PTSD와 꾀병의 감별：면담방식과 전형적 증상에 대한 고찰 = Differentiating PTSD from Malingering：Considerations Interview Style and Typical Symptoms

다국어 초록 (Multilingual 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 (Reference)

1 김용희, "꾀병척도의 타당도 연구: 경도 두부손상 환자를 중심으로" 한국임상심리학회 23 (23): 231-242, 2004

2 Hyer L, "Vietnam veterans: overreporting versus acceptable reporting of symptoms" 52 : 475-486, 1988

3 Appelbaum P, "Use of posttraumatic stress disorder to support an insanity defense" 150 : 229-234, 1993

4 Geraerts E, "Traumatic memories of war veterans: not so special after all" 16 : 170-177, 2007

5 Malt UF, "The long term consequences of accidental injury" 153 : 810-818, 1988

6 Resnick P, "The detection of malingered psychosis" 22 : 159-172, 1999

7 Knoll J, "The detection of malingered post-traumatic stress disorder" 29 : 629-647, 2006

8 Elhai J, "Subtypes of clinical presentations in malingerers of posttraumatic stress disorder: an MMPI-2 cluster analysis" 8 : 75-84, 2001

9 Ross R, "Sleep disturbance as the hallmark of posttraumatic stress disorder" 146 : 697-707, 1989

10 Blanchard EB, "Short-term follow-up of post-traumatic stress symptoms in motor vehicle accident victims" 33 : 369-377, 1995

11 Malt UF, "Psychosocial consequences of road accidents" 8 : 227-228, 1993

12 Mayou R, "Psychiatric consequences of road traffic accidents" 307 : 647-651, 1993

13 McNally RJ, "Progress and controversy in the study of posttraumatic stress disorder" 54 : 229-252, 2003

14 Feinstein A, "Predictors of psychiatric morbidity following physical trauma: an examination of the stressor criterion" 21 : 85-91, 1991

15 Shalev AY, "Predictors of PTSD in injured trauma survivors: a prospective study" 153 : 219-225, 1996

16 Pillar G, "Post-traumatic stress disorder and sleep-what a nightmare!" 4 : 183-200, 2000

17 Trimble MR, "Post-traumatic neurosis: from railway spine to the whiplash" Wiley 1981

18 Schreuder B, "Nocturnal re-experiencing more than forty years after war trauma" 13 : 453-463, 2000

19 Zervas I, "Nightmares: personality dimensions and psychopathological attributes" 17 : 271-276, 2005

20 Garfield P, "Nightmares in the sexually abused female teenager" 12 : 93-97, 1987

21 van der Kolk B, "Nightmares and trauma: a comparison of nightmares after combat with lifelong nightmares in veterans" 141 : 187-190, 1984

22 van der Kolk BA, "Nightmares and trauma: a comparison of nightmares after combat with life-long nightmares in veterans" 141 : 187-190, 1984

23 Hall RCW, "Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations" 28 : 525-535, 2006

24 Thompson JW, "Malingering in Textbook of forensic psychiatry" American Psychiatric Publishing 427-448, 2004

25 Hyer L, "MMPI overreporting by Vietnam combat veterans" 43 : 79-83, 1987

26 Sadock BJ, "Kaplan & Sadock’s synopsis of psychiatry" Lippincott Williams & Wilkins 898-, 2003

27 Financial supervisory service, "Insurance services valuation report"

28 Resnick P, "Guidelines for the evaluation of malingering in posttraumatic stress disorder in Posttraumatic stress disorder in litigation: guidelines for forensic assessment" APPI 117-134, 1995

29 Lubit R, "Forensic evaluation of trauma syndromes in children" 11 : 823-857, 2002

30 Watson I, "Flashbacks in war veterans" 184 : 185-, 2004

31 Jones E, "Flashbacks and posttraumatic stress disorder: the genesis of a 20th-century diagnosis" 182 : 158-163, 2003

32 Esposito K, "Evaluation of dream content in combat-related PTSD" 12 : 681-687, 1999

33 Koch W, "Empirical limits for the forensic assessment of PTSD litigants" 29 : 121-149, 2005

34 Rothbaum B, "Dreams and exposure therapy in PTSD" 14 : 481-490, 2001

35 Franklin C, "Differentiating overreporting and extreme distress: MMPI-2 use with compensation-seeking veterans with PTSD" 79 : 274-285, 2002

36 Slick DJ, "Diagnostic criteria for malingered neurocognitive dysfunction: proposed standards for clinical practice and research" 13 : 545-561, 1999

37 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" APPI 463-468, 2000

38 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" American Psychiatric Press 1994

39 Hall RCW, "Detection of Malingered PTSD: an overview of clinical, psychometric, and physiological assessment: where do we stand?" 52 : 717-725, 2007

40 Hall HV, "Detecting malingering and deception: forensic distortion analysis" St. Lucie Press 103-121, 1996

41 Gorman W, "Defining malingering" 27 : 401-407, 1982

42 Wiley S, "Deception and detection in psychiatric diagnosis" 21 : 869-893, 1998

43 Silva JA, "Dangerous misidentification of people due to flashback phenomena in posttraumatic stress disorder" 43 : 1107-1111, 1998

44 Brady K, "Comorbidity of psychiatric disorders and posttraumatic stress disorder" 61 : 22-32, 2000

45 Frueh B, "Apparent symptom overreporting among combat veterans evaluated for PTSD" 20 : 853-885, 2000

46 Merckelbach H, "Amnesia, flashbacks, nightmares, and dissociation in aging concentration camp survivors" 41 : 351-360, 2003

47 Ursano RJ, "Acute and chronic posttraumatic stress disorder in motor vehicle accident victims" 156 : 589-595, 1999

48 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" 39 : 797-808, 2000

49 Hellawell S, "A comparison of flashbacks and ordinary autobiographical memories of trauma: content and language" 42 : 1-12, 2004