Abstract：
Attention Deficit Hyperactivity Disorder is a relatively common and often disabling disorder in adults. However, feigning ADHD symptomatology is both easy and potentially common. We explored the most effective strategies for A) identifying individuals who had been diagnosed with ADHD based on existing PAI symptom indicators, and B), discriminating between feigned and genuine ADHD symptoms using PAI negative distortion indicators. Our sample consisted of 463 college aged participants who had been diagnosed with ADHD (n = 60), were asked to feign ADHD (n = 71), and a control group (n = 333). Self-reported diagnosis and successful feigning were corroborated by the CAARS-S: E scale. We first compared two PAI-derived ADHD indicators to determine which best differentiated between our ADHD and Control groups. Next, we compared seven negative distortion indicators to determine which could best distinguish between real and feigned ADHD symptoms. Our results revealed that the PAI-ADHD scale was the most effective symptom indicator. Further, the Negative Distortion Scale (NDS) and the Item-FAA scale were the most effective for identifying feigners. When assessing ADHD based on the PAI, the PAI-ADHD scale appears promising as an indicator of symptomatology, while the NDS and Item-FAA appear useful to rule-out feigning.
摘要：
注意力缺陷多动障碍是成人中相对常见且经常致残的障碍。然而,假装ADHD症状既容易又可能常见。我们探索了最有效的策略，用于A）根据现有的PAI症状指标识别被诊断患有ADHD的个体，andB),使用PAI阴性失真指标区分假装和真正的ADHD症状。我们的样本包括463名被诊断为ADHD的大学年龄参与者（n=60），被要求假装多动症(n=71)，和对照组（n=333）。CAARS-S：E量表证实了自我报告的诊断和成功的假装。我们首先比较了两种PAI衍生的ADHD指标，以确定ADHD组和对照组之间的最佳差异。接下来,我们比较了7项阴性失真指标,以确定哪项最能区分真实和假性ADHD症状.我们的结果表明，PAI-ADHD量表是最有效的症状指标。Further,负失真量表（NDS）对识别伪装者最有效。当根据PAI评估多动症时，PAI-ADHD量表作为症状学指标似乎很有希望，而NDS似乎有助于排除假装。
