在美国临床样本中的问题-29 (IOP-29) 清单
Robert D Shura1,2,3, Bradley N Axelrod4, Katherine M Craig1,2
1W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, USA.
The Clinical neuropsychologist
|September 25, 2025
概括
问题清单-29 (IOP-29) 有效地测量了美国临床患者的负面反应偏差. 它的虚假障碍概率评分 (FDS) 显示了实用性,临床使用的推切线为0.50.
科学领域:
- 心理评估 心理评估
- 临床心理学 临床心理学
- 人格测试是个性测试.
背景情况:
- 关于使用模拟设计和非美国样本的问题清单-29 (IOP-29) 的研究有限.
- 之前的研究没有评估IOP-29在美国临床群体中的表现.
研究的目的:
- 在美国临床样本中评估IOP-29的有效性.
- 为了比较IOP-29的虚假障碍概率得分 (FDS) 与明尼苏达多相人格清单 (MMPI) 的有效度等级.
主要方法:
- 217名临床患者完成了IOP-29和MMPI (版本2或3).
- IOP-29 FDS的标准有效性被评估使用与MMPI有效性尺度的相关性.
- 计算了诊断准确性统计数据,以识别无效响应概况.
主要成果:
- IOP-29 FDS与MMPI过度报告尺度 (ρ = .24.62) 有正相关,与不足报告尺度有负相关.
- 在FDS切线≥.50时,灵敏度为.72和特异性为.88.8.
- 将FDS切线提高到≥.58提高了特异性到0.90而不影响灵敏度,而≥.64的切线产生了0.95的特异性,但降低了灵敏度到0.56.
结论:
- IOP-29在混合的美国临床样本中证明了作为消极反应偏差的衡量标准的实用性.
- 建议的FDS切线≥.50是有效的,需要稍微增加才能获得更高的特异性.
- 建议使用多样化的临床和法医样本以及用于识别无效个人资料的多种方法进行进一步的研究.
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