The relationship of malingering test failure to self-reported symptoms and neuropsychological findings in adults referred for ADHD evaluation

SUHR, J; HAMMERS, D; DOBBINSBUCKLAND, K; ZIMAK, E; HUGHES, C

doi:10.1016/j.acn.2008.05.003

Cited by 167Attention Deficit Hyperactivity DisorderDeception detection and forensic psychologyPsychological Testing and Assessment

The relationship of malingering test failure to self-reported symptoms and neuropsychological findings in adults referred for ADHD evaluation

SUHR, J, HAMMERS, D, DOBBINSBUCKLAND, K, ZIMAK, E, HUGHES, C·2008·Archives of Clinical Neuropsychology

DOI 10.1016/j.acn.2008.05.003

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Abstract

Diagnosis of adult attention-deficit/hyperactivity disorder (ADHD) adults is difficult, as neither symptom report nor neuropsychological findings are specific to ADHD. Few studies address the possibility that noncredible performance influences both symptom report and neuropsychological findings. The present study utilized archival data from young adults referred for concerns about ADHD, divided into three groups: (1) those who failed a measure of noncredible performance (the Word Memory Test; WMT), (2) those who met diagnostic criteria for ADHD, and (3) controls with psychological symptoms but no ADHD. Results showed a 31% failure rate on the WMT. Those who failed the WMT showed clinical levels of self-reported ADHD symptoms and impaired neuropsychological performance. Neither self-report measures nor neuropsychological tests could distinguish ADHD from psychological controls, with the exception of self-reported current hyperactive/impulsive symptoms and Stroop interference. Results underscore the effect of noncredible performance on both self-report and cognitive measures in ADHD.

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The possibility of malingering can be discarded because Dunedin Study members lack any motive to fabricate their reports to the authors.
“The possibility of malingering has been raised(48,49), but this can be discarded as Dunedin Study members lack any motive to fabricate their reports to us.”
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Authors: SUHR, J., HAMMERS, D., DOBBINSBUCKLAND, K., ZIMAK, E., & HUGHES, C.
Affiliations: Ohio University (US)
Corresponding author: SUHR, J
ORCID: SUHR, J
HAMMERS, D
ZIMAK, E
Venue: Archives of Clinical Neuropsychology
Publisher: Oxford University Press (OUP)
Published: 2008-09
Volume: 23
Issue: 5
Pages: 521-530
ISSN: 0887-6177 (ISSN-L)
DOI: 10.1016/j.acn.2008.05.003
OpenAlex: W1972828223
Semantic Scholar: a1b7d4d78bb915d2ac7f51c6028d19fb32fc840e
Cited by: 167
References: 37
Citations by year: 2026: 5 · 2025: 3 · 2024: 8 · 2023: 11 · 2022: 13 · 2021: 10 · 2020: 7 · 2019: 7 · 2018: 6 · 2017: 14 · 2016: 15 · 2015: 7 · 2014: 12 · 2013: 12 · 2012: 12
FWCI: 5.62
Type: journal article
Language: en
Open access: closed
Locations: Archives of Clinical Neuropsychology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Social Sciences › Psychology › Social Psychology › Deception detection and forensic psychology
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords: adult ADHD, malingering, Word Memory Test, self-reported symptoms, neuropsychological performance, Stroop interference, hyperactive-impulsive symptoms, differential diagnosis, young adults
MeSH terms: Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Intelligence, Male, Malingering, Memory, Middle Aged, Neuropsychological Tests, Psychometrics, Retrospective Studies, Self-Assessment, Verbal Learning, Multivariate Analysis, Young Adult

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The relationship of malingering test failure to self-reported symptoms and neuropsychological findings in adults referred for ADHD evaluation

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