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创伤后应激障碍退伍军人中的症状夸大与赔偿诉求

Symptom exaggeration and compensation seeking among combat veterans with posttraumatic stress disorder.

作者信息

DeViva Jason C, Bloem William D

机构信息

Department of Psychiatry, Dartmouth Medical School, Lebanon, New Hampshire 03756-0001, USA.

出版信息

J Trauma Stress. 2003 Oct;16(5):503-7. doi: 10.1023/A:1025766713188.

Abstract

Combat veterans seeking treatment for posttraumatic stress disorder (PTSD) tend to report high levels of psychopathology on self-report instruments. The purpose of the current archival study was to replicate research on the relationships among symptom exaggeration, attempts to obtain compensation, and treatment outcome on the Beck Depression Inventory, the Mississippi Scale for Combat-Related PTSD, and selected MMPI-2 and MCMI-II subscales. Results indicated that symptom exaggeration as defined by an MMPI-2 F-K index over 13 was related to higher scores on all scales examined. Compensation seeking was not related to assessment scores or exaggeration. Neither compensation seeking nor exaggeration was related to treatment outcome. Limitations of the study and implications for future research are discussed.

摘要

寻求创伤后应激障碍(PTSD)治疗的退伍军人在自我报告工具上往往报告有高水平的精神病理学症状。本项档案研究的目的是在贝克抑郁量表、与战斗相关的创伤后应激障碍密西西比量表以及选定的明尼苏达多相人格调查表-2(MMPI-2)和米隆临床多轴问卷-Ⅱ(MCMI-Ⅱ)分量表上,复制关于症状夸大、获取赔偿的企图与治疗结果之间关系的研究。结果表明,MMPI-2中F-K指数超过13所定义的症状夸大与所有所检查量表上的较高分数相关。寻求赔偿与评估分数或夸大无关。寻求赔偿和夸大均与治疗结果无关。讨论了该研究的局限性以及对未来研究的启示。

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