Abstract
The Minnesota Multiphasic Personality Inventory (MMPI) instruments have a rich history of the inclusion of embedded strategies to identify invalidating response styles—such as non-responding, inconsistent responding, and noncredible underreporting or overreporting of symptoms—and to identify the impact of such response styles on substantive test score conclusions and extra-test considerations. This paper briefly reviews that history before focusing on the scales that detect overreported psychopathology, somatic complaints, and cognitive complaints on the most recent adult instruments, the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) and MMPI-3. Specifically, we discuss the detection strategies used to develop MMPI-2-RF and MMPI-3 overreporting Validity Scales, evaluative contexts in which they are used, and studies of their validity. We also briefly discuss identified strengths and weaknesses and suggestions for the use of these scales in the assessment of overreporting.
Similar content being viewed by others
Notes
In addition to the adult MMPI measures, test developers created the MMPI-Adolescent (MMPI-A; Butcher et al., 1992) and the MMPI-A Restructured Form (MMPI-A-RF; Archer et al., 2016) to aid in the assessment of psychopathology and personality dysfunction in youth ages 12 to 18. Although not the focus on this paper, these measures also include validity indicators to detect non-responding, inconsistent responding, underreporting, and overreporting.
The lower-case “r” designation is used to denote scales unique to the MMPI-2-RF and compositionally different from the corresponding scale on the MMPI-2 (and now the MMPI-3).
Inconsistent responding may sometimes occur as the result of intentional feigning or malingering (see Rogers et al., 1992) or an uncooperative test-taking approach, but extra-test information is needed to corroborate clinical conclusions regarding intentionality (see Burchett & Bagby, 2014). Regardless, CNS, and then VRIN-r and TRIN-r, should be interpreted before other MMPI-2-RF scales because of the drastic impact that inconsistency can have on the interpretability of overreporting, underreporting, and substantive scales (Burchett et al., 2016; Handel et al., 2010).
The quasi-rare approach label is used given the scale composition that includes items rare in a normative sample but not necessarily as rare in clinical contexts.
Sometimes referred to as “effort tests,” performance validity tests are performance-based (rather than self-report-based) embedded or stand-alone measures designed to assess the validity of neuropsychological test performance (Larrabee, 2012).
A summary of findings regarding feigned medical complaints is excluded here because only one study was summarized.
Although not reviewed here in detail, the interested reader is also referred to Whitman et al. (2020, b). These studies report mean overreporting scale scores in clinical neuropsychology and public safety candidate preemployment evaluation settings, respectively, but do not directly examine the utility of the MMPI-3 overreporting scales.
Symptom validity tests are self-report-based embedded or stand-alone measures designed to assess the validity of self-reported symptoms (Larrabee, 2012).
References
Aparcero, M., Picard, E. H., Nijdam-Jones, A., & Rosenfeld, B. (2021). The impact of coaching on feigned psychiatric and medical symptoms: A meta-analysis using the MMPI-2. Psychological Assessment, 33(8), 729.
Arbisi, P. A., & Ben-Porath, Y. S. (1995). An MMPI-2 infrequent response scale for use with psychopathological populations: The Infrequency-Psychopathology Scale, F(p). Psychological Assessment, 7(4), 424.
Archer, R. P., Handel, R. W., Ben-Porath, Y. S., & Tellegen, A. (2016). Minnesota Multiphasic Personality Inventory-Adolescent Restructured Form: Administration, scoring, interpretation, and technical manual. University of Minnesota Press.
Ben-Porath, Y. S. (2012). Interpreting the MMPI-2-RF. University of Minnesota Press.
Ben-Porath, Y. S. (2013). Self-report inventories: Assessing personality and psychopathology. In I. B. Weiner (Series Ed.) & A. M. Goldstein (Vol. Ed.), Handbook of psychology: Vol. 10. Assessment psychology (p. 622–644). Hoboken, NJ: Wiley.
Ben-Porath, Y. S., Graham, J. R., & Tellegen, A. (2009). The MMPI-2 Symptom Validity (FBS) Scale: Development, research findings, and interpretive recommendations. University of Minnesota Press.
Ben-Porath, Y. S. & Tellegen, A. (2008/2011). MMPI-2-RF manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.
Ben-Porath, Y. S., & Tellegen, A. (2020a). MMPI-3 manual for administration, scoring, and interpretation. University of Minnesota Press.
Ben-Porath, Y. S., & Tellegen, A. (2020b). MMPI-3 technical manual. University of Minnesota Press.
Berry, D. T., Baer, R. A., & Harris, M. J. (1991). Detection of malingering on the MMPI: A meta-analysis. Clinical Psychology Review, 11(5), 585–598.
Briere, J. (2010). Trauma Symptom Inventory (TSI-2) professional manual (2nd ed.). Psychological Assessment Resources.
Brown, T. A., & Sellbom, M. (2019). The utility of the MMPI–2–RF Validity Scales in detecting underreporting. Journal of Personality Assessment, 102(1), 66–74.
Burchett, D., & Bagby, R. M. (2014). Multimethod assessment of response distortion: Integrating data from interviews, collateral records, and standardized assessment tools. In C. Hopwood & R. Bornstein (Eds.), Multimethod clinical assessment (p. 345–378). New York, NY: Guilford.
Burchett, D., & Ben-Porath, Y. S. (2019). Methodological considerations for developing and evaluating response bias indicators. Psychological Assessment, 31(12), 1497.
Burchett, D., Dragon, W. E., Smith Holbert, A. M., Tarescavage, A. M., Mattson, C. A., Handel, R. W., & Ben-Porath, Y. S. (2016). “False feigners”: Examining the impact of non-content-based invalid responding on the Minnesota Multiphasic Personality Inventory-2 Restructured Form content-based invalid responding indicators. Psychological Assessment, 28(5), 458–470.
Butcher, J. N., & Han, K. (1995). Development of an MMPI-2 scale to assess the presentation of self in a superlative manner: The S Scale. In J. N. Butcher & C. D. Spielberger (Eds.), Advances in personality assessment, Vol. 10, pp. 25–50). Lawrence Erlbaum Associates, Inc.
Butcher, J. N., Williams, C. L., Graham, J. R., Archer, R. P., Tellegen, A., Ben-Porath, Y. S., & Kaemmer, B. (1992). MMPI-Adolescent: Manual for administration, scoring, and interpretation. University of Minnesota Press.
Collie, J. (1913). Malingering and feigned sickness. Edward Arnold.
Conder, R., Allen, L., & Cox, D. (1992). Computerized assessment of response bias test manual. CogniSyst.
Cronbach, L. J. (1949). Essentials of psychological testing. Harper Brothers.
Delis, D. C., Kramer, J. H., Kaplan, E., & Ober, B. A. (2000). CVLT-II: California Verbal Learning Test: Adult Version. Psychological Corporation.
Dragon, W. R., Ben-Porath, Y. S., & Handel, R. W. (2012). Examining the impact of unscorable responses on the validity and interpretability of MMPI-2/MMPI-2-RF Restructured Clinical (RC) Scale scores. Assessment, 19(1), 101–113.
Forbes, L. (1906). Malingering. The Strand Magazine.
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B., & Green, P. (2007). Development and validation of a Response Bias Scale (RBS) for the MMPI-2. Assessment, 14(2), 196–208.
Gervais, R. O., Ben-Porath, Y. S., Wygant, D. B., & Green, P. (2008). Differential sensitivity of the Response Bias Scale (RBS) and MMPI-2 Validity Scales to memory complaints. The Clinical Neuropsychologist, 22(6), 1061–1079.
Ghiselli, E. E., & Brown, C. W. (1948). Personnel and industrial psychology. McGraw-Hill Book Company, Inc.
Glassmire, D. M., Tarescavage, A. M., Burchett, D., Martinez, J., & Gomez, A. (2016). Clinical utility of the MMPI-2-RF SUI items and scale in a forensic inpatient setting: Association with interview self-report and future suicidal behaviors. Psychological Assessment, 28(11), 1502-1509.
Gough, H. G. (1950). The F minus K Dissimulation Index for the Minnesota Multiphasic Personality Inventory. Journal of Consulting Psychology, 14(5), 408.
Gough, H. G. (1954). Some common misconceptions about neuroticism. Journal of Consulting Psychology, 18(4), 287.
Graham, J. R. (2012). MMPI-2: Assessing personality and psychopathology (5th ed.). Oxford University Press.
Green, P. (2003). Green’s Word Memory Test. Green’s Publishing.
Green, P. (2008). Non-Verbal Medical Symptom Validity Test (NV-MSVT: User’s manual). Green’s Publishing.
Hall, J. T., Menton, W. H., & Ben-Porath, Y. S. (2021). Examining the psychometric equivalency of MMPI-3 scale scores derived from the MMPI-3 and the MMPI-2-RF-EX. Assessment, 1073191121991921.
Handel, R. W., Ben-Porath, Y. S., Tellegen, A., & Archer, R. P. (2010). Psychometric functioning of the MMPI-2-RF VRIN-r and TRIN-r scales with varying degrees of randomness, acquiescence, and counter-acquiescence. Psychological Assessment, 22, 87–95.
Hathaway, S. R., & McKinley, J. C. (1942). A multiphasic personality schedule (Minnesota): III. The measurement of symptomatic depression. Journal of Psychology, 14, 73–84.
Hathaway, S. R., & McKinley, J. C. (1943). The Minnesota Multiphasic Personality Inventory. University of Minnesota Press.
Heilbronner, R. L., Sweet, J. J., Morgan, J. E., Larrabee, G. J., Millis, S. R., & Conference Participants 1. (2009). American Academy of Clinical Neuropsychology Consensus Conference statement on the neuropsychological assessment of effort, response bias, and malingering. The Clinical Neuropsychologist, 23(7), 1093–1129.
Ingram, P. B., & Ternes, M. S. (2016). The detection of content-based invalid responding: A meta-analysis of the MMPI-2 Restructured Form’s (MMPI-2-RF) over-reporting Validity Scales. The Clinical Neuropsychologist, 30(4), 473–496.
Jones, A. B., & Llewellyn, L. J. (1917). Malingering or the simulation of disease. William Heinemann.
Larrabee, G. (2012). Performance validity and symptom validity in neuropsychological assessment. Journal of the International Neuropsychological Society, 18(4), 625–630. https://doi.org/10.1017/S1355617712000240
Lees-Haley, P. R., English, L. T., & Glenn, W. J. (1991). A fake bad scale on the MMPI-2 for personal-injury claimants. Psychological Reports, 68, 203–201.
Marek, R. J., Ben-Porath, Y. S., & Heinberg, L. J. (2016). Understanding the role of psychopathology in bariatric surgery outcomes. Obesity Reviews, 17(2), 126–141.
Marek, R. J., Lieberman, I., Derman, P., Nghiem, D. M., & Block, A. R. (2021). Validity of a pre-surgical algorithm to predict pain, functional disability, and emotional functioning 1 year after spine surgery. Psychological Assessment.
Meehl, P. E., & Hathaway, S. R. (1946). The K factor as a suppressor variable in the Minnesota Multiphasic Personality Inventory. Journal of Applied Psychology, 30, 525–564.
Miller, H. A. (2001). Miller Forensic Assessment of Symptoms Test (M-FAST): Professional manual. Odessa, FL: Psychological Assessment Resources.
Millon, T., Millon, C., & Grossman, S. (2015). Millon Clinical Multiaxial Inventory – IV manual (4th ed.). NCS Pearson.
Morey, L. C. (2007). Personality Assessment Inventory professional manual (2nd ed.). Psychological Assessment Resources.
Morris, N. M., Mattera, J., Golden, B., Moses, S., & Ingram, P. B. (2021). Evaluating the performance of the MMPI-3 over-reporting scales: Sophisticated simulators and the effects of comorbid conditions. The Clinical Neuropsychologist, 1–9.
Neal, T. M., & Grisso, T. (2014). Assessment practices and expert judgment methods in forensic psychology and psychiatry: An international snapshot. Criminal Justice and Behavior, 41(12), 1406–1421.
Neal, T. M., Slobogin, C., Saks, M. J., Faigman, D. L., & Geisinger, K. F. (2019). Psychological assessments in legal contexts: Are courts keeping “junk science” out of the courtroom? Psychological Science in the Public Interest, 20(3), 135–164.
Nelson, N. W., Hoelzle, J. B., Sweet, J. J., Arbisi, P. A., & Demakis, G. J. (2010). Updated meta-analysis of the MMPI-2 Symptom Validity Scale (FBS): Verified utility in forensic practice. The Clinical Neuropsychologist, 24(4), 701–724.
Nelson, N. W., Sweet, J. J., & Demakis, G. J. (2006). Meta-analysis of the MMPI-2 Fake Bad Scale: Utility in forensic practice. The Clinical Neuropsychologist, 20(1), 39–58.
Nijdam-Jones, A., Chen, Y., & Rosenfeld, B. (2020). Detection of feigned posttraumatic stress disorder: A meta-analysis of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Psychological Trauma: Theory, Research, Practice, and Policy, 12(7), 790.
Rogers, R., Bagby, R. M., & Dickens, S. E. (1992). The Structured Interview of Reported Symptoms (SIRS) professional manual. Lutz, FL: Psychological Assessment Resources.
Rogers, R. (2018). Detection strategies for malingering and defensiveness. In R. Rogers & S. D. Bender (Eds.), Clinical assessment of malingering and deception (4th ed., pp. 18–41). Guilford.
Rogers, R., Sewell, K. W., & Gillard, N. D. (2010). Structured Interview of Reported Symptoms (2nd ed.). Psychological Assessment Resources.
Rogers, R., Sewell, K. W., Martin, M. A., & Vitacco, M. J. (2003). Detection of feigned mental disorders: A meta-analysis of the MMPI-2 and malingering. Assessment, 10, 160–177.
Rogers, R., Sewell, K. W., & Salekin, R. T. (1994). A meta-analysis of malingering on the MMPI-2. Assessment, 1(3), 227–237.
Rouse, S. V., Greene, R. L., Butcher, J. N., Nichols, D. S., & Williams, C. L. (2008). What do the MMPI-2 Restructured Clinical Scales reliably measure? Answers from multiple research settings. Journal of Personality Assessment, 90(5), 435–442.
Sellbom, M. (2019). The MMPI-2-Restructured Form (MMPI-2-RF): Assessment of personality and psychopathology in the twenty-first century. Annual Review of Clinical Psychology, 15, 149–177.
Sellbom, M., & Wygant, D. (2018). Forensic applications of the MMPI-2-RF: A case book. University of Minnesota Press.
Sharf, A. J., Rogers, R., Williams, M. M., & Henry, S. A. (2017). The effectiveness of the MMPI-2-RF in detecting feigned mental disorders and cognitive deficits: A meta-analysis. Journal of Psychopathology and Behavioral Assessment, 39, 441–455. https://doi.org/10.1007/s10862-017-9590-1
Tellegen, A., & Ben-Porath, Y. S. (2008/2011). MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2 Restructured Form) technical manual. Minneapolis: University of Minnesota Press.
Tellegen, A., Ben-Porath, Y. S., & Sellbom, M. (2009). Construct validity of the MMPI-2 Restructured Clinical (RC) Scales: Reply to Rouse, Greene, Butcher, Nichols, and Williams. Journal of Personality Assessment, 91(3), 211–221.
Tellegen, A., Ben-Porath, Y. S., Sellbom, M., Arbisi, P. A., McNulty, J. L., & Graham, J. R. (2006). Further evidence on the validity of the MMPI-2 Restructured Clinical (RC) Scales: Addressing questions raised by Rogers et al. and Nichols. Journal of Personality Assessment, 87(2), 148–171.
Tombaugh, T. N. (1996). Test of Memory Malingering: TOMM. MHS Assessments.
Tylicki, J. L., Gervais, R. O., & Ben-Porath, Y. S. (2020). Examination of the MMPI-3 over-reporting scales in a forensic disability sample. The Clinical Neuropsychologist, 1–24.
Tylicki, J. L., Tarescavage, A. M., & Wygant, D. B. (2021). Assessment of malingering among head injury litigants with the MMPI-2, MMPI-2-RF, and MMPI-3. In C. R. Reynolds & A. M. Horton (Eds.), Detection of malingering in head injury litigation (3rd ed., pp. 289–307). Springer.
Wechsler, I. S. (1935). A textbook of clinical neurology (3rd ed.). W. B. Saunders Company.
Weiner, D. N. (1948). Subtle and obvious keys for the MMPI. Journal of Consulting Psychology, 12, 164–170.
Whitman, M. R., Tylicki, J. L., & Ben-Porath, Y. S. (2021a). Utility of the MMPI-3 Validity Scales for detecting overreporting and underreporting and their effects on substantive scale validity: A simulation study. Psychological Assessment.
Whitman, M. R., Tylicki, J. L., Mascioli, R., Pickle, J., & Ben-Porath, Y. S. (2020). Psychometric properties of the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) in a clinical neuropsychology setting. Psychological Assessment.
Whitman, M. R., Elias, L. S., Cappo, B. M., & Ben-Porath, Y. S. (2021b). Criterion validity of MMPI-3 scores in preemployment evaluations of public safety candidates. Psychological Assessment.
Wygant, D. B., Ben-Porath, Y. S., & Arbisi, P. A. (2004). Development and initial validation of a scale to detect infrequent somatic complaints. Poster presented at the 39th annual symposium on recent developments of the MMPI-2/MMPI-A, Minneapolis, MN.
Wygant, D. B., Walls, B. D., Brothers, S. L., & Berry, D. T. R. (2018). Assessment of malingering and defensiveness on the MMPI-2 257 and MMPI-2-RF. In R. Rogers & S. D. Bender (Eds.), Clinical assessment of malingering and deception (pp. 257–279). The Guilford Press.
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Manual for the restandardized Minnesota Multiphasic Personality Inventory: MMPI-2. Minneapolis: University of Minnesota Press.
Hathaway, S.R., & McKinley, J. C. (1940). A multiphasic personality schedule (Minnesota): III. The measurement of symptomatic depression. Journal of Psychology, 14, 73–84.
Sherman, E. M., Slick, D. J., & Iverson, G. L. (2020). Multidimensional malingering criteria for neuropsychological assessment: A 20-year update of the malingered neuropsychological dysfunction criteria. Archives of Clinical Neuropsychology, 35(6), 735–764.
Giromini, L., Young, G., & Sellbom, M. (2022). Assessing negative response bias using self-report measures: Introducing the special issue. Psychological Injury and Law.
Funding
Danielle Burchett and R. Michael Bagby have received grant funding from the University of Minnesota Press, Test Division, to study the MMPI instruments.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Burchett, D., Bagby, R.M. Assessing Negative Response Bias: a Review of the Noncredible Overreporting Scales of the MMPI-2-RF and MMPI-3. Psychol. Inj. and Law 15, 22–36 (2022). https://doi.org/10.1007/s12207-021-09435-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12207-021-09435-9