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PTSD malingering detection in damage claim cases: Diagnostic accuracy in cases of personal injury as a result of motor vehicle accidents
International Journal of Law and Psychiatry ( IF 2.479 ) Pub Date : 2023-03-27 , DOI: 10.1016/j.ijlp.2023.101885
J Biegańska-Banaś 1 , P Banaś 2 , M Zięba 3 , J K Gierowski 4 , J Trzebiński 5
Affiliation  

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.



中文翻译:

损害索赔案件中的 PTSD 诈骗检测:机动车事故造成的人身伤害案件的诊断准确性

这项研究旨在评估心理健康专家对报告与交通事故相关的创伤后应激症状的人做出的创伤后应激障碍 (PTSD) 诊断的准确性。数据收集自 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。六名专业诊断师在与交通事故损害索赔相关的典型司法案件类似的条件下,通过轴 I 障碍研究的结构化临床访谈(DSM-IV-TR 的 SCID-I)对参与者进行了检查。装病者和非装病者之间的 PTSD 诊断数量没有显着差异。一些 PTSD 症状在装病者中更常见。这项研究表明,即使是具有临床和法学经验的专业诊断师也很难识别 PTSD 的诈病。这种困难可能与基于内省报告的诊断的局限性有关。

更新日期:2023-03-28
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