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Updated: Aug 12, 2026

Cross-Modal Multivariate Pattern Analysis
Published on: November 9, 2011
Rule-Out and Rule-In scales for the M test for malingering: a cross-validation
G P Smith1, R Borum, J A Schinka
1University of Missouri, St. Louis.
Abstract:
Previous research found the M test to have limited utility for the screening of malingering. Subsequently, Rogers et al. attempted to improve the test's discriminative ability by developing an alternative scoring procedure-Rule-In and Rule-Out scales. These scales showed promising results as a brief screener for malingering with hit rates as high as 95 percent. The present study cross-validated their proposed decision rules, but found lower rates of classification accuracy. The most conservative decision rule (i.e., to maximize detection of malingerers) only identified 72.7 percent of the malingerers with a false positive rate of 50.8 percent.
Insights
The M test
Area of Science:
- Psychological assessment
- Forensic psychology
- Clinical psychology
Background:
- The M test has historically shown limited effectiveness in detecting malingering.
- Rogers et al. introduced revised scoring scales (Rule-In and Rule-Out) to enhance malingering detection.
- Initial findings suggested high accuracy rates for these new scales.
Purpose of the Study:
- To cross-validate the efficacy of the Rule-In and Rule-Out scales for malingering assessment.
- To evaluate the classification accuracy of the proposed decision rules in a new sample.
Main Methods:
- Cross-validation of the decision rules proposed by Rogers et al.
- Analysis of classification accuracy using the most conservative decision rule.
- Calculation of malingerer detection rates and false positive rates.
Main Results:
- The cross-validation yielded lower classification accuracy than initially reported.
- The most conservative decision rule identified only 72.7% of malingerers.
- A high false positive rate of 50.8% was observed with this conservative rule.
Conclusions:
- The revised M test scales demonstrate reduced utility for screening malingering upon cross-validation.
- The high false positive rate limits the practical application of the conservative decision rule.
- Further research is needed to refine malingering detection methods in psychological assessment.
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