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[PMID]:28451707
[Au] Autor:Kapfhammer HP
[Ad] Endereço:Klinik für Psychiatrie und Psychotherapeutische Medizin, Medizinische Universität Graz, Auenbruggerplatz 31, 8036, Graz, Österreich. Hans-peter.kapfhammer@klinikum-graz.at.
[Ti] Título:[Factitious disorders].
[Ti] Título:Artifizielle Störungen..
[So] Source:Nervenarzt;88(5):549-570, 2017 May.
[Is] ISSN:1433-0407
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Patients with factitious disorders intentionally fabricate, exaggerate or feign physical and/or psychiatric symptoms for various open and covert psychological reasons. There are many issues regarding the diagnostic state and classification of factitious disorders. Both the categorical differentiation of and clinical continuum ranging from somatoform/dissociative disorders to malingering are being controversially debated. Epidemiological studies on the frequency of factitious disorder meet basic methodological difficulties. Reported rates of prevalence and incidence in the professional literature most probably have to be considered underestimations. Illness deception and self-harm as core features of the abnormal illness behaviour in factitious disorder may refer to various highly adverse and traumatic experiences during early development in a subgroup of patients. Chronic courses of illness prevail; however, there are also episodic variants.
[Mh] Termos MeSH primário: Transtornos Dissociativos/diagnóstico
Transtornos Autoinduzidos/diagnóstico
Transtornos Autoinduzidos/psicologia
Simulação de Doença/diagnóstico
Comportamento Autodestrutivo/diagnóstico
Transtornos Somatoformes/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Transtornos Dissociativos/psicologia
Transtornos Dissociativos/terapia
Medicina Baseada em Evidências
Transtornos Autoinduzidos/terapia
Seres Humanos
Simulação de Doença/psicologia
Simulação de Doença/terapia
Comportamento Autodestrutivo/prevenção & controle
Comportamento Autodestrutivo/psicologia
Transtornos Somatoformes/psicologia
Transtornos Somatoformes/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s00115-017-0337-8


  2 / 2255 MEDLINE  
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[PMID]:27770748
[Au] Autor:Huntjens RJC; Wessel I; Ostafin BD; Boelen PA; Behrens F; van Minnen A
[Ad] Endereço:Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands. Electronic address: r.j.c.huntjens@rug.nl.
[Ti] Título:Trauma-related self-defining memories and future goals in Dissociative Identity Disorder.
[So] Source:Behav Res Ther;87:216-224, 2016 12.
[Is] ISSN:1873-622X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study examined the content of self-defining autobiographical memories in different identities in patients with Dissociative Identity Disorder (DID) and comparison groups of patients with PTSD, healthy controls, and DID simulators. Consistent with the DID trauma model, analyses of objective ratings showed that DID patients in trauma identities retrieved more negative and trauma-related self-defining memories than DID patients in avoidant identities. Inconsistent with the DID trauma model, DID patients' self-rated trauma-relatedness of self-defining memories and future life goals did not differ between trauma identities and trauma avoidant identities. That is, the DID patients did not seem to be "shut off" from their trauma while in their avoidant identity. Furthermore, DID patients in both identities reported a higher proportion of avoidance goals compared to PTSD patients, with the latter group scoring comparably to healthy controls. The simulators behaved according to the instructions to respond differently in each identity (i.e., to report memories and goals consistent with the identity tested). The discrepant task behavior by DID patients and simulators indicated that DID patients did not seem to intentionally produce the hypothesized differences in performance between identities. In conclusion, for patients with DID (i.e., in both identities) and patients with PTSD, trauma played a central role in the retrieval of self-defining memories and in the formulation of life goals.
[Mh] Termos MeSH primário: Acontecimentos que Mudam a Vida
Simulação de Doença/psicologia
Memória Episódica
Transtorno de Personalidade Múltipla/psicologia
Autoimagem
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Casos e Controles
Feminino
Seres Humanos
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180203
[Lr] Data última revisão:
180203
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE


  3 / 2255 MEDLINE  
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[PMID]:28635394
[Au] Autor:Kuhn E; Staub T
[Ad] Endereço:1 Klinik für Innere Medizin, Universitätsspital Zürich.
[Ti] Título:CME: Beurteilung der Hafterstehungsfähigkeit: Eine Übersicht für den Alltag..
[So] Source:Praxis (Bern 1994);106(13):693-697, 2017 Jun.
[Is] ISSN:1661-8157
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Doença Crônica
Avaliação da Deficiência
Prova Pericial/legislação & jurisprudência
Nível de Saúde
Simulação de Doença/diagnóstico
Anamnese
Exame Físico
Prisioneiros/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Seres Humanos
Masculino
Encaminhamento e Consulta
Suíça
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.1024/1661-8157/a002729


  4 / 2255 MEDLINE  
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[PMID]:28417844
[Ti] Título:You're the Flight Surgeon.
[So] Source:Aerosp Med Hum Perform;88(5):509-511, 2017 May 01.
[Is] ISSN:2375-6314
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:McLaughlin CM. You're the flight surgeon: atypical hypothyroid presentation. Aerosp Med Hum Perform. 2017; 88(5):509-511.
[Mh] Termos MeSH primário: Doença de Hashimoto/diagnóstico
Hipotireoidismo/diagnóstico
Simulação de Doença/diagnóstico
Militares
[Mh] Termos MeSH secundário: Medicina Aeroespacial
Diagnóstico Diferencial
Seres Humanos
Hipotireoidismo/tratamento farmacológico
Masculino
Medicina Militar
Tiroxina/uso terapêutico
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
Q51BO43MG4 (Thyroxine)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.3357/AMHP.4770.2017


  5 / 2255 MEDLINE  
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[PMID]:28365748
[Au] Autor:Horner MD; Turner TH; VanKirk KK; Denning JH
[Ad] Endereço:Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, US Department of Veteran Affairs, Charleston, SC, USA.
[Ti] Título:An Intervention to Decrease the Occurrence of Invalid Data on Neuropsychological Evaluation.
[So] Source:Arch Clin Neuropsychol;32(2):228-237, 2017 Mar 01.
[Is] ISSN:1873-5843
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Objective: This study tested whether patients who were given a handout based on deterrence theory, immediately prior to evaluation, would provide invalid data less frequently than patients who were simply given an informational handout. Method: All outpatients seen for clinical evaluation in a VA Neuropsychology Clinic were randomly given one of the two handouts immediately prior to evaluation. The "Intervention" handout emphasized the importance of trying one's hardest, explicitly listed consequences of valid and invalid responding and asked patients to sign and initial it. The "Control" handout provided general information about neuropsychological evaluation. Examiners were blinded to condition. Patients were excluded from analyses if they were diagnosed with major neurocognitive disorder or could not read the handout. Medical Symptom Validity Test (MSVT) was used to determine performance validity. Results: Groups did not differ on age, education, or litigation status. For the entire sample (N = 251), there was no effect of handout on passing versus failing MSVT. However, among patients who were seeking disability benefits at the time of evaluation (n = 70), the Intervention handout was associated with lower frequency of failing MSVT than the Control handout. Conclusions: This brief, theory-based, cost-free intervention was associated with lower frequency of invalid data among patients seeking disability benefits at the time of clinical evaluation. We suggest methodological modifications that might produce a more potent intervention that could be effective with additional subsets of patients.
[Mh] Termos MeSH primário: Lesões Encefálicas/complicações
Lesões Encefálicas/psicologia
Transtornos Cognitivos/diagnóstico
Transtornos Cognitivos/etiologia
Simulação de Doença/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Avaliação da Deficiência
Feminino
Hospitais de Veteranos
Seres Humanos
Masculino
Meia-Idade
Testes Neuropsicológicos
Pacientes Ambulatoriais
Escalas de Graduação Psiquiátrica
Reprodutibilidade dos Testes
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170403
[St] Status:MEDLINE
[do] DOI:10.1093/arclin/acw094


  6 / 2255 MEDLINE  
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[PMID]:28276597
[Au] Autor:Merten T; Rogers R
[Ti] Título:An International Perspective on Feigned Mental Disabilities: Conceptual Issues and Continuing Controversies.
[So] Source:Behav Sci Law;35(2):97-112, 2017 Mar.
[Is] ISSN:1099-0798
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In forensic contexts, an increased prevalence of feigned symptom presentations should be expected, although it will probably vary by the context and specific forensic issue. Forensic experts should examine this possibility proactively while maintaining a balanced perspective that actively considers clinical data for both feigning and genuine responding. Psychological measures and standardized methods developed for feigning and other response styles can facilitate these often complex determinations. The current article provides an international perspective on the issue of feigned mental disabilities. In particular, important conceptual issues are discussed, such as the categorical versus dimensional approaches to feigning, and the advisability of well-defined rather than single-point cut scores for accuracy in clinical decision-making. Salient problems of differential diagnosis include a spectrum from malingering and factitious disorders to somatoform and conversion disorders. In rendering these important diagnostic distinctions, the questions of motivations and intentions remain key. However, the establishment of motivation cannot be facilely assumed from the context. Instead, forensic psychologists and psychiatrists bear the professional burden of carefully evaluating motivation and recognizing the clinical reality that sometimes the motivation in especially challenging cases may not be fully determined. Copyright © 2017 John Wiley & Sons, Ltd.
[Mh] Termos MeSH primário: Decepção
Medicina Legal/métodos
Deficiência Intelectual/diagnóstico
Simulação de Doença/diagnóstico
Transtornos Mentais/diagnóstico
[Mh] Termos MeSH secundário: Direito Penal/métodos
Seres Humanos
Deficiência Intelectual/classificação
Internacionalidade
Simulação de Doença/classificação
Transtornos Mentais/classificação
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1002/bsl.2274


  7 / 2255 MEDLINE  
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[PMID]:28156190
[Au] Autor:Meyer SR; de Jonghe JF; Schmand B; Ponds RW
[Ad] Endereço:a Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience (MHeNS) , Maastricht University , Maastricht , The Netherlands.
[Ti] Título:The Visual Association Test-Extended: a cross-sectional study of the performance validity measures.
[So] Source:Clin Neuropsychol;31(4):798-813, 2017 May.
[Is] ISSN:1744-4144
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Given the hazards of knowledge about performance validity tests (PVTs) being proliferated among the general public, there is a continuous need to develop new PVTs. The purpose of these studies was to validate the newly developed Visual Association Test-Extended (VAT-E). METHOD: The VAT-E consists of 24 pairs of line drawings; it is partly based on Green's Word Memory Test (WMT) paradigm. In study 1, we compared VAT-E total scores of healthy controls (n = 226), patients with mild cognitive impairment (MCI) (n = 76), patients with Alzheimer's disease (AD) (n = 26), and persons instructed to feign memory deficit (n = 29). In study 2, we compared litigating patients classified by Slick's criteria as Malingering of Neurocognitive Dysfunction (MND) (n = 26) or non-MND (n = 67). In addition, we compared the VAT-E to the Test of Memory Malingering (TOMM) (study 1) and the WMT (study 2). RESULTS: Results showed that the VAT-E differentiated patients with MCI (specificity 93-100%) or patients with AD (specificity 92-100%) from persons instructed to feign (sensitivity 86-100%). The VAT-E also differentiated MND from non-MND (sensitivity 54%, specificity 97%). The VAT-E was in perfect agreement with the TOMM in classifying healthy controls and persons instructed to feign, and it was in moderate agreement with the WMT in classifying non-MND and MND. CONCLUSION: Preliminary evidence shows that the VAT-E may be a useful PVT based on the ability to differentiate between those with genuine memory impairment, persons instructed to feign memory impairment, and a group suspected of malingering cognitive deficits.
[Mh] Termos MeSH primário: Doença de Alzheimer/diagnóstico
Disfunção Cognitiva/diagnóstico
Simulação de Doença/diagnóstico
Transtornos da Memória/diagnóstico
Testes Neuropsicológicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Casos e Controles
Estudos Transversais
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Simulação de Doença/psicologia
Transtornos da Memória/psicologia
Meia-Idade
Simulação de Paciente
Psicometria
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE
[do] DOI:10.1080/13854046.2017.1280181


  8 / 2255 MEDLINE  
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[PMID]:28114691
[Au] Autor:Keppler C; Plohmann AM; Pflueger M; Rabovsky K; Langewitz W; Mager R
[Ad] Endereço:Forensisch-Psychiatrische Klinik - Forschung Forensik Neurophysiologie, Universitäre Psychiatrische Kliniken Basel.
[Ti] Título:[Symptom Validation in Independent Medical Evaluations].
[Ti] Título:Beschwerdenvalidierung in der versicherungsmedizinischen Begutachtung..
[So] Source:Fortschr Neurol Psychiatr;85(1):17-33, 2017 Jan.
[Is] ISSN:1439-3522
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:High prevalence rates of non-authentic complaints identified by experts in the field of insurance medicine draw attention to the risk of services, which are of limited availability and financially compensated, being used in ways that are not goal-oriented. Therefore, symptom validity testing has become a growing issue to prevent non-targeted monetary compensations. This paper outlines the best-evaluated methods and instruments. Based on the data currently available, their validity, in particular in the context of medico-legal assessment, is assessed. It is concluded that symptom validity assessment allows inferences about the degree of certainty of clinical judgements on the authenticity of reported symptoms. Thus, the application of the suggested instruments enhances significantly the quality of medical and psychological expertise. However, the integration of the additional results into the overall assessment is challenging and needs to be further clarified.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Prova Pericial
Seguro por Invalidez
Simulação de Doença/diagnóstico
[Mh] Termos MeSH secundário: Compensação e Reparação/legislação & jurisprudência
Diagnóstico Diferencial
Prova Pericial/legislação & jurisprudência
Alemanha
Seres Humanos
Seguro por Invalidez/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VALIDATION STUDIES
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-116681


  9 / 2255 MEDLINE  
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[PMID]:28084893
[Au] Autor:Kanser RJ; Rapport LJ; Bashem JR; Billings NM; Hanks RA; Axelrod BN; Miller JB
[Ad] Endereço:a Department of Psychology , Wayne State University , Detroit MI , USA.
[Ti] Título:Strategies of successful and unsuccessful simulators coached to feign traumatic brain injury.
[So] Source:Clin Neuropsychol;31(3):644-653, 2017 Apr.
[Is] ISSN:1744-4144
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The present study evaluated strategies used by healthy adults coached to simulate traumatic brain injury (TBI) during neuropsychological evaluation. METHOD: Healthy adults (n = 58) were coached to simulate TBI while completing a test battery consisting of multiple performance validity tests (PVTs), neuropsychological tests, a self-report scale of functional independence, and a debriefing survey about strategies used to feign TBI. RESULTS: "Successful" simulators (n = 16) were classified as participants who failed 0 or 1 PVT and also scored as impaired on one or more neuropsychological index. "Unsuccessful" simulators (n = 42) failed ≥2 PVTs or passed PVTs but did not score impaired on any neuropsychological index. Compared to unsuccessful simulators, successful simulators had significantly more years of education, higher estimated IQ, and were more likely to use information provided about TBI to employ a systematic pattern of performance that targeted specific tests rather than performing poorly across the entire test battery. CONCLUSION: Results contribute to a limited body of research investigating strategies utilized by individuals instructed to feign neurocognitive impairment. Findings signal the importance of developing additional embedded PVTs within standard cognitive tests to assess performance validity throughout a neuropsychological assessment. Future research should consider specifically targeting embedded measures in visual tests sensitive to slowed responding (e.g. response time).
[Mh] Termos MeSH primário: Lesões Encefálicas Traumáticas/psicologia
Simulação de Doença/psicologia
Simulação de Paciente
[Mh] Termos MeSH secundário: Adolescente
Adulto
Lesões Encefálicas Traumáticas/diagnóstico
Escolaridade
Feminino
Seres Humanos
Inteligência
Masculino
Simulação de Doença/diagnóstico
Meia-Idade
Testes Neuropsicológicos
Desempenho Psicomotor
Tempo de Reação
Reprodutibilidade dos Testes
Autorrelato
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170114
[St] Status:MEDLINE
[do] DOI:10.1080/13854046.2016.1278040


  10 / 2255 MEDLINE  
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[PMID]:28077000
[Au] Autor:Gasquoine PG; Weimer AA; Amador A
[Ad] Endereço:a Department of Psychological Science , University of Texas Rio Grande Valley , Edinburg , TX , USA.
[Ti] Título:Specificity rates for non-clinical, bilingual, Mexican Americans on three popular performance validity measures.
[So] Source:Clin Neuropsychol;31(3):587-597, 2017 Apr.
[Is] ISSN:1744-4144
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To measure specificity as failure rates for non-clinical, bilingual, Mexican Americans on three popular performance validity measures: (a) the language format Reliable Digit Span; (b) visual-perceptual format Test of Memory Malingering; and (c) visual-perceptual format Dot Counting, using optimal/suboptimal effort cut scores developed for monolingual, English-speakers. METHODS: Participants were 61 consecutive referrals, aged between 18 and 65 years, with <16 years of education who were subjectively bilingual (confirmed via formal assessment) and chose the language of assessment, Spanish or English, for the performance validity tests. RESULTS: Failure rates were 38% for Reliable Digit Span, 3% for the Test of Memory Malingering, and 7% for Dot Counting. For Reliable Digit Span, the failure rates for Spanish (46%) and English (31%) languages of administration did not differ significantly. CONCLUSIONS: Optimal/suboptimal effort cut scores derived for monolingual English-speakers can be used with Spanish/English bilinguals when using the visual-perceptual format Test of Memory Malingering and Dot Counting. The high failure rate for Reliable Digit Span suggests it should not be used as a performance validity measure with Spanish/English bilinguals, irrespective of the language of test administration, Spanish or English.
[Mh] Termos MeSH primário: Americanos Mexicanos/psicologia
Multilinguismo
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Linguagem
Testes de Linguagem
Masculino
Simulação de Doença/diagnóstico
Simulação de Doença/psicologia
Memória
Meia-Idade
Testes Neuropsicológicos
Desempenho Psicomotor
Reprodutibilidade dos Testes
Percepção Visual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.1080/13854046.2016.1277786



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