Rosen Gerald M, Taylor Steven
University of Washington, USA.
J Anxiety Disord. 2007;21(2):201-10. doi: 10.1016/j.janxdis.2006.09.011. Epub 2006 Nov 2.
Pseudo-posttraumatic stress disorder (pseudo-PTSD) refers to cases in which a patient's presentation is but a simulation of the actual clinical syndrome. The problem of pseudo-PTSD has been neglected by many clinicians and researchers, who often rely on the assumption that a patient's reported symptoms can be accepted as valid. The purpose of this article is to (a) consider the diverse causes of pseudo-PTSD, (b) emphasize the importance of the DSM-IV's guideline to rule out malingering, and (c) discuss the implications that pseudo-PTSD has for research and clinical practice.
假性创伤后应激障碍(pseudo-PTSD)是指患者的表现只是对实际临床综合征的模拟。许多临床医生和研究人员忽视了假性创伤后应激障碍的问题,他们常常依赖于患者报告的症状可被视为有效的这一假设。本文的目的是:(a)探讨假性创伤后应激障碍的各种成因;(b)强调《精神疾病诊断与统计手册》第四版(DSM-IV)中排除诈病的指导方针的重要性;(c)讨论假性创伤后应激障碍对研究和临床实践的影响。