Symptom validity assessment:: Practice issues and medical necessity -: NAN policy & planning committee

Symptom validity assessment:: Practice issues and medical necessity -: NAN policy & planning committee
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DOI:
10.1016/j.acn.2005.02.002
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发表时间:
2005-06-01
影响因子:
2.6
通讯作者:
Silver, CH
Silver, CH
中科院分区:
心理学3区
文献类型:
--
作者:
Bush, SS;Ruff, RM;Silver, CH

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症状夸大或捏造在相当大的少数神经心理学受试者中发生,在法医背景下更普遍。为了最大限度地信任神经认知和人格测量的结果以及基于结果的诊断和建议,对反应有效性的充分评估是至关重要的。症状有效性评估可以包括具体的测试、指数和观察。评估症状有效性的方式可能因背景而异,但必须包括对文化因素的彻底检查。反应有效性的评估,作为医学必要评估的一个组成部分,在医学上是必要的。当神经心理学家确定对反应有效性的评估是必要的时,进行特定症状有效性测试在医学上也是必要的。(C)2005年,由爱思唯尔有限公司代表美国国家神经心理学学会出版。
Symptom exaggeration or fabrication occurs in a sizeable minority of neuropsychological examinees, with greater prevalence in forensic contexts. Adequate assessment of response validity is essential in order to maximize confidence in the results of neurocognitive and personality measures and in the diagnoses and recommendations that are based on the results. Symptom validity assessment may include specific tests, indices, and observations. The manner in which symptom validity is assessed may vary depending on context but must include a thorough examination of cultural factors. Assessment of response validity, as a component of a medically necessary evaluation, is medically necessary. When determined by the neuropsychologist to be necessary for the assessment of response validity, administration of specific symptom validity tests are also medically necessary. (c) 2005 Published by Elsevier Ltd on behalf of National Academy of Neuropsychology.