Noncredible Reporting of Adult Attention Deficit Hyperactivity Disorder – A Comparison of Detection Instruments in a Simulation Design

Burdiek, Imke (2022) Noncredible Reporting of Adult Attention Deficit Hyperactivity Disorder – A Comparison of Detection Instruments in a Simulation Design. Bachelor thesis, Psychology.

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Abstract

In recent years, a growing body of evidence points to the problem of feigned Adult Attention Deficit Hyperactivity Disorder (aADHD), especially among college students, which has negative consequences for malingerers, genuine patients, and society. So far, no satisfactory instrument has been developed to successfully detect feigning among those who present for evaluation. This study examines a potential new test, the Self-Report Symptom Inventory (SRSI), originally developed to detect feigning of general neuropsychological symptomatology, and its utility for aADHD feigning detection. A simulation design, consisting of patients with ADHD (n = 23), derived from clinical patient data, an instructed feigning group (n = 43), and a control group (n = 55), both recruited from a student research pool and convenience samples, was applied, in which all groups filled out the SRSI as well as the Connor’s Attention Deficit Hyperactivity Disorder Rating Scale (CAARS), which’s embedded subscales are currently most commonly used for feigning detection. The comparison of the two instruments showed that the SRSI is more helpful in detecting feigning than the CAARS subscales, with larger effect sizes (d = 1.064 for feigners vs. ADHD patients) and better sensitivity (72%) and specificity (64%) of the SRSI pseudosymptom total scale across comparisons. However, this promising instrument would benefit from adjustments to higher cut-off scores for ADHD feigning detection. Furthermore, not all item groups of the SRSI contribute equally to the distinction of feigners and patients, indicating a need for item adjustment for the application to ADHD cases.

Item Type:	Thesis (Bachelor)
Supervisor name:	Fuermaier, A.B.M.
Degree programme:	Psychology
Differentiation route:	None [Bachelor Psychology]
Date Deposited:	20 Jun 2022 07:59
Last Modified:	20 Jun 2022 07:59
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/537

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