症状指导和症状效度测试:一项模拟研究,使用结构化的装病症状清单、自我报告症状清单和问题清单-29。

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology-Adult Pub Date : 2024-07-01 Epub Date: 2022-04-13 DOI:10.1080/23279095.2022.2057856
Irena Boskovic, Ali Yunus Emre Akca, Luciano Giromini
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引用次数: 0

摘要

在这项试点和探索性研究中,我们测试了三种自我报告症状有效性测试(SVT)对抑郁症症状辅导的稳健性,无论是否有互联网上的额外信息。具体来说,我们将样本(N = 193),从而使每个受试者接受受损症状结构化清单(SIMS;n = 64),自我报告症状量表(SRSI;n = 66),或问题清单-29(IOP-29;n = 63)。在三个亚组中,大约三分之一的参与者被要求诚实回答(真实情况,nSIMS=21;nSRSI=24;nIOP-29=26),大约三份之二的参与者被指示假装抑郁。一半的佯装者被呈现了一个小插曲,以提高他们对指令的依从性,并获得了关于抑郁症症状的信息(Coached Feigning,nSIMS=25;nSRSI=18;nIOP-29=21),另一半被给予了相同的小插曲和关于抑郁症症状,加上两个互联网链接,在完成测试前进行审查(互联网教练费宁,nSIMS=18;nSRSI=24;nIOP-29=16)。总体而言,结果显示,真实条件在所有三项指标上的总分最低,而两种假装条件之间没有显著差异。从所有伪装参与者的检测率来看,所有三项测量都显示出令人满意的结果,IOP-29的表现略好于SIMS,SIMS的表现略优于SRSI。互联网教练的飞人在所有三项指标上的得分都略低于没有互联网链接的飞人。总之,这项初步和探索性研究的结果表明,即使在有症状指导的情况下,无论有没有额外的基于互联网的信息,所有三项接受检查的SVT都对假装的抑郁症敏感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Symptom coaching and symptom validity tests: An analog study using the structured inventory of malingered symptomatology, Self-Report Symptom Inventory, and Inventory of Problems-29.

In this pilot and exploratory study, we tested the robustness of three self-report symptom validity tests (SVTs) to symptom coaching for depression, with and without additional information available on the Internet. Specifically, we divided our sample (N = 193) so that each subject received either the Structured Inventory of Malingered Symptomatology (SIMS; n = 64), the Self-Report Symptom Inventory (SRSI; n = 66), or the Inventory of Problems-29 (IOP-29; n = 63). Within each of the three subgroups, approximately one third of participants were instructed to respond honestly (Genuine Condition, nSIMS = 21; nSRSI = 24; nIOP-29 = 26) and approximately two-thirds were instructed to feign depression. One half of the feigners were presented with a vignette to increase their compliance with instructions and were given information about symptoms of depression (Coached Feigning, nSIMS = 25; nSRSI = 18; nIOP-29 = 21), and the other half were given the same vignette and information about symptoms of depression, plus two Internet links to review before completing the test (Internet-Coached Feigning, nSIMS = 18; nSRSI = 24; nIOP-29 = 16). Overall, the results showed that the genuine conditions yielded the lowest total scores on all three measures, while the two feigning conditions did not significantly differ from each other. Looking at the detection rates for all feigning participants, all three measures showed satisfactory results, with IOP-29 performing slightly better than SIMS and SIMS performing slightly better than SRSI. Internet-Coached Feigners scored slightly lower on all three measures than feigners who were coached without the Internet links. Taken together, the results of this preliminary and exploratory study suggest that all three SVTs examined are sensitive to feigned depression even in the presence of symptom coaching, both with and without additional Internet-based information.

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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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