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Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status.
J Pers Assess. 1997 Apr; 68(2):369-84.JP

Abstract

We examined the role of compensation-seeking status on response patterns to self-report inventories of acute psychopathology and psychological distress in a group of 165 combat veterans evaluated for posttraumatic stress disorder (PTSD) at a Department of Veteran Affairs (VA) Medical Center. Veterans completed the Minnesota Multiphasic Personality Inventory-Revised, Beck Depression Inventory, Mississippi Scale for Combat-Related PTSD, a fixed-response format version of the Dissociative Experiences Scale, and Impact of Events Scale as part of a standard assessment battery. Results showed that compensation-seeking veterans endorsed dramatically higher levels of psychopathology across measures and produced sharply elevated "fake-bad" validity indices as compared to non-compensation-seeking veterans. Differences between the two groups on most scales and indices exceeded effect sizes of 1.0, even when effects of income, global assessment of functioning, and clinician-rated severity of PTSD were controlled for. It is suggested that the availability of VA disability compensation for combat-related PTSD impedes accurate initial assessment of veterans presenting for treatment and may impair estimation of long-term therapeutic outcome in this population.

Authors+Show Affiliations

Frueh BC
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Veterans Affairs Medical Center, Charleston, USA.
Gold PB
No affiliation info available
de Arellano MA
No affiliation info available

MeSH

BiasCase-Control StudiesCombat DisordersHumansInsurance, DisabilityMMPIMalingeringMass ScreeningMiddle AgedPsychiatric Status Rating ScalesSensitivity and SpecificityVeterans

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9107014

Citation

Frueh, B C., et al. "Symptom Overreporting in Combat Veterans Evaluated for PTSD: Differentiation On the Basis of Compensation Seeking Status." Journal of Personality Assessment, vol. 68, no. 2, 1997, pp. 369-84.
Frueh BC, Gold PB, de Arellano MA. Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status. J Pers Assess. 1997;68(2):369-84.
Frueh, B. C., Gold, P. B., & de Arellano, M. A. (1997). Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status. Journal of Personality Assessment, 68(2), 369-84.
Frueh BC, Gold PB, de Arellano MA. Symptom Overreporting in Combat Veterans Evaluated for PTSD: Differentiation On the Basis of Compensation Seeking Status. J Pers Assess. 1997;68(2):369-84. PubMed PMID: 9107014.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptom overreporting in combat veterans evaluated for PTSD: differentiation on the basis of compensation seeking status. AU - Frueh,B C, AU - Gold,P B, AU - de Arellano,M A, PY - 1997/4/1/pubmed PY - 1997/4/1/medline PY - 1997/4/1/entrez SP - 369 EP - 84 JF - Journal of personality assessment JO - J Pers Assess VL - 68 IS - 2 N2 - We examined the role of compensation-seeking status on response patterns to self-report inventories of acute psychopathology and psychological distress in a group of 165 combat veterans evaluated for posttraumatic stress disorder (PTSD) at a Department of Veteran Affairs (VA) Medical Center. Veterans completed the Minnesota Multiphasic Personality Inventory-Revised, Beck Depression Inventory, Mississippi Scale for Combat-Related PTSD, a fixed-response format version of the Dissociative Experiences Scale, and Impact of Events Scale as part of a standard assessment battery. Results showed that compensation-seeking veterans endorsed dramatically higher levels of psychopathology across measures and produced sharply elevated "fake-bad" validity indices as compared to non-compensation-seeking veterans. Differences between the two groups on most scales and indices exceeded effect sizes of 1.0, even when effects of income, global assessment of functioning, and clinician-rated severity of PTSD were controlled for. It is suggested that the availability of VA disability compensation for combat-related PTSD impedes accurate initial assessment of veterans presenting for treatment and may impair estimation of long-term therapeutic outcome in this population. SN - 0022-3891 UR - https://www.unboundmedicine.com/medline/citation/9107014/Symptom_overreporting_in_combat_veterans_evaluated_for_PTSD:_differentiation_on_the_basis_of_compensation_seeking_status_ DB - PRIME DP - Unbound Medicine ER -