Egle U T, Frommberger U, Kappis B
Psychosomatische Fachklinik Kinzigtal, Wolfsweg 12, 77723, Gengenbach, Deutschland,
Schmerz. 2014 Aug;28(4):354-64. doi: 10.1007/s00482-014-1416-4.
Post-traumatic stress disorder (PTSD) is one of the most relevant disorders of patients with chronic pain, but is often underdiagnosed. This also applies to expert testimony. Further complicating the assessment are the different definitions of PTSD in ICD-10 and DSM-IV; the new DSM-5 has added a further definition. The present review aims to provide guidance for making a valid diagnosis. This forms the basis for a differentiated expert testimony in the different fields of law (e.g., criminal law, statutory or private accident insurance or social security benefits), in which different requirements must be taken into consideration by the expert. The recognition of malingering is described at length, which plays a major role in PTSD expert testimony in all fields of law.
创伤后应激障碍(PTSD)是慢性疼痛患者中最常见的相关疾病之一,但常常被漏诊。这在专家证词中也是如此。国际疾病分类第10版(ICD - 10)和《精神疾病诊断与统计手册》第四版(DSM - IV)对PTSD的定义不同,这使得评估更加复杂;新的《精神疾病诊断与统计手册》第五版(DSM - 5)又增加了一个定义。本综述旨在为进行有效诊断提供指导。这为在不同法律领域(如刑法、法定或私人意外保险或社会保障福利)提供差异化的专家证词奠定了基础,在这些领域中,专家必须考虑不同的要求。文中详细描述了诈病的识别,诈病在所有法律领域的PTSD专家证词中都起着重要作用。