脑外伤精神伤残鉴定案例中伪装分析  

Malingering analysis of the appraising cases with head injuries

作　　者：高北陵[1] 丁树明[1] 陈建良 刘仁刚[3] 李映平[3] 盛璐[3] 

机构地区：[1]广东深圳市精神卫生研究所医学鉴定科,518020 [2]深圳市人民医院神经外科 [3]广东深圳市精神卫生研究所临床心理科,518020

出　　处：《临床精神医学杂志》2004年第1期4-6,共3页Journal of Clinical Psychiatry

基　　金：广东省自然科学基金重点项目 ( 0 2 1972 );广东省医学科研基金立项课题 (A2 0 0 1163 2 )

摘　　要：目的 :探讨脑外伤鉴定案例中伪装精神伤残及其相关因素。　方法 :用瑞文测验和伪装测验对 110例不同程度脑外伤鉴定案例中的精神伤残和伪装情况进行评定和分析。　结果 :在 110例中 ,伪装智力伤残者 82例 (74 5 % ) ,伪装精神症状者 6例 (5 5 % )。智力伤残程度越轻者 ,伪装人数比例越高 ;而不同程度脑外伤之间的伪装人数比例无显著差异。伪装组与非伪装组之间瑞文测验成绩存在显著差异 ;而各组内不同程度脑外伤者瑞文成绩的差异均无显著性。　结论 :脑外伤伤残鉴定中伪装精神伤残相当普遍 ,且以伪装智力伤残为多见。Objective:To explore the faking factors of the appraisal cases with head injuries. Method:110 subjects with compensable head injuries were assessed by binomial focused-choice digit memory test (BFDMT) and Raven's standard progressive matriees (RSPM).The differences of the cases with and without malingering were analyzed. Results: 82 cases (74 5%) faked intellect disability, 6 cases (5 5%) faked the symptoms of mental disorders.There were significant differences of faking rate during different degree groups of intellect disability.There were no differences of faking rate during different degree groups of head injuries.There were significant differences of RSPM performance between malingering and non-malingering no matter how severe the degree of head injuries was.There were no differences of RSPM performance among different degrees of head injuries whether malingering or not. Conclusion:Malingering is very common in the cases with compensable head injuries,particularly in faking intellect disability.The severe degree of intellect disability is one of the affecting factors of malingering.

关 键 词：脑外伤 精神伤残 伪装 

分 类 号：R749.1[医药卫生—神经病学与精神病学]