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OBJECTIVE: This study presents and evaluates a method to detect malingered pain-related disability (MPRD) using the Personality Assessment Inventory (PAI), a multiscale self-report instrument with a number of useful applications in pain assessment. METHOD: In this study PAI scores from respondents in a chronic pain clinic (N = 317) and college students instructed to feign chronic pain (N = 152) were compared. RESULTS: Although existing PAI validity indicators demonstrated strong effects in discriminating actual pain and MPRD cases, these indicators were not sufficiently sensitive to feigned pain to recommend for clinical practice. A discriminant function was developed and cross-validated, which improved upon the sensitivity of the other indicators and yielded an overall hit rate of 88% for detecting individuals instructed to malinger pain-related disability. CONCLUSION: These data suggest that this new PAI indicator holds some promise for more effective detection of MPRD.
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