{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:09:53Z","timestamp":1790809793364,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["I01 CX001135"],"award-info":[{"award-number":["I01 CX001135"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["W81XWH\u201013\u20102\u20100095"],"award-info":[{"award-number":["W81XWH\u201013\u20102\u20100095"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The use of symptom validity tests (SVTs) is standard practice in psychodiagnostic assessments. Embedded measures are indices within self\u2010report measures. To date, no embedded SVTs have been identified in the Posttraumatic Stress Disorder Checklist for <jats:italic>DSM\u20105<\/jats:italic> (PCL\u20105). This research aimed to develop and validate PCL\u20105 SVTs in two samples of veterans. Participants completed one of two prospective research studies that included cognitive and psychological tests. Participants in Study 1 were veterans (<jats:italic>N<\/jats:italic> = 464) who served following the September 11, 2001, terrorist attacks; participants in Study 2 were veterans or service members (<jats:italic>N<\/jats:italic> = 338) who had been deployed to Iraq and\/or Afghanistan. Both studies included the PCL\u20105 and the Structured Inventory of Malingered Symptomatology (SIMS), the latter of which served as the criterion for identifying PCL\u20105 SVTs. For Study 1, two separate SVTs were developed: the PCL\u20105 Symptom Severity scale (PSS), based on the PCL\u20105 total score, and the PCL\u20105 Rare Items scale (PRI), based on PCL\u20105 items infrequently endorsed at the highest item ratings. At the most conservative SIMS cutoff score, the PSS achieved excellent discrimination for both the Study 1, AUC = .840, and Study 2 samples, AUC = .858, with specific cutoff scores of \u2265 51 and \u2265 56 maximizing sensitivity while maintaining a specificity of .90. The PRI achieved good discrimination, AUCs = .760 and.726, respectively, with a cutoff score of 2 or higher indicated by both studies. The results of these two studies provide provisional support for these two embedded SVTs in the PCL\u20105.<\/jats:p>","DOI":"10.1002\/jts.22957","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T04:56:57Z","timestamp":1689742617000},"page":"919-931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Symptom validity indices in the Posttraumatic Stress Disorder Checklist for <i>DSM\u20105<\/i>"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9505-0080","authenticated-orcid":false,"given":"Robert D.","family":"Shura","sequence":"first","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"Department of Neurology Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3655-3411","authenticated-orcid":false,"given":"Jared A.","family":"Rowland","sequence":"additional","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"Department of Neurobiology and Anatomy Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5139-4586","authenticated-orcid":false,"given":"Holly M.","family":"Miskey","sequence":"additional","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"Department of Neurology Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3373-2016","authenticated-orcid":false,"given":"Anna S.","family":"Ord","sequence":"additional","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"School of Psychology and Counseling Regent University Virginia Beach Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6489-8732","authenticated-orcid":false,"given":"Anna T.","family":"Magnante","sequence":"additional","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"Department of Neurology Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the VA Mid\u2010Atlantic MIRECC Workgroup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0059-3454","authenticated-orcid":false,"given":"Sarah L.","family":"Martindale","sequence":"additional","affiliation":[{"name":"Salisbury VA Healthcare System Salisbury North Carolina USA"},{"name":"VA Mid\u2010Atlantic Mental Illness Research, Education, and Clinical Center Durham North Carolina USA"},{"name":"Department of Physiology and Pharmacology Wake Forest School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,18]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American Psychiatric Association. 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