Symptom overreporting obscures the dose-response relationship between trauma severity and symptoms.

Abstract:

:We investigated whether symptom overreporting affects the dose-response relationship between self-reported abuse severity and psychiatric symptoms in two samples. The first sample (N=599) consisted of adults who had previously reported to a public commission that they had been witnesses to or victims of childhood sexual abuse by Roman Catholic Church representatives. The second sample (N=1756) consisted of general population respondents who indicated that they had been victims of non-familial childhood sexual abuse. Using a web-based data collection procedure, both samples completed the Brief Symptom Inventory (BSI-18), items addressing abuse severity, and items flagging symptom overreporting. Adjusting for overreporting reduced the proportion of participants with clinically raised BSI-18 scores from 60% to 47% in sample 1 and from 26% to 22% in sample 2. Also, in both samples, normal range reporting participants exhibited the typical dose-response relationship between trauma severity and BSI-18 scores, whereas this pattern was largely non-significant in overreporting participants. Our findings show that symptom overreporting has a psychometric impact that may obscure relationships between clinically relevant variables and should therefore preferably be monitored in surveys.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Merckelbach H,Langeland W,de Vries G,Draijer N

doi

10.1016/j.psychres.2014.03.018

subject

Has Abstract

pub_date

2014-07-30 00:00:00

pages

215-9

issue

3

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(14)00220-0

journal_volume

217

pub_type

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