TY - JOUR
T1 - Apparent symptom overreporting in combat veterans evaluated for PTSD
AU - Frueh, B. Christopher
AU - Hamner, Mark B.
AU - Cahill, Shawn P.
AU - Gold, Paul B.
AU - Hamlin, Kasey L.
PY - 2000/10
Y1 - 2000/10
N2 - Psychometric studies have consistently shown that combat veterans evaluated for posttraumatic stress disorder (PTSD) appear to overreport psychopathology as exhibited by (a) extreme and diffuse levels of psychopathology across instruments measuring different domains of mental illness, and (b) extreme elevations on the validity scales of the MMPI-MMPI-2, in a 'fake-bad' direction. The phenomenon of this ubiquitous presentational style is not well understood at present. In this review we describe and delineate the assessment problem posed by this apparent symptom overreporting, and we review the literature regarding several potential explanatory factors. Finally, we address conceptual and practical issues relevant to reaching a better understanding of the phenomenon, and ultimately the clinical syndrome of combat-related PTSD, in both research and clinical settings. Copyright (C) 2000 Elsevier Science Ltd.
AB - Psychometric studies have consistently shown that combat veterans evaluated for posttraumatic stress disorder (PTSD) appear to overreport psychopathology as exhibited by (a) extreme and diffuse levels of psychopathology across instruments measuring different domains of mental illness, and (b) extreme elevations on the validity scales of the MMPI-MMPI-2, in a 'fake-bad' direction. The phenomenon of this ubiquitous presentational style is not well understood at present. In this review we describe and delineate the assessment problem posed by this apparent symptom overreporting, and we review the literature regarding several potential explanatory factors. Finally, we address conceptual and practical issues relevant to reaching a better understanding of the phenomenon, and ultimately the clinical syndrome of combat-related PTSD, in both research and clinical settings. Copyright (C) 2000 Elsevier Science Ltd.
KW - Combat
KW - MMP1
KW - PTSD
KW - Symptom overreporting
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U2 - 10.1016/S0272-7358(99)00015-X
DO - 10.1016/S0272-7358(99)00015-X
M3 - Article
C2 - 11057375
AN - SCOPUS:0033811160
SN - 0272-7358
VL - 20
SP - 853
EP - 885
JO - Clinical Psychology Review
JF - Clinical Psychology Review
IS - 7
ER -