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2006, Number 2

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Gac Med Mex 2006; 142 (2)

Simulación en trabajadores que solicitan pensión

Quezada-Ortega MR, Razo-Mondragón JLP, Marín-Cotoñieto IA, Salinas-Tovar S, López-Rojas P

Language: Spanish
References: 25
Page: 109-112
PDF size: 441.31 Kb.


ABSTRACT

Objective: Describe the frequency and characteristics of Mexican Social Security workers with malingering disorder that request disability pension.
Material and methods: Comparative survey made among 136 workers seen during 2001, which were divided into three groups: malingering workers (MW), workers without disability (WOD), and workers with disability (WWD). We administered the Z Test for scaled variables and χ2 Test for nominal variables to identify group differences
Results: The incidence of malingering was of 2.2/100,000 workers. Mean age was 41.9 ± 10.1 years, 440 was the average number of days of labor disability; 51 (37%) workers were malingerers. 35 (26%) workers were work disabled and 50 (37%) without disability. Malingerers had higher level of schooling compared with WOD and WWD (p < 0.02); most worked at the Social Security (p < 0.05), with lower number of previous jobs (p < 0.05), presented longer work disability (p < 0.05). Depressive symptoms were not frequently noted (p < 0.025) and all had normal electroencephalogram and brain computed tomography studies.
Conclusions: Malingering workers who request work disability pensions follow a particular pattern that differs from other workers that request disability assessment at the Social Security Institute of Mexico.


REFERENCES

  1. Kaplan H, Sadock B, Grebb J. Problemas adicionales que pueden ser objeto de atención médica: Simulación. En: Sinopsis de Psiquiatría. Editorial Panamericana. 7° Edición, Buenos Aires, Argentina. 1996. p. 819-821.

  2. Pichot P, López-Ibor AJ, Valdés M. Asociación Psiquiátrica Americana: Problemas adicionales que pueden ser objeto de atención médica: Simulación. En: DSM-IV, Manual diagnóstico y estadístico de los trastornos mentales. Editorial Masson SA. Barcelona, España 1995. p. 698-699.

  3. Vallejo Ruiloba J. Histeria. Diagnóstico Diferencial: Simulación y neurosis de renta. En: Introducción a la Psicopatología y Psiquiatría. Editorial Salvat. 3ª Edición. Barcelona, España. 1991. p. 383, 527-530.

  4. Kaplan H, Sadock B, Grebb J. Trastornos Facticios. En: Sinopsis de Psiquiatría. Editorial Panamericana. 7ª Edición. Buenos Aires, Argentina. 1996. p. 648-653.

  5. Pichot P, López-Ibor AJ, Valdés M. Asociación Psiquiátrica Americana: Trastornos Facticios. En: DSM-IV Manual diagnóstico y estadístico de los trastornos mentales. Editorial Masson SA. 4ª Edición. Barcelona, España. 1995.p. 486-487.

  6. Vallejo Ruiloba J. Trastornos Psicosomáticos: Trastornos Facticios. En Introducción a la Sicopatología y Psiquiatría. Editorial Salvat. 3ª Edición,. Barcelona, España. 1991. p. 527-529.

  7. Instituto Mexicano del Seguro Social. Ley del Seguro Social. Sección segunda. Invalidez. Art. 119. México, IMSS 1995. p. 104-106.

  8. Dembe AE. The medical detection of simulated occupational injuries: a historical and social analysis. Int J Health Serv 1998;28(2):227-239.

  9. Green P, Iverson GL. Validation of the computerized assessment of response bias in litigating patients with head injuries. Clin Neuropsychol 2001 Dec;15(4):492-497.

  10. Binder LM. Forced-choice testing provides evidence of malingering. Arch Phys Med Rehabil 1992;73(4):377-380.

  11. Miller H, Cartlidge N. Simulation and malingering after injuries to the brain and spinal cord. Lancet 1972;11;1(7750):580-585.

  12. LoPiccolo CJ, Goodkin K, Baldewicz TT. Current issues in the diagnosis and management of malingering. Ann Med 1999;31(3):166-174.

  13. Bellamy R. Compensation neurosis: financial reward for illness as nocebo. Clin Orthop 1997;(336):94-106.

  14. Swanson DA. Malingering and associated syndromes. Psychiatr Med 1984;2(3):287-293.

  15. Udell ET. Malingering behavior in private medical practice. Clin Podiatr Med Surg 1994;11(1):65-72.

  16. Voiss DV. Occupational injury. Fact, fantasy, or fraud? Neurol Clin 1995;13(2):431-446.

  17. Guilmette TJ, Whelihan WM, Hart KJ, Sparadeo FR, Buongiorno G. Order effects in the administration of a forced-choice procedure for detection of malingering in disability claimants' evaluations. Percept Mot Skills 1996;83(3 Pt 1):1007-1016.

  18. DeClue G. Feigning not equal malingering: a case study. Behav Sci Law 2002;20(6):717-726.

  19. Merten T. Neuropsychological assessment of malingering Fortschr Neurol Psychiatr 2002;70(3):126-138.

  20. Wildman RW, Wildman RW. 2nd. The detection of malingering. Psychol Rep 1999;84(2):386-388.

  21. Guyton GP. A brief history of workers' compensation. Iowa Orthop J 1999;19:106-110.

  22. Gianoli G, McWilliams S, Soileau J, Belafsky P. Posturographic performance in patients with the potential for secondary gain. Otolaryngol Head Neck Surg 2000;122(1):11-18.

  23. Haines ME, Norris MP. Detecting the malingering of cognitive deficits: an update. Neuropsychol Rev 1995;5(2):125-148.

  24. LoPiccolo CJ, Goodkin K, Baldewicz TT. Current issues in the diagnosis and management of malingering. Ann Med 1999;31(3):166-174.

  25. Guilmette TJ, Whelihan WM, Hart KJ, Sparadeo FR, Buongiorno G. Order effects in the administration of a forced-choice procedure for detection of malingering in disability claimants' evaluations. Percept Mot Skills 1996;83(3 Pt 1):1007-1016.




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