Patton State Hospital, Patton, CA, USA.
Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Community and Public Safety Psychiatry Division, Charleston, SC, USA.
Int J Law Psychiatry. 2021 May-Jun;76:101698. doi: 10.1016/j.ijlp.2021.101698. Epub 2021 Apr 2.
Research suggests the use of validated symptom validity tests to detect feigning is imperative to increase accuracy over unaided clinical judgment, especially in forensic settings. This study examined performance on the Miller Forensic Assessment of Symptoms (M-FAST) and Structured Interview of Reported Symptoms (SIRS) during 297 assessments of forensic inpatients. The risk of being identified as feigning on the M-FAST or SIRS was similar for those who were referred for evaluation of feigning compared to those who were not, but individuals with malingering designations prior to the evaluation scored significantly higher than those without on the M-FAST and several SIRS subscales. Findings support the importance of utilizing objective methods of data collection.
研究表明，使用经过验证的症状有效性测试来检测伪装对于提高准确性至关重要，尤其是在法医环境中。本研究在对 297 名法医住院患者的评估中，检查了 Miller 法医症状评估（M-FAST）和报告症状的结构化访谈（SIRS）的表现。与未被评估为伪装的人相比，那些因被怀疑为伪装而被评估的人在 M-FAST 和 SIRS 上被识别为伪装的风险相似，但在评估前被指定为装病的人在 M-FAST 和几个 SIRS 分量表上的得分明显高于没有被指定为装病的人。研究结果支持了使用客观数据收集方法的重要性。
