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Malingeren in de neuropsychologie: ontwikkeling en interpretatie van tests voor het detecteren van een suboptimale inzet

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Neuropraxis

Abstract

‘Malingeren’ is ‘het opzettelijk produceren van valse of sterk overdreven lichamelijke of psychische symptomen, waarbij externe motieven de aanleiding vormen’ (dsm-iv, 1994). Het is een fenomeen dat vooral wordt gezien bij patiënten met moeilijk te objectiveren syndromen en bij procederende patiënten. In deze groepen lopen de geschatte malinger prevalenties uiteen van dertig tot zelfs zestig procent. Drie malingertests, de Test of Memory Malingering tomm), de Word Memory Test (wmt) en de Amsterdamse Korte Termijn Geheugen Test (aktg), blijken betrouwbare en valide instrumenten en slechte prestaties op deze tests vormen een sterke aanwijzing voor malingeren bij niet-demente patiënten. Malingertests zijn onmisbaar bij neuropsychologisch onderzoek.

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Literatuur

  • Ashendorf, L., Constantinou, M. & McCaffrey, R.J. (2004). The effect of depression and anxiety on the tomm in community-dwelling older adults. Archives of Clinical Neuropsychology, 19, 125-30.

    Google Scholar 

  • Bauer, L. & McCaffrey, R.J. (2006). Coverage of the Test of Memory Malingering, Victoria Symptom Validity Test, and Word Memory Test on the internet: Is test security threatened? Archives of Clinical Neuropsychology, 21, 121-6.

    Google Scholar 

  • Bernard, L.C., Houston, W. & Natoli, L. (1993). Malingering on neuropsychological memory tests: Potential objective indicators. Journal of Clinical Psychology, 49, 45-53.

    Google Scholar 

  • Bianchini, K.J., Houston, R.J., Greve, K.W., Irvin, T.R., Black, F.W., Swift, D.A. & Tamimie, R.J. (2003). Malingered neurocognitive dysfunction in neurotoxic exposure: An application of the Slick criteria. Journal of Occupational and Environmental Medicine, 45, 1087-99.

    Google Scholar 

  • Bianchini, K.J., Mathias, C.W. & Greve, K.W. (2001). Symptom validity testing: A critical review. The Clinical Neuropsychologist,15, 19-45.

    Google Scholar 

  • Binder, L.M. & Rohling, M.L. (1996). Money matters: A meta-analytic review of the effects of financial incentives on recovery after closed-head injury. American Journal of Psychiatry, 153, 7-10.

    Google Scholar 

  • Bolan, B., Foster, J.K., Schmand, B. & Bolan, S. (2002). A comparison of three tests to detect feigned amnesia: The effects of feedback and the measurement of response latency. Journal of Clinical and Experimental Neuropsychology, 24, 154-67.

    Google Scholar 

  • Brockhaus, R. & Merten, T. (2004). Neuropsychological assessment of suboptimal performance: The Word Memory Test. Nervenarzt, 75, 882-7.

    Google Scholar 

  • Constantinou, M., Bauer, L., Ashendorf, L., Fisher, J.M. & McCaffrey, R.J. (2005). Is poor performance on recognition memory effort measures indicative of generalized poor performance on neuropsychological tests? Archives of Clinical Neuropsychology, 20, 191-8.

    Google Scholar 

  • Duncan, A. (2005). The impact of cognitive and psychiatric impairment of psychotic disorders on the Test of Memory Malingering (tomm). Assessment, 12, 123-9.

    Google Scholar 

  • Dunn, T.M., Shear, P.K., Howe, S. & Douglas Ris, M. (2003). Detecting neuropsychological malingering: Effects of coaching and information. Archives of Clinical Neuropsychology, 18, 121-34.

    Google Scholar 

  • Etherton, J.L., Bianchini, K.J., Greve, K.W. & Ciota, M.A. (2005a). Test of Memory Malingering performance is unaffected by laboratory-induced pain: Implications for clinical use. Archives of Clinical Neuropsychology, 20, 375-84.

    Google Scholar 

  • Etherton, J.L., Bianchini, K.J., Greve, K.W. & Heinly, M.T. (2005b). Sensitivity and specificity of reliable digit span in malingered pain-related disability. Assessment, 12, 130-6.

    Google Scholar 

  • Faust, D., Hart, K., Guilmette, T.J. & Arkes, H.R. (1988). Neuropsychologists’ capacity to detect adolescent malingerers. Professional Psychology: Research and Practice, 19, 508-15.

    Google Scholar 

  • Gervais, R.O., Rohling, M.L., Green, P. & Ford, W. (2004). A comparison of wmt, carb and tomm failure rates in non-head injury disability claimants. Archives of Clinical Neuropsychology, 19, 475-87.

    Google Scholar 

  • Gierok, S.D., Dickson, A.L. & Cole, J.A. (2005). Performance of forensic and non-forensic adult psychiatric inpatients on the Test of Memory Malingering. Archives of Clinical Neuropsychology, 20, 755-60.

    Google Scholar 

  • Goldstein, H. (1945). A malingering key for mental tests. Psychological Bulletin, 42, 792-5.

    Google Scholar 

  • Gorp, W.G. van, Humphrey, L.A., Kalechstein, A., Brumm, V.L., McMullen, W.J., Stoddard, M. & Pachana, N.A. (1999). How well do standard clinical neuropsychological tests identify malingering? A preliminary analysis. Journal of Clinical and Experimental Neuropsychology, 21, 245-50.

    Google Scholar 

  • Green, P., Allen, L.M. & Astner, K. (1996). The Word Memory Test: A user's guide to the oral and computer-administered forms. Durham, NC: CogniSyst, Inc.

  • Green, P., Iverson, G.L. & Allen, L. (1999). Detecting malingering in head injury litigation with the Word Memory Test. Brain Injury, 13, 813-9.

    Google Scholar 

  • Heaton, R.K., Smith, H.H., Lehman, R.A.W. & Vogt, A.T. (1978). Prospects for faking believable deficits on neuropsychological testing. Journal of Consulting and Clinical Psychology, 46, 892-900.

    Google Scholar 

  • Heinly, M.T., Greve, K.W., Bianchini, K.J., Love, J.M. & Brennan, A. (2005). wais Digit Span-based indicators of malingered neurocognitive dysfunction. Classification accuracy in traumatic brain injury. Assessment, 12, 429-44.

  • Hilsabeck, R.C., Thompsom, M.D., Irby, J.W., Adams, R.L., Scott, J.G. & Gouvier, D. (2003). Partial cross-validation of the Wechsler Memory Scale-Revised (wms-r): General Memory-Attention/Concentration Malingering Index in a nonlitigating sample. Archives of Clinical Neuropsychology, 18, 71-9.

    Google Scholar 

  • Hout, M.S.E. van, Schmand, B., Wekking, E.M., Hageman, G. & Deelman, B.G. (2003). Suboptimal performance on neuropsychological tests in patients with suspected chronic toxic encephalopathy. NeuroToxicology, 24, 547-51.

  • Iverson, G.L., Slick, D.J. & Franzen, M.D. (2000). Evaluation of a wms-r malingering index in a non-litigating clinical sample. Journal of Clinical and Experimental Neuropsychology, 22, 191-7.

    Google Scholar 

  • Larrabee, G.J. (2003). Detection of malingering using atypical performance patterns on standard neuropsychological tests. The Clinical Neuropsychologist, 17, 410-25.

    Google Scholar 

  • Lees-Haley, P.R. (1997). Attorneys influence expert evidence in forensic psychological and neuropsychological cases. Assessment, 4, 321-4.

  • Lezak, M.D. (1995). Neuropsychological Assessment (3 rd ed.). New York: Oxford University Press.

  • Mittenberg, W., Patton, C., Canyock, E.M. & Condit, D.C. (2002). Base rates of malingering and symptom exaggeration. Journal of Clinical and Experimental Neuropsychology, 24, 1094-1102.

    Google Scholar 

  • Mittenberg, W., Theroux-Fichera, S., Zielinski, R.E. & Heilbronner, R.Z. (1995). Identification of malingered head injury on the Wechsler Adult Intelligence Scale-Revised. Professional Psychology: Research and Practice, 26, 491-8.

    Google Scholar 

  • Nies, K.J. & Sweet, J.J. (1994). Neuropsychological assessment and malingering: A critical review of past and present strategies. Archives of Clinical Neuropsychology, 9, 501-52.

    Google Scholar 

  • Pankratz, L. & Erickson, R.C. (1990). Two views of malingering. Clinical Neuropsychologist, 4, 379-89.

    Google Scholar 

  • Ponds, R., Lugt, M. de, Verhey, F. & Jolles, J. (1995). Malingeren bij neuropsychologisch onderzoek. De Psycholoog, 30, 357-62.

    Google Scholar 

  • Powell, M.R., Gfeller, J.D., Hendricks, B.L. & Sharland, M. (2004). Detecting symptom- and test-coached simulators with the Test of Memory Malingering. Archives of Clinical Neuropsychology, 19, 693-702.

    Google Scholar 

  • Rees, L.M., Tombaugh, T.N. & Boulay, L. (2001). Depression and the Test of Memory Malingering. Archives of Clinical Neuropsychology, 16, 501-6.

    Google Scholar 

  • Rees, L.M., Tombaugh, T.N., Gansler, D.A. & Moczynski, N.P. (1998). Five validation experiments of the Test of Memory Malingering (tomm). Psychological Assessment, 10, 10-20.

  • Rogers, R., Harrell, E.H. & Liff, C.D. (1993). Feigning neuropsychological impairment: A critical review of methodological and clinical considerations. Clinical Psychology Review, 13, 255-74.

    Google Scholar 

  • Rohling, M.L., Green, P., Allen, L.M. & Iverson, G.L. (2002). Depressive symptoms and neurocognitive test scores in patients passing symptom validity tests. Archives of Clinical Neuropsychology, 17, 205-22.

    Google Scholar 

  • Schagen, S., Schmand, B., Sterke, S. de & Lindeboom, J. (1997). Amsterdam Short-Term Memory Test: A new procedure for the detection of feigned memory deficit. Journal of Clinical and Experimental Neuropsychology, 19, 43-51.

    Google Scholar 

  • Schmand, B., Lindeboom, J., Schagen, S., Heijt, R., Koene, T. & Hamburger, H.L. (1998). Cognitive complaints in patients after whiplash injury: The impact of malingering. Journal of Neurology, Neurosurgery and Psychiatry, 64, 339-43.

    Google Scholar 

  • Schmand, B. & Ponds, R. (1998). Malingeren: simuleren en aggraveren. In B. Deelman, P. Eling, E. de Haan, A. Jennekens-Schinkel & E. van Zomeren (red.), Klinische neuropsychologie 426-36. Amsterdam: Uitgeverij Boom.

  • Schmand, B., Sterke, S. de & Lindeboom, J. (1999). The Amsterdam Short-Term Memory Test: manual. Lisse: Swets & Zeitlinger.

  • Slick, D.J., Hinkin, C.H., Gorp, W.G. van & Satz, P. (2001). Base rate of a wms-r malingering index in an sample of non-compensation-seeking men infected with hiv-1. Applied Neuropsychology, 8, 185-9.

    Google Scholar 

  • Slick, D.J., Sherman, E.M.S. & Iverson, G.L. (1999). Diagnostic criteria for malingered neurocognitive dysfunction: Proposed standards for clinical practice and research. The Clinical Neuropsychologist, 13, 545-61.

    Google Scholar 

  • Slick, D.J., Tan, J.E., Strauss, E.H. & Hultsch, D.F. (2004). Detecting malingering: a survey of expert practices. Archives of Clinical Neuropsychology, 19, 465-73.

    Google Scholar 

  • Stevens, J. (1986). Is it organic or is it functional: Is it hysterical or is it malingering? Psychiatric Clinics of North America, 9, 241-54.

    Google Scholar 

  • Strauss, E., Slick, D.J., Levy-Bencheton, J, Hunter, M., MacDonald, S.W.S. & Hultsch, D.F. (2002). Intraindividual variability as an indicator of malingering in head injury. Archives of Clinical Neuropsychology, 17, 423-444.

    Google Scholar 

  • Tan, J.E., Slick, D.J., Strauss, E. & Hultsch, D.F. (2002). How’d they do it? Malingering Strategies on Symptom Validity Tests. The Clinical Neuropsychologist, 16, 495-505.

    Google Scholar 

  • Teichner, G. & Wagner, M.T. (2004). The Test of Memory Malingering (tomm): Normative data from cognitively intact, cognitively impaired, and elderly patients with dementia. Archives of Clinical Neuropsychology, 19, 455-64.

    Google Scholar 

  • Tombaugh, T.N. (1996). Test of Memory Malingering ( tomm). New York: Multi-Health Systems, Inc.

  • Tombaugh, T.N. (1997). The Test of Memory Malingering (tomm): Normative data from cognitively intact and cognitively impaired individuals. Psychological Assessment, 9, 260-8.

    Google Scholar 

  • Werf, S.P. van der, Bleijenberg, G., Prins, J.B., Jongen, P.J.H. & Meer, J.W.M. van der (2000). Abnormal neuropsychological findings are not necessarily a sign of cerebral impairment: A matched comparison between chronic fatigue syndrome and multiple sclerosis. Neuropsychiatry, Neuropsychology and Behavioral Neurology, 13, 199-203.

    Google Scholar 

  • Yanez, Y.T., Fremouw, W., Tennant, J., Strunk, J. & Coker, K. (2006). Effects of severe depression on tomm performance among disability-seeking outpatients. Archives of Clinical Neuropsychology, 21, 161-5.

    Google Scholar 

  • Youngjohn, J.R., Lees-Haley, P.R. & Binder, L.M. (1999). Comment: Warning malingerers produces more sophisticated malingering. Archives of Clinical Neuropsychology, 14, 511-5.

    Google Scholar 

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Correspondence to Clara Hardeman.

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Hardeman, C. Malingeren in de neuropsychologie: ontwikkeling en interpretatie van tests voor het detecteren van een suboptimale inzet. NEPR 10, 102–109 (2006). https://doi.org/10.1007/BF03079092

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