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Compensation-seeking and extreme exaggeration of psychopathology among combat veterans evaluated for posttraumatic stress disorder.
J Nerv Ment Dis. 1999 Nov; 187(11):680-4.JN

Abstract

We extended the work of Smith and Frueh (1996) by evaluating whether combat veterans classified as "extreme exaggerators" were more likely to be compensation-seeking, and to report greater levels of psychopathology across self-report instruments than "nonexaggerators." Of 119 veterans who completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) at an outpatient posttraumatic stress disorder (PTSD) clinic, 26 (22%) and 17 (14%) were identified as extreme exaggerators using two MMPI-2 validity indicators with stringent cutoffs (F-K > or = 22; F(p) > or = 8). These veterans were much more likely to be compensation seeking and scored much higher on self-report measures of various psychological symptoms than nonexaggerators, despite having lower rates of PTSD diagnoses and similar rates of other comorbid diagnoses. Findings suggest that the validity indices of the MMPI-2 can play a critical role, as a screening instrument, in identifying veterans who may be exaggerating their psychopathology to gain disability compensation.

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Authors+Show Affiliations

Gold PB
Mental Health Service (116), Veterans Affairs Medical Center, Charleston, South Carolina 29401-5799, USA.
Frueh BC
No affiliation info available

MeSH

AdultCombat DisordersComorbidityDeceptionHumansMMPIMalingeringMental DisordersMiddle AgedPersonality InventoryPsychiatric Status Rating ScalesPsychometricsReproducibility of ResultsVeterans

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10579596

Citation

Gold, P B., and B C. Frueh. "Compensation-seeking and Extreme Exaggeration of Psychopathology Among Combat Veterans Evaluated for Posttraumatic Stress Disorder." The Journal of Nervous and Mental Disease, vol. 187, no. 11, 1999, pp. 680-4.
Gold PB, Frueh BC. Compensation-seeking and extreme exaggeration of psychopathology among combat veterans evaluated for posttraumatic stress disorder. J Nerv Ment Dis. 1999;187(11):680-4.
Gold, P. B., & Frueh, B. C. (1999). Compensation-seeking and extreme exaggeration of psychopathology among combat veterans evaluated for posttraumatic stress disorder. The Journal of Nervous and Mental Disease, 187(11), 680-4.
Gold PB, Frueh BC. Compensation-seeking and Extreme Exaggeration of Psychopathology Among Combat Veterans Evaluated for Posttraumatic Stress Disorder. J Nerv Ment Dis. 1999;187(11):680-4. PubMed PMID: 10579596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Compensation-seeking and extreme exaggeration of psychopathology among combat veterans evaluated for posttraumatic stress disorder. AU - Gold,P B, AU - Frueh,B C, PY - 1999/12/1/pubmed PY - 1999/12/1/medline PY - 1999/12/1/entrez SP - 680 EP - 4 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 187 IS - 11 N2 - We extended the work of Smith and Frueh (1996) by evaluating whether combat veterans classified as "extreme exaggerators" were more likely to be compensation-seeking, and to report greater levels of psychopathology across self-report instruments than "nonexaggerators." Of 119 veterans who completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) at an outpatient posttraumatic stress disorder (PTSD) clinic, 26 (22%) and 17 (14%) were identified as extreme exaggerators using two MMPI-2 validity indicators with stringent cutoffs (F-K > or = 22; F(p) > or = 8). These veterans were much more likely to be compensation seeking and scored much higher on self-report measures of various psychological symptoms than nonexaggerators, despite having lower rates of PTSD diagnoses and similar rates of other comorbid diagnoses. Findings suggest that the validity indices of the MMPI-2 can play a critical role, as a screening instrument, in identifying veterans who may be exaggerating their psychopathology to gain disability compensation. SN - 0022-3018 UR - https://www.unboundmedicine.com/medline/citation/10579596/Compensation_seeking_and_extreme_exaggeration_of_psychopathology_among_combat_veterans_evaluated_for_posttraumatic_stress_disorder_ L2 - https://doi.org/10.1097/00005053-199911000-00005 DB - PRIME DP - Unbound Medicine ER -