Fabra M, Stevens A, Merten Th
Medizinisches Gutachteninstitut, Hamburg.
Versicherungsmedizin. 2009 Sep 1;61(3):111-7.
In Germany, like in many Western countries, posttraumatic stress disorder (PTSD) is being diagnosed on an increased scale; it has become a major cost-producing factor of the healthcare and insurance industry. However, diagnosing PTSD may be problematic when it is primarily based on a symptom report. Although the forensic expert is expected to check the veracity of the symptoms reported, history taking, psychopathological assessment and diagnostic accuracy vary greatly among professionals. Thus, the diagnosis of PTSD often cannot be confirmed by later thorough inspection. Based on more than a decade of civil-forensic work in the area, the authors formulate recommendations for independent medical examinations in cases of claimed PTSD.
在德国,与许多西方国家一样,创伤后应激障碍(PTSD)的诊断数量在不断增加;它已成为医疗保健和保险业的一个主要成本产生因素。然而,当主要基于症状报告来诊断PTSD时可能会出现问题。尽管期望法医专家检查所报告症状的真实性,但不同专业人员在病史采集、精神病理学评估和诊断准确性方面差异很大。因此,PTSD的诊断往往无法通过后来的全面检查得到证实。基于该领域十多年的民事法医工作,作者针对声称患有PTSD的病例的独立医学检查提出了建议。