Development of a Validity Scale for the Dissociative Experience Scale-Revised: Atypicality, Structure, and Inconsistency

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The Dissociative Experiences Scale (DES), the most commonly used scale for assessing dissociation across settings, lacks a validity scale. In this study, six methods of enhancing validity were utilized: vocabulary and duration screening, manipulation checks, inconsistency, atypicality, and structure (unlikely pattern of responses). Six reverse-worded DES questions were developed to assess inconsistency, six questions regarding extremely rare or unknown symptoms assessed atypicality, and the difference between taxon and absorption items assessed structure. Honest, feigning, and posttraumatic stress disorder (PTSD) groups completed the assessment (N = 345) via Amazon Mechanical Turk (MTurk) or SurveyMonkey. All groups received a brief definition of dissociation. The honest/PTSD groups were asked to complete the survey honestly. The feigning group members were asked to pretend to be someone with dissociative symptoms. Failure of the vocabulary, duration, or manipulation check validations led to 72 exclusions. The three groups differed significantly on the inconsistent items, the atypical items, and structure items, F(2, 271) > 7.52, p < .001, with the feigning group consistently performing worse than the two honest groups. The DES with validity scale may be most useful for community survey studies in which there is a high risk of malingering or feigning.

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  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

  2. Armour, C., Karstoft, K. I., & Richardson, J. D. (2014). The co-occurrence of PTSD and dissociation: Differentiating severe PTSD from dissociative-PTSD. Social Psychiatry and Psychiatric Epidemiology, 49, 1297–1306.

  3. Arzoumanian, M., Verbeck, E., Estrellado, J., Dahlin, K., Hennrich, E., Stevens, J., & Dalenberg, C. (2017). Psychometrics of three dissociation scales: Reliability and validity data on the DES-R. DES-II, & DESC. Unpublished paper, Alliant International University, San Diego.

  4. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.

  5. Berinsky, A. J., Huber, G. A., & Lenz, G. S. (2012). Evaluating online labor markets for experimental research:’s mechanical turk. Political Analysis, 20, 351–368.

  6. Berinsky, A., Margolis, M., & Sances, M. (2014). Separating the Shirkers from the Workers? Making Sure Respondents Pay Attention on Self Administered Surveys. American Journal of Political Science, 58, 739–753.

  7. Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727–735.

  8. Brand, B. L., Dalenberg, C. J., Frewen, P. A., Loewenstein, R. J., Scheilke, H., Brams, J. S., & Spiegel, D. (2018). Trauma-related dissociation is no fantasy: Addressing the errors of omission and commission in Merckelbach and Patihis. Psychological Injury and Law, 11, 377–393.

  9. Brand, B. L., Webermann, A. R., & Frankel, A. S. (2016). Assessment of complex dissociative disorder patients and simulated dissociation in forensic contexts. International Journal of Law and Psychiatry, 11, 513–520.

  10. Briere, J. (1996). Trauma symptom checklist for children: Professional manual. Odessa, FL: Psychological Assessment Resources, Inc..

  11. Briere, J. (2001). DAPS—Detailed Assessment of Posttraumatic Stress Professional Manual. Odessa, FL: Psychological Assessment Resources.

  12. Briere, J., Elliott, D. M., Harris, K., & Cotman, A. (1995). Trauma symptom inventory: Psychometrics and association with childhood and adult victimization in clinical samples. Journal of Interpersonal Violence, 10, 387–401.

  13. Buhrmester, M., Kwang, T., & Gosling, S. D. (2011). Amazon’s mechanical Turk: A new source of inexpensive, yet high-quality, data? Perspectives on Psychological Science, 6, 3–5.

  14. Butcher, J. N., Graham, J. R., Ben-Porath, Y. S., Tellegan, A., & Dahlstrom, W. G. (2001). Manual for the administration and scoring of the MMPI-2. Minneapolis, MN: University of Minnesota Press.

  15. Carlson, E. B., Dalenberg, C., & McDade-Montez, E. (2012). Dissociation in posttraumatic stress disorder part I: Definitions and review of research. Psychological Trauma: Theory, Research, Practice, and Policy, 4(Supplemental), 479–489.

  16. Coe, M. T., Dalenberg, C. J., Aransky, K. M., & Reto, C. S. (1995). Adult attachment style, reported childhood violence history and types of dissociative experiences. Dissociation: Progress in the Dissociative Disorders, 8, 142–154.

  17. Dalenberg, C. J., Brand, B. L., Gleaves, D. H., Dorahy, M. J., Loewenstein, R. J., Cardeña, E., Frewen, P. A., Carlson, E. B., & Spiegel, D. (2012). Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychological Bulletin, 138, 550–588.

  18. Dalenberg, C. J., Coe, M. T., Reto, C. S., Aransky, K. M., Duvenage, C., & Weber, R. (1994). The development of a measure of dissociation for use on general psychiatric and nonpsychiatric populations. Paper presented at the Eighth Annual Conference on Responding to Child Maltreatment, San Diego, California.

  19. Dawes, R., Faust, D., & Meehl, P. (1989). Clinical versus actuarial judgment. Science, 243, 1668–1674.

  20. Dawes, S. E., Suarez, P., Vaida, F., Marcotte, T. D., Atkinson, J. H., Grant, I., et al. (2010). Demographic influences and suggested cut-scores for the Beck Depression Inventory in a non-clinical Spanish speaking population from the US-Mexico border region. International Journal of Culture and Mental Health.

  21. Dubester, K. A., & Braun, B. G. (1995). Psychometric properties of the Dissociative Experiences Scale. Journal of Nervous and Mental Disease, 183, 231–235.

  22. Flitter, J. M. K., Elhai, J. D., & Gold, S. N. (2003). MMPI-2 F scale elevations in adult victims of child sexual abuse. Journal of Traumatic Stress, 16, 269–274.

  23. Foschi, M. (2014). Hypotheses, operationalizations, and manipulation checks. In Laboratory experiments in the social sciences (second ed.). Cambridge, MA: Academic Press.

  24. Frischholz, E. J., Braun, B. G., Sachs, R. G., Hopkins, L., et al. (1990). The Dissociative Experiences Scale: Further replication and validation. Dissociation: Progress in the Dissociative Disorders, 3, 151–153.

  25. Gillis, M. M., Haaga, D. A. F., & Ford, G. T. (1995). Normative values for the Beck anxiety inventory, fear questionnaire, Penn State worry questionnaire, and social phobia and anxiety inventory. Psychological Assessment, 7, 450–455.

  26. Ginzburg, K., Somer, E., Tamarkin, G., & Kramer, L. (2010). Clandestine psychopathology: Unrecognized dissociative disorders in inpatient psychiatry. The Journal of Nervous and Mental Disease, 198, 378–381.

  27. Gray, M. J., Elhai, J. D., & Briere, J. (2010). Evaluation of the Atypical Response Scale of the Trauma Symptom Inventory-2 in detecting simulated posttraumatic stress disorder. Journal of Anxiety Disorders, 24, 447–451.

  28. Haagen, J. F. G., van Rijn, A., Knischeer, J. W., van der Aa, N., & Kleber, R. J. (2018). The dissociative post-traumatic stress disorder (PTSD) subtype: A treatment outcome cohort study in veterans with PTSD. British Journal of Clinical Psychology, 57, 201–222.

  29. Johnson, J. A. (2005). Ascertaining the validity of individual protocols from Webbased personality inventories. Journal of Research in Personality, 39, 103–129.

  30. Kluemper, N. S., & Dalenberg, C. (2014). Is the dissociative adult suggestible? A test of the trauma and fantasy models of dissociation. Journal of Trauma and Dissociation, 15, 457–476.

  31. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.

  32. Lowe, B., Unutzer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004). Monitoring depression treatment outcomes with the patient health questionnaire-9. Medical Care, 42, 1194–1201.

  33. Lyssenko, L., Schmahl, C., Bockhacker, L., Vonderlin, R., Bohus, M., & Kleindienst, N. (2018). Dissociation in psychiatric disorders: A meta-analysis of studies using the Dissociative Experiences Scale. The American Journal of Psychiatry, 175, 37–46.

  34. Martin, A., Rief, W., Klaiberg, A., & Braehler, E. (2006). Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. General Hospital Psychiatry, 28, 71–77.

  35. Martin, P. K., Schroeder, R. W., Olsen, D. H., Maloy, H., Boettcher, A., Ernst, N., & Okut, H. (2019). A systematic review and meta-analysis of the test of memory malingering in adults: Two decades of deception detection (p. 132). The Clinical Neuropsychologist.

  36. McNally, R. (2007). Dispelling confusion about traumatic dissociative amnesia. Mayo Clinic Proceedings, 82, 1083–1087.

  37. Meade, A. W., & Craig, S. B. (2012). Identifying careless responses in survey data. Psychological Methods, 17, 437–455.

  38. Melton, G., Petrila, J., Poythress, J., & Slobogin, C. (2007). Psychological evaluations for the courts (3rd ed.). New York, NY, Guilford.

  39. Merckelbach, H., & Patihis, L. (2018). Why trauma-related dissociation is a misnomer in courts: A critical analysis of Brand et al. (2017a, b). Psychological Injury and Law, 11, 370–376.

  40. Millon, T., Grossman, S., & Millon, C. (2015). Millon Clinical Multiaxial Inventory–IV manual. Minneapolis, MN: Pearson Assessments.

  41. Millon, T., Millon, C., Davis, R. D., & Grossman, S. (1994). Millon Clinical Multiaxial Inventory-III (MCMI-III): Manual. Minneapolis, MN: Pearson/PsychCorp.

  42. Olsen, S. A., Clapp, J. D., Parra, G. R., & Beck, J. G. (2013). Factor structure of the dissociative experiences scale: An examination across sexual assault status. Journal of Psychopathology and Behavioral Assessment, 35, 394–403.

  43. Palermo, C. A., & Brand, B. L. (2018). Can the trauma symptom inventory-2 distinguish coached simulators from dissociative disorder patients? Psychological Trauma: Theory, Research, Practice, and Policy., 11, 477–485.

  44. Patihis, L., & Lynn, S. J. (2017). Psychometric comparison of dissociative experiences scales II and C: A weak trauma-dissociation link. Applied Cognitive Psychology, 31, 392–403.

  45. Pinto-Meza, A., Serrano-Blanco, A., Peñarrubia, M. T., Blanco, E., & Haro, J. M. (2005). Assessing depression in primary care with the PHQ-9: Can it be carried out over the telephone? Journal of General Internal Medicine, 20, 738–742.

  46. Piper, A., & Merskey, H. (2004). The persistence of folly: A critical examination of dissociative identity disorder. Part I. The excesses of an improbable concept. Canadian Journal of Psychiatry, 49, 592–600.

  47. Pope, H. G., Poliakoff, M. B., Parker, M. P., Boynes, M., & Hudson, J. I. (2007). Is dissociative amnesia a culture-bound syndrome? Findings from a survey of historical literature. Psychological Medicine, 37, 225–233.

  48. Resnick, P. J., West, S. G., & Wooley, C. N. (2018). The malingering of posttraumatic disorders. In R. Rogers & S. D. Bender (Eds.), Clinical assessment of malingering and deception (p. 188–211). The Guilford Press.

  49. Rief, W., Nanke, A., Klaiberg, A., & Braehler, E. (2004). Base rates for panic and depression according to the Brief Patient Health Questionnaire: A population-based study. Journal of Affective Disorders, 82, 271–276.

  50. Ross, C. A. (1991). Epidemiology of multiple personality disorder and dissociation. Psychiatric Clinics of North America, 14, 503–517.

  51. Şar, V., Akyüz, G., & Doğan, O. (2007). Prevalence of dissociative disorders among women in the general population. Psychiatry Research, 149, 169–176.

  52. Soukup, J., Papežová, H., Kuběna, A. A., & Mikolajová, V. (2010). Dissociation in non-clinical and clinical sample of Czech adolescents reliability and validity of the Czech version of the Adolescent Dissociative Experiences Scale. European Psychiatry, 25, 390–395.

  53. Tarescavage, A. M., & Glassmire, D. M. (2016). Differences between structured interview of reported symptoms (SIRS) and SIRS-2 sensitivity estimates among forensic inpatients: A criterion groups comparison. Law and Human Behavior, 40, 488–502.

  54. Thomas, K. A., & Clifford, S. (2017). Validity and mechanical Turk: An assessment of exclusion methods and interactive experiments. Computers in Human Behavior, 77, 184–197.

  55. Tsai, J., Armour, C., Southwick, S. M., & Pietrzak, R. H. (2015). Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans. Journal of Psychiatric Research, 66, 67–74.

  56. Van der Hart, O., Nijenhuis, E. R., & Steele, K. (2005). Dissociation: An insufficiently recognized major feature of complex posttraumatic stress disorder. Journal of Traumatic Stress, 18, 413–423.

  57. Waelde, L. C., Silvern, L., & Fairbank, J. A. (2005). A taxometric investigation of dissociation in Vietnam veterans. Journal of Traumatic Stress, 18, 359–369.

  58. Waller, N. G., Putnam, F. W., & Carlson, E. B. (1996). Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychological Methods, 1, 300–321.

  59. Walls, B. D., Wallace, E. R., Brothers, S. L., & Berry, D. T. R. (2017). Utility of the Conners’ Adult ADHD Rating Scale validity scales in identifying simulated attention-deficit hyperactivity disorder and random responding. Psychological Assessment, 29, 1437–1446.

  60. Wolf, E. J., Lunney, C. A., Miller, M. W., Resick, P. A., Friedman, M. J., & Schnurr, P. P. (2012). The dissociative subtype of PTSD: A replication and extension. Depression and Anxiety, 29, 679–688.

  61. Wolf, E. J., Miller, M. W., Reardon, A. F., Ryabchenko, K. A., Castillo, D., & Freund, R. (2012). A latent class analysis of dissociation and posttraumatic stress disorder: Evidence for a dissociative subtype. Archives of General Psychiatry, 69, 698–705.

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Abu-Rus, A., Thompson, K.J., Naish, B.L. et al. Development of a Validity Scale for the Dissociative Experience Scale-Revised: Atypicality, Structure, and Inconsistency. Psychol. Inj. and Law (2020).

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  • Dissociation
  • Trauma
  • Malingering
  • Forensic
  • DES
  • PTSD