Validation of an Abbreviated Version of the Structured Interview of Reported Symptoms in Outpatient Psychiatric and Community Settings |
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Authors: | Debbie Green Barry Rosenfeld Tia Dole Ekaterina Pivovarova Patricia A Zapf |
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Institution: | (1) Department of Psychology, Fordham University, 441 East Fordham Road, Bronx, NY 10458, USA;(2) John Jay College of Criminal Justice, New York, NY, USA |
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Abstract: | This study examined the effectiveness of an abbreviated version of the Structured Interview of Reported Symptoms (SIRS-A)
in identifying malingered mental illness. The SIRS-A is comprised of 69 items drawn from the SIRS (R. Rogers et al. 1992,
SIRS: Structured Interview of Reported Symptoms: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc.), substantially reducing the administration time. A simulation design
was used with three samples; 87 psychiatric outpatients who responded honestly were compared to 29 community-dwelling adults
and 24 psychiatric patients instructed to malinger psychopathology. The SIRS-A generated sensitivity comparable to or exceeding
that of the SIRS normative data, but specificity was poorer; many genuinely impaired patients were misclassified as malingering.
Although these findings suggest the SIRS-A may be an effective means to assess malingering in psychiatric populations, further
research assessing the reasons for the elevated false positive rates is necessary. |
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Keywords: | Malingering Dissimulation SIRS Forensic assessment Classification accuracy |
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