Abstract
The current study examined the validity scales of the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Ben-Porath and Tellegen 2008) in relation to the structured malingering criteria developed to assess malingered neurocognitive dysfunction and pain-related disability. These criteria examined a sample of 251 individuals undergoing compensation-seeking evaluations, who completed a battery of response bias measures. The MMPI-2-RF over-reporting scales yielded large effect sizes in contrasting those in the probable/definite malingering groups from the incentive only groups. The largest effects were found for the Infrequent Responses and Gervais et al. (Assessment, 14, 196–208, 2007) Response Bias Scale, an experimental scale that can be scored on the MMPI-2-RF. Classification analyses were also utilized to examine various cut scores for the individual validity scales, as well as their use in combination. These results suggest that the MMPI-2-RF validity scales can be used to screen for malingering, as they exhibited good sensitivity at lower cutoffs. The implications of these results and their use in forensic evaluations are discussed.
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Notes
The MMPI-2-RF uses the subset of the MMPI-2 normative sample that was developed by Ben-Porath and Forbey (2003) to create non-gendered norms for the MMPI-2. This was done by including data from the entire 1,138 men in the MMPI-2 normative sample, as well as randomly selecting 1,138 women from the original 1,462 collected for the MMPI-2 normative sample. Tellegen and Ben-Porath (2008) illustrate the comparability between scores derived from both sets of the norms.
Eleven of the 251 participants (4%) claimed disability for both pain and neurocognitive impairment. In these cases, the participant was rated for both MND and MPRD. For 10 of these 11 participants, identical ratings were concluded based on each of the two malingering classification systems. One participant was rated as probable MPRD and possible MND. This individual was placed in the probable/definite malingering group for current analyses.
We initially calculated our analyses (MANOVA and classification accuracy) separately for MND and MPRD and found no significant differences between the groups. Therefore, in order to increase the sample sizes, we merged the groups. Results separately by malingering criteria are available upon request.
References
Alwes, Y. R., Clark, J. A., Berry, D. T. R., & Granacher, R. P. (2008). Screening for feigning in a civil forensic sample. Journal of Clinical and Experimental Neuropsychology, 30, 133–140.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., revised). American Psychiatric Association: Washington, DC.
Ashendorf, L., Constantinou, M., & McCaffrey, R. J. (2004). The effect of depression and anxiety on the TOMM in community-dwelling older adults. Archives of Clinical Neuropsychology, 19, 125–130.
Bagby, R. M., Rogers, R., Buis, T., & Kalemba, V. (1994). Malingered and defensive response styles on the MMPI-2: an examination of validity scales. Assessment, 1, 31–38.
Ben-Porath, Y. S., & Forbey, J. D. (2003). Non-gendered norms for the MMPI-2. Minneapolis: University of Minnesota Press.
Ben-Porath, Y. S., & Tellegen, A. (2008). The Minnesota Multiphasic Personality Inventory-2 Restructured Form: manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.
Berry, D. T. R., & Nelson, N. W. (2010). DSM-5 and malingering: a modest proposal. Psychological Injury and Law, 3, 295–303.
Bianchini, K. J., Mathias, C. W., & Greve, K. W. (2001). Symptom validity testing: a critical review. The Clinical Neuropsychologist, 15, 19–45.
Bianchini, K. J., Greve, K. W., & Glynn, G. (2005). Review article: on the diagnosis of malingered pain-related disability: lessons from cognitive malingering research. The Spine Journal, 5, 404–417.
Bianchini, K. J., Etherton, J. L., Greve, K. W., Heinly, M. T., & Meyers, J. E. (2008). Classification accuracy of the MMPI-2 in the detection of pain-related malingering. Assessment, 15, 435–449.
Bush, S. S., Ruff, R. M., Troster, A. I., Barth, J. T., Koffler, S. P., Pliskin, N. H., et al. (2005). Symptom validity assessment: practice issues and medical necessity NAN Policy & Planning Committee. Archives of Clinical Neuropsychology, 20, 419–426.
Butcher, J. N., Graham, J. R., Ben-Porath, Y. S., Tellegen, A., Dahlstrom, W. G., & Kaemmer, B. (2001). MMPI-2: Manual for administration and scoring (Rev. ed.). Minneapolis: University of Minnesota Press.
Curtis, K. L., Greve, K. W., Bianchini, K. J., & Brennan, A. (2006). California verbal learning test indicators of malingered neurocognitive dysfunction. Assessment, 13, 46–61.
Etherton, J. L., Bianchini, K. J., Greve, K. W., & Ciota, M. A. (2005). Test of memory malingering performance is unaffected by laboratory-induced pain: implications for clinical use. Archives of Clinical Neuropsychology, 20, 375–384.
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B., & Green, P. (2007). Development and validation of a Response Bias Scale (RBS) for the MMPI-2. Assessment, 14, 196–208.
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B., & Green, P. (2008). Differential sensitivity of the Response Bias Scale (RBS) and MMPI-2 validity scales to memory complaints. The Clinical Neuropsychologist, 22, 1061–1079.
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B., & Sellbom, M. (2010). Incremental validity of the MMPI-2-RF over-reporting scales and RBS in assessing the veracity of memory complaints. Archives of Clinical Neuropsychology, 25, 274–284.
Greve, K. W., Bianchini, K. J., Love, J. M., Brennan, A., & Heinly, M. T. (2006). Sensitivity and specificity of MMPI-2 validity scale and indicators to malingered neurocognitive dysfunction in traumatic brain injury. The Clinical Neuropsychologist, 20, 491–512.
Greve, K. W., Ord, J. S., Bianchini, K. J., & Curtis, K. L. (2009). Prevalence of malingering in patients with chronic pain referred for psychologic evaluation in a medico-legal context. Archives of Physical Medicine and Rehabilitation, 90, 1117–1126.
Guy, L., & Miller, H. (2004). Screening for malingered psychopathology in a correctional setting: utility of the Miller-Forensic Assessment of Symptoms Test (M-FAST). Criminal Justice and Behavior, 31, 695–716.
Heilbronner, R. L., Sweet, J. J., Morgan, J. E., Larrabee, G. J., Millis, S. R., & Participants, C. (2009). American academy of clinical neuropsychology consensus conference statement on the neuropsychological assessment of effort, response bias, and malingering. The Clinical Neuropsychologist, 23, 1093–1129.
Inman, T. H., Vickery, C. D., Berry, D. T. R., Lamb, D. G., Edwards, C. L., & Smith, G. T. (1998). Development and initial validation of a new procedure for evaluating adequacy of effort given during neuropsychological testing: the letter memory test. Psychological Assessment, 10, 128–139.
Iverson, G. L., & Franzen, M. D. (1994). The recognition memory test, digit span, and knox cube test as markers of malingered memory impairment. Assessment, 1, 323–334.
Larrabee, G. J. (2003). Exaggerated MMPI-2 symptom report in personal injury litigants with malingered neurocognitive deficit. Archives of Clinical Neuropsychology, 18, 673–686.
Lees-Haley, P. R., English, L. T., & Glenn, W. J. (1991). A fake bad scale on the MMPI-2 for personal injury claimants. Psychological Reports, 68, 203–210.
Locke, D. E. C., Kirlin, K. A., Thomas, M. L., Osborne, D., Hurst, D. F., Drazkowski, J. F., et al. (2010). The Minnesota multiphasic personality inventory-2-restructured form in the epilepsy monitoring unit. Epilepsy & Behavior, 17, 252–258.
Main, C. J. (1983). The Modified Somatic Perception Questionnaire (MSPQ). Journal of Psychosomatic Research, 27, 503–514.
Miller, H. A. (2001). M-FAST: Miller Forensic Assessment of Symptoms Test professional manual. Odessa: Psychological Assessment Resources, Inc.
Miller, H. (2004). Examining the use of the M-FAST with criminal defendants incompetent to stand trial. International Journal of Offender Therapy and Comparative Criminology, 48, 268–280.
Mittenberg, W., Patton, C., Canyock, E. M., & Condit, D. C. (2002). Base rates of malingering and symptom exaggeration. Journal of Clinical and Experimental Neuropsychology, 24, 1094–1102.
Nelson, N. W., Sweet, J. J., Berry, D. T. R., Bryant, F. B., & Granacher, R. P. (2007). Response validity in forensic neuropsychology: exploratory factor analytic evidence of distinct cognitive and psychological constructs. Journal of the International Neuropsychological Society, 13, 440–449.
Rees, L. M., Tombaugh, T. N., Gansler, D. A., & Moczynski, N. P. (1998). Five validation experiments of the Test of Memory Malingering (TOMM). Psychological Assessment, 10, 10–20.
Rees, L. M., Tombaugh, T. N., & Boulay, L. (2001). Depression and the test of memory malingering. Archives of Clinical Neuropsychology, 16, 501–506.
Rogers, R. (2001). Handbook of diagnostic and structured interviewing. New York: The Guilford Press.
Rogers, R. (2008). Clinical assessment of malingering and deception (3rd ed.). New York: The Guilford Press.
Rogers, R., Bagby, R. M., & Dickens, S. E. (1992). Structured interview of reported symptoms: professional manual. Odessa: Psychological Assessment Resources.
Rogers, R., Payne, J., Berry, D., & Granacher, R. (2009). Use of the SIRS in compensation cases: an examination of its validity and generalizability. Law and Human Behavior, 33, 213–224.
Sellbom, M., & Bagby, R. M. (2010). The detection of over-reported psychopathology with the MMPI-2-RF (restructured form) validity scales. Psychological Assessment, 22, 757–767.
Sellbom, M., Toomey, J. A., Wygant, D. B., Kucharski, L. T., & Duncan, S. A. (2010). Utility of the MMPI-2-RF (restructured form) validity scales in detecting malingering in a criminal forensic setting: a known-groups design. Psychological Assessment, 22, 22–31.
Slick, D., Hopp, G., Strauss, E., Hunter, M., & Pinch, D. (1994). Detecting dissimulation: profiles of simulated malingerers, traumatic brain injury patients, and normal controls on a revised version of Hiscock and Hiscock’s forced choice memory test. Journal of Clinical and Experimental Neuropsychology, 16, 472–481.
Slick, D., Hopp, G., Strauss, E., & Thompson, G. B. (1997). Victoria symptom validity test version 1.0 professional manual. Odessa: Psychological Assessment Resources.
Slick, D. J., Sherman, E. M. S., & Iverson, G. L. (1999). Forum: diagnostic criteria for malingered neurocognitive dysfunction: proposed standards for clinical practice and research. The Clinical Neuropsychologist, 13, 545–561.
Smart, C. M., Nelson, N. W., Sweet, J. J., Bryant, F. B., Berry, D. T., Granacher, R. P., et al. (2008). Use of MMPI-2 to predict cognitive effort: a hierarchically optimal classification tree analysis. Journal of the International Neuropsychological Society, 14, 842–852.
Tellegen, A., & Ben-Porath, Y. S. (2008). The Minnesota Multiphasic Personality Inventory-2 restructured form: technical manual. Minneapolis: University of Minnesota Press.
Tombaugh, T. N. (1996). Test of Memory Malingering (TOMM). New York: Multi- Health Systems Inc.
Ustad, K. L. (1998). Assessment of malingering in a jail referral population: screening and comprehensive evaluation. Unpublished doctoral dissertation. Denton: University of North Texas.
Van Der Heijden, P. T., Egger, J. I. M., & Derksen, J. J. L. (2010). Comparability of scores on the MMPI-2-RF scales generated with the MMPI-2 and MMPI-2-RF booklets. Journal of Personality Assessment, 92, 254–259.
Vitacco, M. J., Rogers, R., Gabel, J., & Munizza, J. (2007). An evaluation of malingering screens with competency to stand trial patients: a known-groups comparison. Law and Human Behavior, 31, 249–260.
Waddell, G., McCulloch, J. A., & Kummel, E. (1980). Nonorganic physical signs in low-back pain. Spine, 5, 117–125.
Walters, G. D., Berry, D. T. R., Lanyon, R., & Murphy, M. (2009a). Are exaggerated health complaints continuous or categorical? A taxometric analysis of the health problem overstatement scale. Psychological Assessment, 21, 219–226.
Walters, G. D., Berry, D. T. R., Rogers, R., Payne, J. W., & Granacher, R. P. (2009b). Feigned neurocognitive deficit: taxon or dimension? Journal of Clinical and Experimental Neuropsychology, 31, 584–593.
Whitney, K. A., Davis, J. J., Shepard, P. H., & Herman, S. M. (2008). Utility of the response bias scale and other MMPI-2 validity scales in predicting TOMM performance. Archives of Clinical Neuropsychology, 23, 777–786.
Widows, M. R., & Smith, G. P. (2005). Structured inventory of malingered symptomatology. Odessa: Psychological Assessment Resources, Inc.
Wisdom, N., Callahan, J., & Shaw, T. (2010). Diagnostic utility of the structured inventory of malingered symptomatology to detect malingering in a forensic sample. Archives of Clinical Neuropsychology, 25, 118–125.
Wygant, D. B., Sellbom, M., Ben-Porath, Y. S., Stafford, K. P., Freeman, D. B., & Heilbronner, R. L. (2007). The relation between symptom validity testing and MMPI-2 scores as a function of forensic evaluation context. Archives of Clinical Neuropsychology, 22, 489–499.
Wygant, D. B., Ben-Porath, Y. S., Arbisi, P. A., Berry, D. T. R., Freeman, D. B., & Heilbronner, R. L. (2009). Examination of the MMPI-2 restructured form (MMPI-2-RF) validity scales in civil forensic settings: findings from simulation and known group samples. Archives of Clinical Neuropsychology, 24, 671–680.
Wygant, D. B., Sellbom, M., Gervais, R. O., Ben-Porath, Y. S., Stafford, K. P., Freeman, D. B., et al. (2010). Further validation of the MMPI-2 and MMPI-2-RF response bias scale: findings from disability and criminal forensic settings. Psychological Assessment, 22, 745–756.
Yanez, Y. T., Fremouw, W., Tennant, J., Strunk, J., & Coker, K. (2006). Effects of severe depression on TOMM performance among disability-seeking outpatients. Archives of Clinical Neuropsychology, 21, 161–165.
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Dustin B. Wygant, Jaime L. Anderson, Leslie M. Allgeier, and Jesica L. Rapier, Department of Psychology, Eastern Kentucky University; Martin Sellbom, Department of Psychology, The University of Alabama; Robert P. Granacher, Lexington Forensic Neuropsychiatry, Lexington, Kentucky; Martin Sellbom receives research grants from the MMPI-2-RF publisher, the University of Minnesota Press.
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Wygant, D.B., Anderson, J.L., Sellbom, M. et al. Association of the MMPI-2 Restructured Form (MMPI-2-RF) Validity Scales with Structured Malingering Criteria. Psychol. Inj. and Law 4, 13–23 (2011). https://doi.org/10.1007/s12207-011-9098-z
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DOI: https://doi.org/10.1007/s12207-011-9098-z