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Related Experiment Videos

Apparent symptom overreporting in combat veterans evaluated for PTSD.

B C Frueh1, M B Hamner, S P Cahill

  • 1Veterans Affairs Medical Center, Medical University of South Carolina, USA.

Clinical Psychology Review
|November 1, 2000
PubMed
Summary

Combat veterans with posttraumatic stress disorder (PTSD) often overreport symptoms. This review examines the assessment challenges and potential reasons behind this presentation style in veterans.

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Area of Science:

  • Psychiatry
  • Psychology
  • Military Mental Health

Background:

  • Combat veterans evaluated for PTSD frequently exhibit overreported psychopathology.
  • This overreporting is evidenced by extreme symptom levels across various instruments and high scores on MMPI-MMPI-2 validity scales, indicating a 'fake-bad' presentation.
  • The reasons for this common presentation style among veterans are not fully understood.

Purpose of the Study:

  • To describe the assessment challenges posed by symptom overreporting in combat veterans with PTSD.
  • To review existing literature on potential explanatory factors for this phenomenon.
  • To address conceptual and practical issues for better understanding combat-related PTSD.

Main Methods:

  • Literature review of psychometric studies on symptom reporting in combat veterans.

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  • Analysis of assessment data, including MMPI-MMPI-2 validity scales.
  • Discussion of conceptual and clinical implications.

    • Main Results:

    • Consistent evidence of overreported psychopathology in combat veterans seeking PTSD evaluation.
    • Prevalence of "fake-bad" response patterns on psychological assessments.
    • Identification of symptom overreporting as a significant assessment issue.

    Conclusions:

    • Symptom overreporting is a notable characteristic in the assessment of combat-related PTSD.
    • Further research is needed to understand the underlying factors and implications of this presentation.
    • Improved understanding is crucial for accurate diagnosis and treatment in both research and clinical settings.