Are feigning screens “competent to stand trial”? A systematic review and meta-analysis of the Miller Forensic Assessment of Symptoms Test, Atypical Presentation Scales, and Structured Inventory of Malingered Symptomatology.

Nishant Krishnan; Michael D. Trood; Janet Ruffles; Grant A. Blake; James R. P. Ogloff

doi:10.1037/lhb0000661

April 13, 2026Law and Human BehaviorOpen Access

Are feigning screens “competent to stand trial”? A systematic review and meta-analysis of the Miller Forensic Assessment of Symptoms Test, Atypical Presentation Scales, and Structured Inventory of Malingered Symptomatology.

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Key Points

To assess the effectiveness of the M-FAST and ATP scales in identifying those who do not need further symptom validity testing.
Systematic review of existing literature
Meta-analysis of M-FAST and ATP scale effectiveness
Evaluation of false positive rates
M-FAST and ATP scales effectively identify examinees needing no further testing
Elevated false positive rates warrant follow-up assessments for positive results
Overall competence assessment necessity is highlighted for trial readiness

Implication

Systematic review evaluates screening tools for identifying trial competence, indicating accuracy concerns.

Abstract

Both the M-FAST and ATP Scales appear to be effective screening tools for identifying examinees who do not require further symptom validity testing. However, considering the elevated false positive rate, positive results necessitate follow-up assessment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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Cite This Study

Krishnan et al. (2026) studied this question.

synapsesocial.com/papers/69e07c1e2f7e8953b7cbd8bd https://doi.org/10.1037/lhb0000661

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Are feigning screens “competent to stand trial”? A systematic review and meta-analysis of the Miller Forensic Assessment of Symptoms Test, Atypical Presentation Scales, and Structured Inventory of Malingered Symptomatology.

Key Points

Implication

Abstract

Discussion

Cite This Study

Are feigning screens “competent to stand trial”? A systematic review and meta-analysis of the Miller Forensic Assessment of Symptoms Test, Atypical Presentation Scales, and Structured Inventory of Malingered Symptomatology.

Key Points

Implication

Abstract

Discussion

Cite This Study

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