PTSD malingering detection in damage claim cases: Diagnostic accuracy in cases of personal injury as a result of motor vehicle accidents

IF 1.4 4区医学 Q1 LAW International Journal of Law and Psychiatry Pub Date : 2023-05-01 DOI:10.1016/j.ijlp.2023.101885

J. Biegańska-Banaś , P. Banaś , M. Zięba , J.K. Gierowski , J. Trzebiński

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引用次数: 1

Abstract

This study aimed to assess the accuracy of post-traumatic stress disorder (PTSD) diagnoses made by mental health experts in people reporting post-traumatic stress symptoms related to traffic accidents. Data were collected from sixty participants: 30 with possible traumatic experiences and 30 who had never experienced this or other types of traumatic events. Six professional diagnosticians examined the participants with Structured Clinical Interview for the Study of Axis I Disorders (SCID-I for DSM-IV-TR) in conditions similar to those typical of judicial cases related to traffic accident damage claims. There was no significant difference in the number of PTSD diagnoses between malingerers and non-malingerers. Some PTSD symptoms were more frequently recognized in malingerers. This study demonstrates that even professional diagnosticians with clinical and jurisprudence experience have significant difficulty identifying PTSD malingering. This difficulty can be linked to the limitations of diagnoses based on introspective reports.

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损害索赔案件中的创伤后应激障碍诊断:机动车事故导致的人身伤害案件的诊断准确性

本研究旨在评估心理健康专家在报告与交通事故有关的创伤后应激症状的人群中做出的创伤后应激障碍(PTSD)诊断的准确性。数据来自60名参与者:30名可能有创伤经历，30名从未经历过这种或其他类型的创伤事件。六名专业诊断医师在与交通事故损害索赔相关的典型司法案件相似的条件下，对参与者进行了I轴障碍研究结构化临床访谈(DSM-IV-TR中的SCID-I)。在诊断PTSD的数量上，装病者和非装病者没有显著差异。一些PTSD症状在装病者身上更容易被发现。这项研究表明，即使是具有临床和法理学经验的专业诊断医生也很难识别PTSD的装病。这种困难可能与基于内省报告的诊断的局限性有关。

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来源期刊

International Journal of Law and Psychiatry Multiple-

CiteScore

4.70

自引率

8.70%

发文量

审稿时长

41 days

期刊介绍： The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.