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Assessment
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What's this?

Classification Accuracy of MMPI-2 Validity Scales in the Detection of Pain-Related Malingering

A Known-Groups Study

Kevin J. Bianchini

University of New Orleans, Jefferson Neurobehavioral Group

Joseph L. Etherton

Loyola University New Orleans, Jefferson Neurobehavioral Group

Kevin W. Greve

University of New Orleans, Jefferson Neurobehavioral Group, kgreve@uno edu

Matthew T. Heinly

Jefferson Neurobehavioral Group

John E. Meyers

Center for Neurosciences, Orthopedics and Spine

The purpose of this study was to determine the accuracy of Minnesota Multiphasic Personality Inventory 2nd edition (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) validity indicators in the detection of malingering in clinical patients with chronic pain using a hybrid clinical-known groups/simulator design. The sample consisted of patients without financial incentive (n = 23), nonmalingering patients with financial incentive (n = 34), patients definitively determined to be malingering based on published criteria ( n = 32), and college students asked to simulate pain-related disability (n = 26). The MMPI-2 validity scales differentiated malingerers from nonmalingerers with a high degree of accuracy. Hypochondriasis and Hysteria were also effective. For all variables except Scale L, more extreme scores were associated with higher specificity. This study demonstrates that the MMPI-2 is capable of differentiating intentional exaggeration from the effects on symptom report of chronic pain, genuine psychological disturbance, and concurrent stress associated with pursuing a claim in a medico-legal context.

Key Words: chronic pain • malingering • MMPI-2 • somatization • psychological assessment • spine surgery

This version was published on December 1, 2008

Assessment, Vol. 15, No. 4, 435-449 (2008)
DOI: 10.1177/1073191108317341
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