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.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1993
PubMed

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.