Griffin G A, Normington J, May R, Glassmire D
Department of Psychology, Occidental College, Los Angeles, California 90041, USA.
J Consult Clin Psychol. 1996 Dec;64(6):1425-30. doi: 10.1037//0022-006x.64.6.1425.
Social Security disability income programs have been tested by increasingly politicized concerns regarding widespread fraud among claimants. This study was an initial investigation of malingering among claimants in Los Angeles seeking disability income on psychological grounds. After a review of 100 disability income applications, a population-appropriate instrument was developed from established psychometric indices of malingering. The Composite Disability Malingering Index was completed by 167 disability claimants (possible malingerers), a sex, age and IQ cognate group of 63 psychologically disabled individuals without incentive to malinger (disabled nonmalingerers), and 45 disability examiners with instructions to malinger (instructed malingerers). The mean score of instructed malingerers and the score at the 95th percentile of the disabled nonmalingerers converged, indicating 8 as the critical score. This cutting score found 32 (19%) of disability claimants to be malingering. Self-reported substance abuse history was the only participant variable that significantly predicted higher malingering scores.
社会保障残疾收入计划受到了越来越多政治化问题的考验，这些问题涉及索赔人中普遍存在的欺诈行为。本研究初步调查了洛杉矶以心理理由申请残疾收入的索赔人中的诈病情况。在审查了100份残疾收入申请后，根据既定的诈病心理测量指标开发了一种适合人群的工具。167名残疾索赔人（可能的诈病者）、63名无诈病动机的心理残疾个体（残疾非诈病者）组成的性别、年龄和智商同源组以及45名被指示诈病的残疾审查员完成了综合残疾诈病指数。被指示诈病者的平均得分与残疾非诈病者第95百分位数的得分一致，表明临界分数为8分。这个临界分数发现32名（19%）残疾索赔人存在诈病行为。自我报告的药物滥用史是唯一能显著预测更高诈病分数的参与者变量。
