Detection of feigned ADHD in college students.

摘要: Significant motivations and incentives exist for young-adult students to seek a diagnosis of attention-deficit/hyperactivity disorder (ADHD). With ADHD information readily accessible on the Internet, today's are likely be symptom educated prior evaluation. This may result in false-positive diagnoses, particularly when motivated convey symptoms. We evaluated utility checklists, neurocognitive tests, measures initially developed detect feigned or psychiatric dysfunction (symptom validity tests [SVTs]). The performance 31 undergraduates financially coached about via Internet-derived was compared that 29 following medication washout 14 not endorsing symptomatology. Results indicated malingerers produced ADHD-consistent profiles. Symptom including Rating Scale Conners's Adult Scale-Self-Rating Form: Long, were susceptible faking. Continuous Performance Test-II findings appeared more related motivation than condition. Promising results seen with all cognitive SVTs (Test Memory Malingering [TOMM], Digit Test, Letter Nonverbal-Medical Validity Test), TOMM Trial 1 scored using 2 criteria. All demonstrated very high specificity condition moderate sensitivity faking, which translated into positive predictive values at rising base rates feigning. Combining failures resulted only modest declines but robust specificity. point need thorough evaluation history, emotional functioning, consideration exaggerated symptomatology ADHD.