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Detection of Malingering Using Wechsler Adult Intelligence Scale-IV for Psychiatric Patients
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  • Detection of Malingering Using Wechsler Adult Intelligence Scale-IV for Psychiatric Patients
저자명
An Kook On, Kyu-Sic Hwang, Seung-Ho Jang, Hye-Jin Lee, Min-Jung Soh, Chan-Mo Yang, Sang-Yeol Lee
간행물명
Psychiatry InvestigationKCI,SCIE,SSCI,SCOPUS
권/호정보
2020년|17권 6호|pp.526-532 (7 pages)
발행정보
대한신경정신의학회|한국
파일정보
정기간행물|KOR|
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국문초록

Objective Psychiatric patients sometimes show poor performance or exaggerated symptoms as malingering for secondary gain. The aim of this study was to introduce cut-off scores for detecting poor performance using Wechsler Adult Intelligence Scale (WAIS) in psychiatric patients.Methods Participants were 261 in- and out-patients who visited psychiatry department. They were classified into 4 group- 1) military service, 2) traumatic brain injury (TBI), 3) psychosis, 4) neurosis. A Digit Span subtest (called as Reliable Digit Span, RDS) of WAIS was used to detect malingering. This study considered a score of 10% base rate as RDS cut-off score.Results The RDS cut-off score was shown at 7 pts for military service group, at 3 pts for TBI group, at 6 pts for psychosis group, and at 6 pts for neurosis group.Conclusion This study first introduced RDS cut-off scores for malingering psychiatric patients in South Korea. In clinical practice, clinicians may be able to utilize the RDS cut-off scores for malingering-suspected patients. In particular, for patients with military service issues, 7 or less pts of RDS can be used for detecting and inferring their malingering.

목차

INTRODUCTION
METHODS
RESULTS
DISCUSSION

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