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Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder.
Psychiatry Res. 2008 Apr 15; 158(3):374-80.PR

Abstract

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).

Authors+Show Affiliations

Mental Health Service, Central Arkansas Veterans Healthcare System, Little Rock, AR 72205-5484, USA. THOMAS.FREEMAN@MED.VA.GOV <THOMAS.FREEMAN@MED.VA.GOV>No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18294699

Citation

Freeman, Thomas, et al. "Measuring Symptom Exaggeration in Veterans With Chronic Posttraumatic Stress Disorder." Psychiatry Research, vol. 158, no. 3, 2008, pp. 374-80.
Freeman T, Powell M, Kimbrell T. Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder. Psychiatry Res. 2008;158(3):374-80.
Freeman, T., Powell, M., & Kimbrell, T. (2008). Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder. Psychiatry Research, 158(3), 374-80. https://doi.org/10.1016/j.psychres.2007.04.002
Freeman T, Powell M, Kimbrell T. Measuring Symptom Exaggeration in Veterans With Chronic Posttraumatic Stress Disorder. Psychiatry Res. 2008 Apr 15;158(3):374-80. PubMed PMID: 18294699.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder. AU - Freeman,Thomas, AU - Powell,Melissa, AU - Kimbrell,Tim, Y1 - 2008/02/21/ PY - 2006/05/09/received PY - 2006/12/07/revised PY - 2007/04/06/accepted PY - 2008/2/26/pubmed PY - 2008/7/17/medline PY - 2008/2/26/entrez SP - 374 EP - 80 JF - Psychiatry research JO - Psychiatry Res VL - 158 IS - 3 N2 - 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). SN - 0165-1781 UR - https://www.unboundmedicine.com/medline/citation/18294699/Measuring_symptom_exaggeration_in_veterans_with_chronic_posttraumatic_stress_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(07)00111-4 DB - PRIME DP - Unbound Medicine ER -