MEDLINE Journals

    Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder.


    Freeman T, Powell M, Kimbrell T 


    Psychiatry Res 2008 Apr 15; 158(3) :374-80.


    Veteran subjects with chronic, combat-related posttraumatic stress disorder (PTSD) are frequently used as research subjects in the study of PTSD. However, questions have consistently been raised regarding PTSD symptom exaggeration in veteran populations due to the relationship between PTSD symptoms and disability payments within the Veterans Affairs (VA) system. We used a variety of standardized forensic instruments frequently utilized in measuring symptom exaggeration - including the MMPI-2, the Structured Interview for Reported Symptoms (SIRS), the Structured Inventory of Malingered Symptomatology (SIMS), and the Miller Forensic Assessment Test (MFAST) - to examine symptom report in a group of veterans presenting for treatment at a VA residential PTSD treatment program. The majority of Vietnam veteran subjects in our study (53%) exhibited clear symptom exaggeration by SIRS criteria. Within the entire subject group, total SIRS scores correlated significantly with reported PTSD symptom severity as measured by the Clinician Administered PTSD Scale (CAPS).


    Chronic Disease
    Combat Disorders
    Forensic Psychiatry
    Life Change Events
    Middle Aged
    Patient Acceptance of Health Care
    Personality Inventory
    Psychiatric Status Rating Scales
    Residential Treatment
    Severity of Illness Index
    Stress Disorders, Post-Traumatic
    United States
    Veterans Disability Claims
    Vietnam Conflict



    Pub Type(s)

    Comparative Study Journal Article

    PubMed ID


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