Utility of the Personality Assessment Inventory for Detecting Malingered ADHD in College Students

J Atten Disord. 2016 Sep;20(9):763-74. doi: 10.1177/1087054714548031. Epub 2014 Sep 9.

Abstract

Objective: The purpose of the current study is to examine the utility of the Personality Assessment Inventory (PAI) for detecting feigned ADHD in college students.

Method: A sample of 238 undergraduate students was recruited and asked to simulate ADHD (ADHD simulators) or respond honestly (controls) on the PAI. Archival data (n = 541) from individuals diagnosed with clinical ADHD, no diagnosis, learning disorder, mood/anxiety, comorbid ADHD-mood/anxiety, or suspect effort were used.

Results: Few individuals scored above the cutoffs on PAI validity scales. When alternative cutoff scores were examined, cutoffs of ≥77 on the Negative Impression Management (NIM) scale, ≥3 on the Malingering Index (MAL), and ≥1 on the Rogers Discriminant Function (RDF) yielded excellent specificity in all groups and sensitivities of .33, .30, and .20, respectively.

Conclusion: Individuals who were asked to simulate ADHD easily manipulate the PAI; however, alternative cutoff scores proposed for PAI validity indices may improve the detection of feigned ADHD symptoms.

Keywords: Personality Assessment Inventory; adult ADHD; college students; comorbid psychopathology; malingering.

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • Anxiety Disorders / epidemiology
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Case-Control Studies
  • Comorbidity
  • Female
  • Humans
  • Learning Disabilities / epidemiology
  • Male
  • Malingering / diagnosis*
  • Malingering / epidemiology
  • Malingering / psychology*
  • Personality Assessment / statistics & numerical data*
  • Personality Inventory
  • Prospective Studies
  • Social Behavior
  • Students / psychology*
  • Surveys and Questionnaires* / standards
  • Young Adult