Evaluating the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) over-reporting scales in a military neuropsychology clinic

Ingram, Paul B.; Golden, Brittney L.; Armistead-Jehle, Patrick

doi:10.1080/13803395.2019.1708271

Cited by 11 publications

(3 citation statements)

References 49 publications

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“…Several previous studies with different samples demonstrated that the latter two self-report based validity tests apparently measure the same construct (e.g., Merten et al, 2016. In contrast, associations between performance-based validity measures and self-report scales are usually only moderate or, in some studies, even absent (e.g., Grossi et al, 2017;Ingram et al, 2020;Whiteside et al, 2020). Performance validity and symptom validity appear to constitute two related but distinct concepts (Ord et al, 2021;van Dyke et al, 2013).…”

Section: Discussionmentioning

confidence: 95%

Motor Reaction Times as an Embedded Measure of Performance Validity: a Study with a Sample of Austrian Early Retirement Claimants

Czornik

Seidl

Tavakoli

et al. 2021

Psychol. Inj. and Law

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Among embedded measures of performance validity, reaction time parameters appear to be less common. However, their potential may be underestimated. In the German-speaking countries, reaction time is often examined using the Alertness subtest of the Test of Attention Performance (TAP). Several previous studies have examined its suitability for validity assessment. The current study was conceived to examine a variety of reaction time parameters of the TAP Alertness subtest with a sample of 266 Austrian civil forensic patients. Classification results from the Word Memory Test (WMT) were used as an external indicator to distinguish between valid and invalid symptom presentations. Results demonstrated that the WMT fail group performed worse in reaction time as well as its intraindividual variation across trials when compared to the WMT pass group. Receiver operating characteristic analyses revealed areas under the curve of .775–.804. Logistic regression models indicated the parameter intraindividual variation of motor reaction time with warning sound as being the best predictor for invalid test performance. Suggested cut scores yielded a sensitivity of .62 and a specificity of .90, or .45 and .95, respectively, when the accepted false-positive rate was set lower. The results encourage the use of the Alertness subtest as an embedded measure of performance validity.

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Section: Discussionmentioning

confidence: 95%

Motor Reaction Times as an Embedded Measure of Performance Validity: a Study with a Sample of Austrian Early Retirement Claimants

Czornik

Seidl

Tavakoli

et al. 2021

Psychol. Inj. and Law

View full text Add to dashboard Cite

show abstract

“…Yet, consistent with extant literature, classification accuracy was relatively low (i.e., AUCs all under 0.70), indicating MMPI-2-RF symptom validity scales should not be independently used to evaluate performance validity in neuropsychological evaluations. SVT elevations rates were also higher among those with invalid PVT performance, although a notable caveat is that MMPI-2-RF elevations are common even among validly performing patients, particularly for overreporting scales (Ingram et al, 2020). Part of this observed dissociation between SVTs and PVTs is that unlike PVTs, where a generally accepted threshold for invalidity has been established in the literature (i.e., ≥ 2 PVT fails; Larrabee, 2008;Rhoads et al, 2021), clearly delineated benchmarks have yet to be established for SVTs.…”

Section: Discussionmentioning

confidence: 95%

“…To date, prior studies examining general relationships between SVT and PVT performance have yielded equivocal findings. Similarly, some recent studies have also demonstrated that symptom and performance validity represent distinct constructs in the context of adult ADHD evaluations (e.g., Leib et al, 2021;White et al, 2022) and neuropsychological evaluations in Veteran Affairs (VA) settings (e.g., Bomyea et al, 2020;Ingram et al, 2019Ingram et al, , 2020Ord et al, 2021). For instance, Aase et al (2021) and Shura et al (2021) found that PVTs and SVTs were largely dissociable among post-deployment veterans with conditions including posttraumatic stress disorder (PTSD) and concussion/mild traumatic brain injury (TBI).…”

Section: Introductionmentioning

confidence: 99%

Comprehensive Analysis of MMPI-2-RF Symptom Validity Scales and Performance Validity Test Relationships in a Diverse Mixed Neuropsychiatric Setting

Boer

Phillips

Barwegen

et al. 2022

Psychol. Inj. and Law

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The utility of symptom (SVT) and performance (PVT) validity tests has been independently established in neuropsychological evaluations, yet research on the relationship between these two types of validity indices is limited to circumscribed populations and measures. This study examined the relationship between SVTs on the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and PVTs in a mixed neuropsychiatric setting. This cross-sectional study included data from 181 diagnostically and demographically diverse patients with neuropsychiatric conditions referred for outpatient clinical neuropsychological evaluation at an academic medical center. All patients were administered a uniform neuropsychological battery, including the MMPI-2-RF and five PVTs (i.e., Dot Counting Test; Medical Symptom Validity Test; Reliable Digit Span; Test of Memory Malingering-Trial 1; Word Choice Test). Nonsignificant associations emerged between SVT and PVT performance. Although the Response Bias Scale was most predictive of PVT performance, MMPI-2-RF SVTs generally had low classification accuracy for predicting PVT performance. Neuropsychological test performance was related to MMPI-2-RF SVT status only when overreporting elevations were at extreme scores. The current study further supports that SVTs and PVTs measure unique and dissociable constructs among diverse patients with neuropsychiatric conditions, consistent with literature from other clinical contexts. Therefore, objective evidence of symptom overreporting on MMPI-2-RF SVTs cannot be interpreted as definitively indicating invalid performance on tests of neurocognitive abilities. As such, clinicians should include both SVTs and PVTs as part of a comprehensive neuropsychological evaluation as they provide unique information regarding performance and symptom validity.

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Assessing Symptom Validity in Psychological Injury Evaluations Using the MMPI-2-RF and the PAI: an Updated Review

Fokas

Brovko

2020

Psychol. Inj. and Law

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Evaluating the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) over-reporting scales in a military neuropsychology clinic

Cited by 11 publications

References 49 publications

Motor Reaction Times as an Embedded Measure of Performance Validity: a Study with a Sample of Austrian Early Retirement Claimants

Motor Reaction Times as an Embedded Measure of Performance Validity: a Study with a Sample of Austrian Early Retirement Claimants

Comprehensive Analysis of MMPI-2-RF Symptom Validity Scales and Performance Validity Test Relationships in a Diverse Mixed Neuropsychiatric Setting

Assessing Symptom Validity in Psychological Injury Evaluations Using the MMPI-2-RF and the PAI: an Updated Review

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