Skip to main content
Top
Published in: European Archives of Psychiatry and Clinical Neuroscience 2/2023

Open Access 19-05-2022 | Mood Disorders | Original Paper

Analysis of malingered psychological symptoms in a clinical sample for early detection in initial interviews

Authors: Carlos Barbosa-Torres, Natalia Bueso-Izquierdo, Sixto Cubo-Delgado

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 2/2023

Login to get access

Abstract

Malingering consists of the production of false physical or psychological symptoms motivated by external incentives that are normally reproduced in pathologies that are not related to organic origin or there are no laboratory tests for their diagnosis, as is the case of mixed anxiety–depressive disorder and fibromyalgia syndrome. The objective of this research consisted of comparing the profile of simulative patients with fibromyalgia and mixed anxiety–depressive disorder to obtain a profile and facilitate its detection in initial interviews. The research was carried out with 78 patients (42 patients with fibromyalgia and 36 patients with mixed anxiety–depressive disorder) who were administered the professional's structured clinical judgment, the Beck Depression Inventory, the State-Trait Anxiety Questionnaire, and the Structured Symptom Simulation Inventory. The main obtained results show that the simulation classification proposed by the questionnaire is in the range of 66.67–80% with regard to coinciding with the judgment of experts, and people with suspicion of simulation of both groups of patients present similar characteristics. The simulators thus present incongruous responses in relation to the questionnaires, and high levels of trait anxiety, state, and depression predict the simulation of symptoms.
Literature
2.
go back to reference American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th Edition). DSM-5. Washington, DC American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th Edition). DSM-5. Washington, DC
4.
go back to reference Aparicio VA, Ortega FB, Carbonell-Baeza A, Cuevas AM, Delgado-Fernández M, Ruiz J (2013) Ansiedad, depresión y su relación con el dolor y la gravedad de la fibromialgia. Behav Psychol 21(2):381–392 Aparicio VA, Ortega FB, Carbonell-Baeza A, Cuevas AM, Delgado-Fernández M, Ruiz J (2013) Ansiedad, depresión y su relación con el dolor y la gravedad de la fibromialgia. Behav Psychol 21(2):381–392
10.
go back to reference Blasco-Saiz JL, Pallardó-Durá L (2013) Detección de exageración de síntomas mediante el SIMS y el MMPI-2-RF en pacientes diagnosticados de trastorno mixto ansioso-depresivo y adaptativo en el contexto medicolegal: un estudio preliminar. Clínica y Salud 24(3):177–183. https://doi.org/10.5093/cl2013a19CrossRef Blasco-Saiz JL, Pallardó-Durá L (2013) Detección de exageración de síntomas mediante el SIMS y el MMPI-2-RF en pacientes diagnosticados de trastorno mixto ansioso-depresivo y adaptativo en el contexto medicolegal: un estudio preliminar. Clínica y Salud 24(3):177–183. https://​doi.​org/​10.​5093/​cl2013a19CrossRef
11.
go back to reference Cabo-Meseguer A, Cerdá-Olmedo G, Trillo-Mata JL (2017) Fibromialgia: prevalencia, perfiles epidemiológicos y costes económicos. Med Clin 149(10):441–448CrossRef Cabo-Meseguer A, Cerdá-Olmedo G, Trillo-Mata JL (2017) Fibromialgia: prevalencia, perfiles epidemiológicos y costes económicos. Med Clin 149(10):441–448CrossRef
12.
go back to reference Capilla-Ramírez P, y González-Ordi H, Santamaría P (2009) Tasas de prevalencia de simulación: un estudio empírico basado en profesionales médicos expertos. In: Comunicación presentada en el IX Congreso Nacional de la Sociedad Española de Traumatología Laboral—SETLA. Barcelona, 26–28 de Noviembre Capilla-Ramírez P, y González-Ordi H, Santamaría P (2009) Tasas de prevalencia de simulación: un estudio empírico basado en profesionales médicos expertos. In: Comunicación presentada en el IX Congreso Nacional de la Sociedad Española de Traumatología Laboral—SETLA. Barcelona, 26–28 de Noviembre
15.
go back to reference Clegg C, Fremouw W, Mogge N (2009) Utility of the Structured Inventory of Malingered Symptomatology (SIMS) and the Assessment of Depression Inventory (ADI) in screening for malingering among outpatients seeking to claim disability. J Forensic Psychiatry Psychol 20:239–254CrossRef Clegg C, Fremouw W, Mogge N (2009) Utility of the Structured Inventory of Malingered Symptomatology (SIMS) and the Assessment of Depression Inventory (ADI) in screening for malingering among outpatients seeking to claim disability. J Forensic Psychiatry Psychol 20:239–254CrossRef
17.
go back to reference Conde V, Useros E (1975) Adaptación castellana de la escala de evaluación conductual para la depresión de Beck. Revista de Psiquiatría y Psicología Médica 12:217–236 Conde V, Useros E (1975) Adaptación castellana de la escala de evaluación conductual para la depresión de Beck. Revista de Psiquiatría y Psicología Médica 12:217–236
19.
go back to reference Curtis KL, Aguerrevere LE, Bianchini KJ, Greve KW, Nicks RC (2019) Detecting malingered pain-related disability with the pain catastrophizing scale: a criterion groups validation study. Clin Neuropsychol 33(8):1485–1500CrossRefPubMed Curtis KL, Aguerrevere LE, Bianchini KJ, Greve KW, Nicks RC (2019) Detecting malingered pain-related disability with the pain catastrophizing scale: a criterion groups validation study. Clin Neuropsychol 33(8):1485–1500CrossRefPubMed
22.
go back to reference Fernández-López O, Jiménez-Hernández B, Alfonso-Almirall R, Sabina-Molina D, Cruz-Navarro JR (2012) Manual para diagnóstico y tratamiento de trastornos ansiosos. Revista Electrónica de las Ciencias Médicas en Cienfuegos 10(5):466–479 Fernández-López O, Jiménez-Hernández B, Alfonso-Almirall R, Sabina-Molina D, Cruz-Navarro JR (2012) Manual para diagnóstico y tratamiento de trastornos ansiosos. Revista Electrónica de las Ciencias Médicas en Cienfuegos 10(5):466–479
23.
go back to reference Fitzcharles M, Shir Y, Ablin J, Buskila D, Amital H, Henningsen P, Häuser W (2013) Classification and clinical diagnosis of fibromyalgia syndrome: recommendations of recent evidence-based interdisciplinary guidelines. Evid Based Complement Altern Med 2013:1–9. https://doi.org/10.1155/2013/528952CrossRef Fitzcharles M, Shir Y, Ablin J, Buskila D, Amital H, Henningsen P, Häuser W (2013) Classification and clinical diagnosis of fibromyalgia syndrome: recommendations of recent evidence-based interdisciplinary guidelines. Evid Based Complement Altern Med 2013:1–9. https://​doi.​org/​10.​1155/​2013/​528952CrossRef
25.
go back to reference García Silgo M (2019) Detección de simulación de trastorno mental mediante el MMPI-2-RF, el PAI y el SIMS. Sanidad Militar 75(4):203–213 García Silgo M (2019) Detección de simulación de trastorno mental mediante el MMPI-2-RF, el PAI y el SIMS. Sanidad Militar 75(4):203–213
26.
go back to reference González-Ordi H, Santamaría P (2009) Adaptación española del Inventario Estructurado de Simulación de Síntomas—SIMS. TEA Ediciones, Madrid González-Ordi H, Santamaría P (2009) Adaptación española del Inventario Estructurado de Simulación de Síntomas—SIMS. TEA Ediciones, Madrid
27.
go back to reference González-Ordi H, Santamaría P, Capilla-Ramírez P (2012) Estrategias de detección de la simulación. Un manual clínico multidisciplinar. TEA Ediciones, Madrid González-Ordi H, Santamaría P, Capilla-Ramírez P (2012) Estrategias de detección de la simulación. Un manual clínico multidisciplinar. TEA Ediciones, Madrid
29.
go back to reference Guillén-Riquelme A, Buela-Casal G (2011) Actualización psicométrica y funcionamiento diferencial de los ítems en el State Trait Anxiety Inventory (STAI). Psicothema 23(3):510–515PubMed Guillén-Riquelme A, Buela-Casal G (2011) Actualización psicométrica y funcionamiento diferencial de los ítems en el State Trait Anxiety Inventory (STAI). Psicothema 23(3):510–515PubMed
31.
go back to reference Häuser W, Brähler E, Ablin J, Wolfe F (2020) 2016 modified American College of Rheumatology fibromyalgia criteria, ACTTION-APS Pain Taxonomy criteria and the prevalence of fibromyalgia. Arthritis Care Res 73(5):617–625CrossRef Häuser W, Brähler E, Ablin J, Wolfe F (2020) 2016 modified American College of Rheumatology fibromyalgia criteria, ACTTION-APS Pain Taxonomy criteria and the prevalence of fibromyalgia. Arthritis Care Res 73(5):617–625CrossRef
33.
go back to reference Kirmayer LJ, Robbins JM, Kapusta MA (1988) Somatization and depression in fibromyalgia síndrome. Am J Psychiatry 145(8):950–954CrossRefPubMed Kirmayer LJ, Robbins JM, Kapusta MA (1988) Somatization and depression in fibromyalgia síndrome. Am J Psychiatry 145(8):950–954CrossRefPubMed
34.
go back to reference López-Miquel L, Pujol-Robinatac A (2020) Análisis descriptivo de la simulación de síntomas psicológicos en una muestra forense. Revista Española de Medicina Legal 46(4):175–182CrossRef López-Miquel L, Pujol-Robinatac A (2020) Análisis descriptivo de la simulación de síntomas psicológicos en una muestra forense. Revista Española de Medicina Legal 46(4):175–182CrossRef
38.
go back to reference Martínez-Lavín M (2021) Fibromyalgia in women: somatisation or stress-evoked, sex-dimorphic neuropathic pain? Clin Exp Rehumatol 39(2):422–425CrossRef Martínez-Lavín M (2021) Fibromyalgia in women: somatisation or stress-evoked, sex-dimorphic neuropathic pain? Clin Exp Rehumatol 39(2):422–425CrossRef
41.
go back to reference Monaro M, Toncini A, Ferracuti S, Tessari G, Vaccaro MG, De Fazio P et al (2018) The detection of malingering: a new tool to identify made-up depression. Front Psychiatry 9:1–12CrossRef Monaro M, Toncini A, Ferracuti S, Tessari G, Vaccaro MG, De Fazio P et al (2018) The detection of malingering: a new tool to identify made-up depression. Front Psychiatry 9:1–12CrossRef
43.
go back to reference Pérez-Pareja J, Borrás C, Palmer A, Sesé A, Molina F, Gonzalvo J (2004) Fibromialgia y emociones negativas. Psicothema 16(3):415–420 Pérez-Pareja J, Borrás C, Palmer A, Sesé A, Molina F, Gonzalvo J (2004) Fibromialgia y emociones negativas. Psicothema 16(3):415–420
44.
go back to reference Rogers R (2018) Clinical assessment of malingering and deception, 4th edn. The Guilford Press, New York Rogers R (2018) Clinical assessment of malingering and deception, 4th edn. The Guilford Press, New York
51.
go back to reference WHO (2019) International statistical classification of diseases and related health problems. 11th Revision. World Health Organization, Geneva WHO (2019) International statistical classification of diseases and related health problems. 11th Revision. World Health Organization, Geneva
52.
Metadata
Title
Analysis of malingered psychological symptoms in a clinical sample for early detection in initial interviews
Authors
Carlos Barbosa-Torres
Natalia Bueso-Izquierdo
Sixto Cubo-Delgado
Publication date
19-05-2022
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Psychiatry and Clinical Neuroscience / Issue 2/2023
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-022-01422-8

Other articles of this Issue 2/2023

European Archives of Psychiatry and Clinical Neuroscience 2/2023 Go to the issue