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Criminal Justice and Behavior
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Screening for Malingered Psychopathology in a Correctional Setting

Utility of the Miller-Forensic Assessment of Symptoms Test (M-FAST)

Laura S. Guy

Sam Houston State University

Holly A. Miller

Sam Houston State University, hmiller{at}shsu.edu

Evidence of construct validity and generalizability for a new measure developed to screen for malingered psychopathology, the Miller-Forensic Assessment of Symptoms Test (M-FAST), is presented for a sample of incarcerated males (N = 50) who had applied for mental health services in a maximum-security prison. Participants completed a brief diagnostic interview, the Structured Interview of Reported Symptoms (SIRS), and the M-FAST. SIRS-defined malingerers scored significantly higher on the M-FAST total and scale scores. Receiver operating characteristic analysis yielded an area under the curve of .92 (SEM = .04, p= .01). Consistent with previous M-FAST validity research, utility results indicated accurate classification was best achieved with an M-FAST total cutoff score of 6 (positive predictive power = .78, negative predictive power =.89). Utility analyses across race produced almost identical results indicating preliminary generalizability of the M-FAST for African American, Hispanic, and Caucasian inmates.

Key Words: M-FAST • malingering • feigning • prison • corrections

Criminal Justice and Behavior, Vol. 31, No. 6, 695-716 (2004)
DOI: 10.1177/0093854804268754
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This article has been cited by other articles:


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M. J. Vitacco, R. L. Jackson, R. Rogers, C. S. Neumann, H. A. Miller, and J. Gabel
Detection Strategies for Malingering With the Miller Forensic Assessment of Symptoms Test: A Confirmatory Factor Analysis of Its Underlying Dimensions
Assessment, March 1, 2008; 15(1): 97 - 103.
[Abstract] [PDF]

Home page
 Criminal Justice and BehaviorHome page
H. A. Miller
The Miller-Forensic Assessment of Symptoms Test (M-Fast): Test Generalizability and Utility Across Race Literacy, and Clinical Opinion
Criminal Justice and Behavior, December 1, 2005; 32(6): 591 - 611.
[Abstract] [PDF]