Gold S, Lubinsky R, Shahar A
J Aud Res. 1981 Apr;21(2):137-41.
Persons referred to the clinic for hearing evaluation, aged 17--35 yrs, who during the evaluation yielded inconsistent pure-tone and speech data and were suspected of malingering, were given a monosyllabic Hebraic PB test at 5, 10, 15, and 20 db re their admitted SRT. Group performances were compared at every presentation level to those of normal-hearing young adults. Both groups performed better as levels increased, but the suspected malingerers yielded SDSs at 5, 10, and 15 db significantly higher than controls by 20.8, 12.5, and 5.2 percentage points, respectively. The higher SDSs at low sensation levels (SLs) yielded by the suspected malingerers were assumed to be due to the exaggerated SRTs admitted by them. Furthermore, the performance - vs - level curve of the normals corresponded to that in the literature for English material, while the curve of the suspected malingerers was, in contrast, essentially different. It was concluded that with careful standardization and wide clinical and experimental use, collecting SDSs at low SLs re admitted SRT might produce a potentially valuable additional tool for uncovering malingering.
年龄在17至35岁之间、因听力评估被转诊至该诊所的患者，在评估过程中纯音和言语数据不一致且被怀疑有诈病行为，针对其自认的言语接受阈，在5分贝、10分贝、15分贝和20分贝水平进行单音节希伯来语PB测试。将每个呈现水平下两组的表现与听力正常的年轻成年人进行比较。随着水平升高，两组表现均有所改善，但疑似诈病者在5分贝、10分贝和15分贝水平下的言语辨别得分分别比对照组显著高出20.8、12.5和5.2个百分点。疑似诈病者在低感觉水平下较高的言语辨别得分被认为是由于他们自认的言语接受阈过高所致。此外，正常组的表现-水平曲线与英文材料文献中的曲线相符，而疑似诈病者的曲线则截然不同。研究得出结论，通过仔细标准化并广泛应用于临床和实验，在相对于自认言语接受阈的低感觉水平下收集言语辨别得分，可能会成为揭露诈病行为的一个潜在有价值的附加工具。
