The Detection of ADHD and Malingering in Young Adults.
Degree: PhD, Psychology, 2018, Syracuse University
Over the past 20 years, an increasing number of adults and college students have
self-referred for ADHD evaluations. With the rise in adult ADHD evaluations, there has
been increased concern that a proportion of these adults may be malingering the symptoms
of ADHD to receive external incentives such as academic accommodations and stimulant
medications. Research supports the use of well-validated measures to classify
malingering in non-ADHD populations, yet all available validity tests have insufficient
research to support their usage to detect this population. The present study
investigated the ability of the Multidimensional ADHD Rating Scale (MARS) and two
published validity tests (Word Memory Test and CAT-A Infrequency scale) to detect a
group of non-ADHD college students instructed to feign ADHD, and to differentiate ADHD
from non-ADHD cases. Results found that the MARS Symptom Validity Index demonstrated
higher sensitivity rates for simulated malingering (75.4%) at close to optimal
specificity (86.8%) compared to two published tests (sensitivity < 50%). The MARS
Total Symptom index differentiated ADHD from non-ADHD cases with high sensitivity
(87.1%). The study provides additional support for the effectiveness of the MARS
symptom, impairment, and symptom validity indices to detect simulated cases of
malingering, and to differentiate ADHD from non-ADHD cases.
Advisors/Committee Members: Lawrence Lewandowski.
Subjects/Keywords: ADHD; College Students; Feigned ADHD; Malingering; Validity test; Social and Behavioral Sciences
to Zotero / EndNote / Reference
APA (6th Edition):
Potts, H. (2018). The Detection of ADHD and Malingering in Young Adults. (Doctoral Dissertation). Syracuse University. Retrieved from https://surface.syr.edu/etd/932
Chicago Manual of Style (16th Edition):
Potts, Heather. “The Detection of ADHD and Malingering in Young Adults.” 2018. Doctoral Dissertation, Syracuse University. Accessed October 16, 2018.
MLA Handbook (7th Edition):
Potts, Heather. “The Detection of ADHD and Malingering in Young Adults.” 2018. Web. 16 Oct 2018.
Potts H. The Detection of ADHD and Malingering in Young Adults. [Internet] [Doctoral dissertation]. Syracuse University; 2018. [cited 2018 Oct 16].
Available from: https://surface.syr.edu/etd/932.
Council of Science Editors:
Potts H. The Detection of ADHD and Malingering in Young Adults. [Doctoral Dissertation]. Syracuse University; 2018. Available from: https://surface.syr.edu/etd/932