the Vocabulary-Digit Span difference score. Cut-off scores for suspecting negative response bias were proposed, and clinical case examples were used to illustrate these scores.

Adolescent↗

Malingering.

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Attitude of Health Personnel↗