【作者】 高北陵； 刘仁刚； 丁树明； 李映平； 盛璐；

【Author】 GAO Beilin, LIU Rengang, DING Shuming,, et al. Dep. Of Forensic Psychiatry, Knagning Hospital of Shenzhen, 518003 China

【机构】 深圳市精神卫生研究所医学鉴定科； 深圳市精神卫生研究所临床心理测验室；

【摘要】 目的:研究二项必选数字记忆测验(二项测验)鉴别伪装智力低下的实证效应。方法:用二项必选数字记忆对一年内脑外伤后工伤伤残鉴定的患者进行测查,并与经验性评定结果、瑞文标准推理测验(瑞文测验)成绩以及最终评残等级进行比较分析。全部病例均在深圳市医务劳动鉴定委员会鉴定终结后予以回访。结果:(1)BFDMT总分判定伪装率为78.1%,与经验性评定的伪装率(43.8%)相比,提高伪装识别率34.3%。(2)经验性评定的“有伪装”、“无伪装”和“不确定”的三组人数比率差异无显著性,其中,16例“不确定”者,均被二项测验判定为“有伪装”,占25%(16/64)。(3)回访64例智力评残者中,仅1例(1.6%)被鉴定委员会提出异议。结论:二项必选数字记忆测验是鉴别伪装智力低下的有效评定工具,尤其对经验性评定难以定论的伪装有良好的识别作用。更多还原

【Abstract】 To study the actual effect of Binomial Forced-Choice Digit Memory Test (BFDMT) in detecting dissimulation of intellectual deficit.Methods: 64 subjects with compensable head injury were assessed by BFDMT, experiential judgment and Raven’s Standard Progressive Matrices (RSPM), and were finally diagnosed on intellectual deficit degrees. Results: (1)The rate of malingering was 78.1% by assessing of the total score of BFDMT. The rate of malingering was 43.8% by experiential judgment. BFDMT had increased 34.3% of discerning rate. (2)There were no significantly different among three groups of dissimulating, non-malingering and uncertain by experiential judgment. All 16 cases in the uncertain group were assessed as malingering by BFDMT. (3) Only one case was considered as a faulted diagnosis by follow-up. Conclusion: BFDMT is useful for detecting dissimulation of intellectual deficit. It is particularly effective distinction to the cases who is difficultly judged by clinical experience.更多还原