Leavitt Frank, Sweet Jerry J
Department of Psychology and Social Sciences, Rush Medical College, 1753 West Congress Parkway, Chicago, IL 60612, U.S.A. Chronic Pain and Headache Treatment Center, Illinois Masonic Medical Center, 836 West Wellington Avenue, Chicago, IL 60657 U.S.A.
Pain. 1986 Jun;25(3):357-364. doi: 10.1016/0304-3959(86)90239-3.
Information on the clinical characteristics and frequency of malingering among patients with low back pain was obtained in a survey mailed to orthopedic surgeons and neurosurgeons in 6 geographic regions of the United States. Working on the assumption that orthopedic surgeons and neurosurgeons are untapped historians of this clinical information, data from 105 respondents were analyzed to determine if a consensus of opinion underlies clinical judgment concerning malingering. The results indicated that agreement increases with clinical symptoms reflecting exaggeration and incongruous behavior. 70% or more of the physicians were in agreement on 6 symptoms fitting these 2 patterns. 60% of the surgeons were also in agreement that malingering is a relatively infrequent condition, occurring in 5% or less of patients with low back pain.
通过向美国6个地理区域的骨科医生和神经外科医生邮寄调查问卷，获取了有关腰痛患者伪装症状的临床特征和发生频率的信息。基于骨科医生和神经外科医生是此类临床信息未被充分利用的信息提供者这一假设，对105名受访者的数据进行了分析，以确定关于伪装症状的临床判断是否存在共识性意见。结果表明，随着反映夸大症状和不协调行为的临床症状出现，医生之间的共识度增加。70%或更多的医生对符合这两种模式的6种症状达成了一致意见。60%的外科医生还一致认为，伪装症状是一种相对罕见的情况，在5%或更少的腰痛患者中出现。
