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PTSD와 꾀병의 감별：면담방식과 전형적 증상에 대한 고찰

Differentiating PTSD from Malingering：Considerations Interview Style and Typical Symptoms

이소영|정한용|김신겸|박준호
대한신경정신의학회 (Korean Neuropsychiatric Association)|2010.01|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제49권 제1호|pp. 58-63

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참고문헌

키워드

PTSD·꾀병·면담방식·전형적 증상PTSD·Malingering·Interview style·Typical symptoms
주제분류정신과학

초록

Abstract

It can be difficult to distinguish posttraumatic stress disorder (PTSD) from malingering because a person’s responses after experiencing trauma depend on self-report, such as subjective complaints, and it is easy to find the diagnostic criteria for PTSD through the internet or other mass media. Therefore, it is important for clinicians to perceive patients’ motivations and determine whether they have external incentives. We reviewed clinicians’ and patients’ interview styles, which can be useful for reducing malingering intent and detecting malingering patterns. To help clinicians differentiate PTSD from malingering, we also reviewed the diagnostic criteria (re-experience, avoidance and numbing, and hyperarousal) and the typical symptoms of true and malingered PTSD.

참고문헌 (49)

  1. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (1994), American Psychiatric Press
  2. McNally RJ, "Progress and controversy in the study of posttraumatic stress disorder", Annu Rev Psychol, 54, pp.229~252 (2003)
  3. Brady K, "Comorbidity of psychiatric disorders and posttraumatic stress disorder", J Clin Psychiatry, 61, pp.22~32 (2000)
  4. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders", pp.463~468 (2000), APPI
  5. Koch W, "Empirical limits for the forensic assessment of PTSD litigants", Law Hum Behav, 29, pp.121~149 (2005)
  6. Hall HV, "Detecting malingering and deception: forensic distortion analysis", pp.103~121 (1996), St. Lucie Press
  7. Hall RCW, "Detection of Malingered PTSD: an overview of clinical, psychometric, and physiological assessment: where do we stand?", J Forensic Sci, 52, pp.717~725 (2007)
  8. 김용희, "꾀병척도의 타당도 연구: 경도 두부손상 환자를 중심으로", 한국심리학회지 임상, 23(1), pp.231~242 (2004), 한국임상심리학회
  9. Financial supervisory service, "Insurance services valuation report", ~ (2000)
  10. Slick DJ, "Diagnostic criteria for malingered neurocognitive dysfunction: proposed standards for clinical practice and research", Clin Neuropsychol, 13, pp.545~561 (1999)
  11. Resnick P, "Guidelines for the evaluation of malingering in posttraumatic stress disorder in Posttraumatic stress disorder in litigation: guidelines for forensic assessment", pp.117~134 (1995), APPI
  12. Appelbaum P, "Use of posttraumatic stress disorder to support an insanity defense", Am J Psychiatry, 150, pp.229~234 (1993)
  13. Trimble MR, "Post-traumatic neurosis: from railway spine to the whiplash" (1981), Wiley
  14. Gorman W, "Defining malingering", J Forensic Sci, 27, pp.401~407 (1982)
  15. Wiley S, "Deception and detection in psychiatric diagnosis", Psychiatr Clin North Am, 21, pp.869~893 (1998)
  16. Resnick P, "The detection of malingered psychosis", Psychiatr Clin North Am, 22, pp.159~172 (1999)
  17. Franklin C, "Differentiating overreporting and extreme distress: MMPI-2 use with compensation-seeking veterans with PTSD", J Pers Assess, 79, pp.274~285 (2002)
  18. Elhai J, "Subtypes of clinical presentations in malingerers of posttraumatic stress disorder: an MMPI-2 cluster analysis", Assessment, 8, pp.75~84 (2001)
  19. Hyer L, "MMPI overreporting by Vietnam combat veterans", J Clin Psychol, 43, pp.79~83 (1987)
  20. Hyer L, "Vietnam veterans: overreporting versus acceptable reporting of symptoms", J Pers Assess, 52, pp.475~486 (1988)
  21. Frueh B, "Apparent symptom overreporting among combat veterans evaluated for PTSD", Clin Psychol Rev, 20, pp.853~885 (2000)
  22. Sadock BJ, "Kaplan & Sadock’s synopsis of psychiatry", pp.898~ (2003), Lippincott Williams & Wilkins
  23. Lubit R, "Forensic evaluation of trauma syndromes in children", Child Adolesc Psychiatr Clin N Am, 11, pp.823~857 (2002)
  24. Knoll J, "The detection of malingered post-traumatic stress disorder", Psychiatr Clin North Am, 29, pp.629~647 (2006)
  25. Hall RCW, "Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations", Gen Hosp Psychiatry, 28, pp.525~535 (2006)
  26. Thompson JW, "Malingering in Textbook of forensic psychiatry", pp.427~448 (2004), American Psychiatric Publishing
  27. Jones E, "Flashbacks and posttraumatic stress disorder: the genesis of a 20th-century diagnosis", Br J Psychiatry, 182, pp.158~163 (2003)
  28. Watson I, "Flashbacks in war veterans", Br J Psychiatry, 184, pp.185~ (2004)
  29. Geraerts E, "Traumatic memories of war veterans: not so special after all", Conscious Cogn, 16, pp.170~177 (2007)
  30. Merckelbach H, "Amnesia, flashbacks, nightmares, and dissociation in aging concentration camp survivors", Behav Res Ther, 41, pp.351~360 (2003)
  31. Hellawell S, "A comparison of flashbacks and ordinary autobiographical memories of trauma: content and language", Behav Res Ther, 42, pp.1~12 (2004)
  32. Silva JA, "Dangerous misidentification of people due to flashback phenomena in posttraumatic stress disorder", J Forensic Sci, 43, pp.1107~1111 (1998)
  33. Garfield P, "Nightmares in the sexually abused female teenager", Psychiatr J Univ Ottowa, 12, pp.93~97 (1987)
  34. Pillar G, "Post-traumatic stress disorder and sleep-what a nightmare!", Sleep Med Rev, 4, pp.183~200 (2000)
  35. Rothbaum B, "Dreams and exposure therapy in PTSD", J Trauma Stress, 14, pp.481~490 (2001)
  36. Schreuder B, "Nocturnal re-experiencing more than forty years after war trauma", J Trauma Stress, 13, pp.453~463 (2000)
  37. Esposito K, "Evaluation of dream content in combat-related PTSD", J Trauma Stress, 12, pp.681~687 (1999)
  38. Ross R, "Sleep disturbance as the hallmark of posttraumatic stress disorder", Am J Psychiatry, 146, pp.697~707 (1989)
  39. van der Kolk BA, "Nightmares and trauma: a comparison of nightmares after combat with life-long nightmares in veterans", Am J Psychiatry, 141, pp.187~190 (1984)
  40. van der Kolk B, "Nightmares and trauma: a comparison of nightmares after combat with lifelong nightmares in veterans", Am J Psychiatry, 141, pp.187~190 (1984)
  41. Zervas I, "Nightmares: personality dimensions and psychopathological attributes", Int Rev Psychiatry, 17, pp.271~276 (2005)
  42. Mayou R, "Psychiatric consequences of road traffic accidents", Br Med J, 307, pp.647~651 (1993)
  43. Malt UF, "The long term consequences of accidental injury", Br J Psychiatry, 153, pp.810~818 (1988)
  44. Malt UF, "Psychosocial consequences of road accidents", Eur Psychiatry, 8, pp.227~228 (1993)
  45. Feinstein A, "Predictors of psychiatric morbidity following physical trauma: an examination of the stressor criterion", Psychol Med, 21, pp.85~91 (1991)
  46. Ursano RJ, "Acute and chronic posttraumatic stress disorder in motor vehicle accident victims", Am J Psychiatry, 156, pp.589~595 (1999)
  47. Shalev AY, "Predictors of PTSD in injured trauma survivors: a prospective study", Am J Psychiatry, 153, pp.219~225 (1996)
  48. Blanchard EB, "Short-term follow-up of post-traumatic stress symptoms in motor vehicle accident victims", Behav Res Ther, 33, pp.369~377 (1995)
  49. Yi SM, "A study of chronic posttraumatic stress disorder in physically injured patients by motor vehicle accidents: a prospective study on incidence, pattern of symptom canges and pedictors", J Korean Neuropsychiatr Assoc, 39, pp.797~808 (2000)

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