Document Detail

Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder.
MedLine Citation:
PMID:  18294699     Owner:  NLM     Status:  MEDLINE    
Veteran subjects with chronic, combat-related posttraumatic stress disorder (PTSD) are frequently used as research subjects in the study of PTSD. However, questions have consistently been raised regarding PTSD symptom exaggeration in veteran populations due to the relationship between PTSD symptoms and disability payments within the Veterans Affairs (VA) system. We used a variety of standardized forensic instruments frequently utilized in measuring symptom exaggeration - including the MMPI-2, the Structured Interview for Reported Symptoms (SIRS), the Structured Inventory of Malingered Symptomatology (SIMS), and the Miller Forensic Assessment Test (MFAST) - to examine symptom report in a group of veterans presenting for treatment at a VA residential PTSD treatment program. The majority of Vietnam veteran subjects in our study (53%) exhibited clear symptom exaggeration by SIRS criteria. Within the entire subject group, total SIRS scores correlated significantly with reported PTSD symptom severity as measured by the Clinician Administered PTSD Scale (CAPS).
Thomas Freeman; Melissa Powell; Tim Kimbrell
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-02-21
Journal Detail:
Title:  Psychiatry research     Volume:  158     ISSN:  0165-1781     ISO Abbreviation:  Psychiatry Res     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-10     Completed Date:  2008-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7911385     Medline TA:  Psychiatry Res     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  374-80     Citation Subset:  IM    
Mental Health Service, Central Arkansas Veterans Healthcare System, Little Rock, AR 72205-5484, USA. THOMAS.FREEMAN@MED.VA.GOV <THOMAS.FREEMAN@MED.VA.GOV>
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MeSH Terms
Chronic Disease
Combat Disorders / diagnosis*,  psychology,  therapy
Forensic Psychiatry / methods
Life Change Events
MMPI / statistics & numerical data
Malingering / diagnosis*,  psychology
Middle Aged
Patient Acceptance of Health Care
Personality Inventory / statistics & numerical data
Psychiatric Status Rating Scales / statistics & numerical data
Residential Treatment
Severity of Illness Index
Stress Disorders, Post-Traumatic / diagnosis*,  psychology,  therapy
United States
Veterans / psychology*,  statistics & numerical data
Veterans Disability Claims / standards
Vietnam Conflict

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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