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Criminal Justice and Behavior, Vol. 32, No. 6, 591-611 (2005)
DOI: 10.1177/0093854805278805
© 2005 International Association for Correctional and Forensic Psychology

The Miller-Forensic Assessment of Symptoms Test (M-Fast)

Test Generalizability and Utility Across Race Literacy, and Clinical Opinion

Holly A. Miller

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

The Miller-Forensic Assessment of Symptoms Test (M-FAST) was developed to provide clinicians with a reliable and valid screen for malingered mental illness. Previous studies have demonstrated the development and initial validation of the M-FAST. The current analyses extend the M-FAST generalizability across literacy status and race and compare predictive utility with clinical opinion. Study 1 includes a sample of 280 forensic male psychiatric patients, 5 psychiatrists, and 8 psychologists. The psychiatric participants were administered the SIRS, M-FAST item pool, M Test, and MMPI-2. Study 2 includes an independent sample of 50 male forensic psychiatric participants and the 13 mental health professionals. Results provide evidence of generalizability of the M-FAST across literacy and racial groups. Results also indicate that the M-FAST produced higher classification accuracy than the M Test and clinical opinion, significantly reducing the number off alse negatives at the screening stage of malingering assessment.

Key Words: M-FAST • malingering • test generalizability • clinical opinion


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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]