Ben-Avi I, Rabin S, Melamed S, Kreiner H, Ribak J
Behavioral Toxicology Program, Occupational Health and Rehabilitation Institute, Raanana, Israel.
Am J Ind Med. 1998 Oct;34(4):325-30. doi: 10.1002/(sici)1097-0274(199810)34:4<325::aid-ajim5>3.0.co;2-r.
Neurobehavioral assessment is frequently made in a forensic context. The cognitive assessment may be biased due to an international manipulation of data by the patient motivated by attainment of compensation, that is, malingering. Although malingering is highly relevant in behavioral toxicology, the issue and its assessment are underrepresented in the literature. A routine assessment of malingering is important to reduce false-positive and false-negative errors in assessment, thereby establishing the credibility and validity of behavioral assessment. In the long run, the routine inclusion of malingering measurements might reduce claims and encourage employers to be more cooperative in behavioral toxicology studies. Guidelines for malingering assessment and research, inferred from the clinical and research literature, are discussed. Sensitivity to the problematic issues involved in assessing malingering behavior is an important step toward malingering detection in the clinical setting and to the establishment of assessment methods that are less confounded by these issues.
神经行为评估常在法医背景下进行。认知评估可能会因患者出于获取赔偿目的而对数据进行有意操控，即诈病，而产生偏差。尽管诈病在行为毒理学中高度相关，但该问题及其评估在文献中却未得到充分体现。对诈病进行常规评估对于减少评估中的假阳性和假阴性错误至关重要，从而确立行为评估的可信度和有效性。从长远来看，常规纳入诈病测量可能会减少索赔，并鼓励雇主在行为毒理学研究中更加合作。本文讨论了从临床和研究文献中推断出的诈病评估及研究指南。对评估诈病行为所涉及的问题保持敏感，是在临床环境中检测诈病以及建立受这些问题干扰较小的评估方法的重要一步。
