Malingering and Stimulant Medications Abuse, Misuse and Diversion

被引:1
|
作者
Sadek, Joseph [1 ]
机构
[1] Dalhousie Univ, Dept Psychiat, Halifax, NS B3H 2E2, Canada
关键词
ADHD; malingering; diversion; stimulant medications abuse; misuse; DEFICIT-HYPERACTIVITY-DISORDER; NONCREDIBLE PERFORMANCE; SYMPTOM EXAGGERATION; RESPONSE BIAS; ADHD; ADULTS;
D O I
10.3390/brainsci12081004
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that interferes with multiple aspects of daily functioning. Malingering or feigning of symptoms can be a major challenge during ADHD assessment. Stimulant medication abuse, misuse and diversion may constitute another challenge during management. A literature search of the past 15 years on the topic continued to suggest that there are several reasons for malingering and faking ADHD symptoms. Some of the reasons include the intent to obtain prescriptions for stimulant medications for performance enhancement, to gain access to additional school services and accommodations, to use recreationally and to sell as a street drug. In some countries, patients may receive additional tax or student loan benefits. Several researchers suggested that self-report rating measures are easily simulated by patients without ADHD. They concluded that no questionnaire has proved sufficiently robust against false positives. Some clinical factors that may suggest malingering during the ADHD assessment are highlighted and some available tests to detect malingering are discussed.
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页数:5
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