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J Atten Disord ; 13(4): 325-38, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19439760

ABSTRACT

OBJECTIVE: The authors examined the ability of college students to simulate ADHD symptoms on objective and self-report measures and the relationship between knowledge of ADHD and ability to simulate ADHD. METHOD: Undergraduate students were assigned to a control or a simulated ADHD malingering condition and compared with a clinical AD/HD group. The authors used several clinical attentional measures and symptom validity tests to differentiate experimental groups via a series of multivariate procedures. RESULTS: Simulators successfully feigned ADHD symptoms on a retrospective self-report measure. Moreover, knowledge of ADHD was unrelated to objective attentional measure performance. Overall, participants who simulated ADHD on some objective measures (i.e., specific Wechsler Adult Intelligence Scale-III [WAIS-III] subtests) showed similar performance to the clinical ADHD comparison sample. CONCLUSION: The implications of these findings highlight the importance of relying on multiple vectors of information, be it objective, observational, self-report, or reports by others, when diagnosing ADHD and assessing factors related to potential secondary gain.


Subject(s)
Attention Deficit Disorder with Hyperactivity/diagnosis , Attention/physiology , Malingering/diagnosis , Patient Simulation , Students , Adolescent , Adult , Analysis of Variance , Diagnosis, Differential , Female , Humans , Male , Multivariate Analysis , Neuropsychological Tests , Patient Selection , Psychiatric Status Rating Scales , Self-Assessment , Surveys and Questionnaires , Universities , Wechsler Scales
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