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Related Experiment Videos

Evaluating malingering in contested injury or illness.

Gerald M Aronoff1, Steven Mandel, Elizabeth Genovese

  • 1Duke University Medical Center, Department of Psychiatry, Pain Evaluation and Treatment Service, Charlotte, North Carolina, USA. geraldaronoffmd@msn.com

Pain Practice : the Official Journal of World Institute of Pain
|June 15, 2007
PubMed
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Healthcare providers often overlook malingering, the feigning of illness, in chronic pain and other disorders. This review highlights the need to consider malingering, especially in injury cases with recovery incentives.

Area of Science:

  • Neuroscience
  • Psychology
  • Medical Ethics

Background:

  • Malingering, the intentional feigning of symptoms for external gain, is a complex issue in clinical practice.
  • Delayed recovery in cases of work or personal injury may present incentives for individuals to malinger.
  • Current clinical practice may not adequately address the assessment of malingering.

Purpose of the Study:

  • To review the existing literature on malingering in the context of chronic pain, medical disorders, and mental/cognitive disorders.
  • To highlight the implications of under-recognizing malingering in healthcare settings.
  • To provide recommendations for healthcare professionals involved in impairment and disability assessments.

Main Methods:

  • An interdisciplinary task force of physicians and neuropsychologists conducted a comprehensive literature review.

Related Experiment Videos

  • The review focused on studies examining malingering across various medical and psychological conditions.
  • The task force synthesized findings related to assessment challenges and clinical implications.

    • Main Results:

    • Treating healthcare providers frequently fail to consider malingering, even when incentives for feigning symptoms are present.
    • Under-recognition of malingering can lead to inappropriate diagnoses and treatment plans.
    • Delayed recovery and work-related injuries are identified as specific contexts where malingering should be considered.

    Conclusions:

    • There is a critical need for increased awareness and systematic assessment of malingering among healthcare professionals.
    • Developing and implementing standardized protocols for malingering assessment is recommended.
    • Further research is needed to refine diagnostic tools and improve clinical recognition of malingering.