Precisión predictiva del Inventario Estructurado de Simulación de Síntomas- SIMS en el contexto medicolegal

  1. González Ordi, Héctor
  2. Santamaría Fernández, Pablo
  3. Fernández Marín, María Pilar
Revista:
EduPsykhé: Revista de psicología y educación

ISSN: 1579-0207

Any de publicació: 2010

Volum: 9

Número: 1

Pàgines: 3-22

Tipus: Article

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Altres publicacions en: EduPsykhé: Revista de psicología y educación

Resum

Malingering is defined as the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding work, obtaining financial compensation, etc. The present study aims to evaluate predictive accuracy of the Structured Inventory of Malingered Symptomatology-SIMS to detect malingering in an overall sample (N=61) of patients on sick leave who went to the Psychology Unit of the Hospital Asepeyo Coslada (Madrid). Using known-group design, participants were assigned to “non-malingering” (n=27) and “probable malingering” (n=34) conditions. Afterwards, the SIMS was administered to all participants individually. Results show that “probable malingering” group scored significantly higher in the SIMS total scale and all subscales than “non-malingering” group, with large effect sizes. Classification accuracy statistics and ROC analyses, by using the Spanish adaptation optimal cut-off score for the total scale (SN=.82, SP=.93, PPP=.83, NPP=.92, & AUC=.88) showed that SIMS is a reliable screening tool for the detection of malingering in the medicolegal setting.

Referències bibliogràfiques

  • Aguerrevere, L.E., Greve, K.W., Bianchini, K.J. y Meyers, J.E. (2008). Detecting malingering in traumatic brain injury and chronic pain with an abbreviated version of the Meyers Index for the MMPI-2. Archives of Clinical Neuropsychology, 23, 831-838.
  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). Washington, DC: APA.
  • Baer, R. A., Rinaldo, J. C. y Berry, D. T. R. (2003). Self-report distortions (including faking, lying, malingering, social desirability). En R. Fernández-Ballesteros (Ed.), Encyclopedia of Psychological Assessment, Vol. 2 (pp. 861-866). London: SAGE.
  • Bianchini, K.J., Greve, K.W. y Glynn, G. (2005). On the diagnosis of malingered pain-related disability: lessons from cognitive malingering research. The Spine Journal, 5, 404-417.
  • Butcher, J.N., Dahlstrom, W.G., Graham, J.R., Tellegen, A. y Kaemmer, B. (1989). Minnesota Multiphasic Personality lnventory-2 (MMPI-2) manual. Minneapolis: University of Minnesota Press. Edición española: Inventario Multifásico de Personalidad de Minnesota-2, TEA Ediciones, 2002.
  • Capilla Ramírez P. y González Ordi, H. (2009). Protocolo para la detección de la simulación del dolor en la práctica clínica: estudio de casos. Trauma Fundación MAPFRE, 20, 255-263.
  • Capilla Ramírez, P., González Ordi, H. y Santamaría Fernández, P. (2008). Detección de simulación en dolor crónico. Comunicación presentada en el VIII Congreso Nacional de la Sociedad Española de Traumatología Laboral – SETLA. Logroño, 27-29 de Noviembre de 2008.
  • Clegg, C.B. (2007). Utility of the Structured Inventory of Malingered Symptomatology (SIMS) and the Assessment of Depression Inventory (ADI) in Screening for Malingering Among Disability Seeking Outpatients (tesis doctoral, West Virginia University, 2007). Obtenido el 26/02/2008 en https://eidr.wvu.edu/files/5256/Clegg_Carl_thesis.pdf
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
  • Edens, J.F., Poythress, N.G. y Watkins-Clay, M.M. (2007). Detection of malingering in psychiatric unit and general population prison inmates: A comparison of the PAI, SIMS, and SIRS. Journal of Personality Assessment, 88, 33-42.
  • González Ordi, H., Capilla Ramírez, P. y Matalobos Veiga, B. (2008). Simulación del dolor en el contexto médico-legal. Clínica y Salud, 19, 393-415.
  • González Ordi, H. y Gancedo Rojí, M. (1999). Evaluación de la simulación de respuesta: diagnóstico, técnicas y procedimientos. En A. Ruano, J. M. Muñoz Céspedes y C. Cid Rojo (Coords.), Psicología de la Rehabilitación (pp. 405- 441). Madrid: Fundación MAPFRE-Medicina.
  • González Ordi, H. y Santamaría Fernández, P. (2008). Detection of Malingering in Clinical, Medicolegal, and Forensic Settings. Poster presentado en la 29th Stress and Anxiety Reserch Society (STAR) Conference. Londres, 16-18 de Julio de 2008.
  • González Ordi, H. y Santamaría Fernández, P. (2009). Adaptación española del Inventario Estructurado de Simulación de Síntomas – SIMS. Madrid: TEA Ediciones.
  • Halligan, P.W., Bass, C. y Oakley, D.A. (Eds.) (2003). Malingering and illness deception. Oxford, UK: Oxford University Press.
  • Kurcharski, L.T., Toomey, J.P., Fila, K. y Duncan, S. (2007). Detection of malingering of psychiatric disorder with the Personality Assessment Inventory: An investigation of criminal defendants. Journal of Personality Assessment, 88, 25-32.
  • Inda, M., Lemos, S., López, A. M. y Alonso, J. L. (2005). La simulación de la enfermedad física o trastorno mental. Papeles del Psicólogo, 26, 99-108.
  • Lange, R.T., Sullivan, K.A. y Scott, C. (2010). Comparison of MMPI-2 & PAI validity indicators to detect feigned depression and PTSD symptom reporting. Psychiatry Research, 176, 229-235.
  • Matalobos Veiga, B. y González Ordi, H. (2007). Detección de simulación en estrés postraumático y depresión. EduPsykhé, 6, 21-47.
  • McDermott, B.E. y Feldman, M.D. (2007). Malingering in the medical setting. Psychiatric Clinics of North America, 30, 645-662.
  • McGuire, B.E., Harvey, A.G. y Shores, E.A. (2001). Simulated malingering in pain patients: a study with the Pain Patient Profile. British Journal of Clinical Psychology, 40, 71-79.
  • McGuire, B.E. y Shores, E.A. (2001). Pain Patient Profile and the assessment of malingered pain. Journal of Clinical Psychology, 57, 401-409.
  • Merckelbach, H. y Smith, G.P. (2003). Diagnostic accuracy of the Structured Inventory of Malingered Symptomatology (SIMS) in detecting instructed malingering. Archives of Clinical Neuropsychology, 18, 145-152.
  • Meyers, J.E., Millis, S.R. y Volkert, K. (2002). A validity index for the MMPI-2. Archives of Clinical Neuropsychology, 17, 157-169.
  • Mittenberg, W., Patton, C., Canyock, E.M. y Condit, D.C. (2002). Base rates of malingering and symptom exaggeration. Journal of Clinical and Experimental Neuropsychology, 24, 1094-1102.
  • Morey, L. C. (1991). Personality Assessment Inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.
  • Morgan, J.E. y Sweet, J.J. (Eds.) (2009). Neuropsychology of malingering casebook. New York: Psychology Press.
  • Resnick, P.J. (1997). Malingering of posttraumatic disorders. En R. Rogers (Ed.), Clinical Assessment of Malingering and Deception (pp. 130-152). New York: The Guilford Press.
  • Rogers, R. (Ed.) (2008a). Clinical Assessment of Malingering and Deception. 3ª edición. New York: Guilford Press.
  • Rogers, R. (2008b). An introduction to response styles. En R. Rogers (Ed.), Clinical Assessment of Malingering and Deception, 3ª edición, (pp- 3-13). Nueva York: Guilford Press.
  • Rogers, R. (2008c). Detection Strategies for Malingering and Defensiveness. En R. Rogers (Ed.), Clinical Assessment of Malingering and Deception, 3ª edición, (pp- 14-35). Nueva York: Guilford Press.
  • Rogers, R. y Bender, S. D. (2003). Evaluation of Malingering and Deception. En A. M. Goldstein (Ed.), Handbook of Psychology. Vol. 11: Forensic Psychology (pp.109-129). New Jersey: Wiley.
  • Rogers, R., Gillis, J. R. y Bagby, R. M. (1990). Cross validation of the SIRS with a correctional sample. Behavioral Sciences and the Law, 8, 85-92.
  • Rogers, R., Sewell, K.W., Martin, M.A. y Vitacco, M.J. (2003). Detection of feigned mental disorders: A meta-analysis of the MMPI-2 and malingering. Assessment, 10, 160-177.
  • Rogers, R. y Shuman, D. W. (2000). Conducting insanity evaluations. New York: Guilford Press.
  • Samuel, R.Z., y Mittenberg, W. (2006). Determination of malingering in disability evaluations. Primary Psychiatry, 12. Obtenido el 7 de Enero de 2008, de http://www.primarypsychiatry.com/aspx/articledetail.aspx?articleid=122
  • Sellbom M., Toomey, J.A., Wygant, D.B. y Kucharski, L.T. (2010). Utility of MMPI2-RF (Reestructured Form) validity scales in detecting malingering in a criminal forensic setting: A known-group design. Psychological Assessment, 22, 22-31.
  • Slick, D.J., Sherman, E.M.S. y Iverson, G.L. (1999). Diagnostic criteria for malingering cognitive dysfunction: proposed standards for clinical practice and research. Clinical Neuropsychologist, 13, 545-561.
  • Smith, G. P. (1997). Assessment of malingering with self-report instruments. En R. Rogers (Ed.), Clinical assessment of malingering and deception (pp. 351–370). New York: The Guilford Press.
  • Smith, G. P. (2008). Brief screening measures for the detection of feigned psychopathology. En R. Rogers (Ed.), Clinical Assessment of Malingering and Deception, 3ª edición, (pp- 323-339). Nueva York: Guilford Press.
  • Smith, G. P. y Burger, G.K. (1997). Detection of malingering: Validation of the Structured Inventory of Malingered Symptomatology (SIMS). Journal of the Academy of Psychiatry and the Law, 25, 180–183.
  • Sullivan, K. y King, J. (2010). Detecting faked psychopathology: a comparison of two tests to detect malingered psychopathology using a simulation design. Psychiatry Research, 176, 75-81.
  • Widows, M. R. y Smith, G. P. (2005). SIMS: Structured Inventory of Malingered Symptomatology. Professional manual. Lutz, FL: PAR: Psychological Assessment Resources.
  • Zweig, M.H. y Campbell, G. (1993). Receiver operating characteristics (ROC) plots: A fundamental evaluation tool in clinical medicine. Clinical Chemical, 39, 561-577.
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