Validity Assessment in Traumatic Brain Injury Impairment and Disability Evaluations

被引:4
|
作者
Zasler, Nathan D. [1 ,2 ,3 ,4 ]
Bender, Scoft D. [5 ]
机构
[1] Tree Life Serv Inc, Concuss Care Ctr Virginia Ltd, 3721 Westerre Pkwy,Suite B, Richmond, VA 23233 USA
[2] Virginia Commonwealth Univ, Dept Phys Med & Rehabil, Richmond, VA USA
[3] Univ Virginia, Dept Phys Med & Rehabil, Charlottesville, VA USA
[4] Int Brain Injury Assoc, Alexandria, VA USA
[5] Univ Virginia, Inst Law Psychiat & Publ Policy, Dept Psychiat & Neurobehav Sci, 1230 Cedars Court,Suite 108, Charlottesville, VA 22903 USA
关键词
Traumatic brain injury; Validity; Response bias; Malingering; Physical examination; Cognition; Behavior; Forensic; RESPONSE BIAS; HEAD-INJURY; SYMPTOMS; PERFORMANCE; COMPENSATION; DISORDERS;
D O I
10.1016/j.pmr.2019.03.009
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
This article provides an overview of validity assessment in persons with traumatic brain injury including evaluation caveats. Specific discussion is provided on post-concussive disorders, malingering, examination techniques to assess for validity, response bias, effort and non-organic/ functional presentations. Examinee and examiner biases issues will also be explored. Discussion is also provided regarding judicial trends in limiting examiner scope of testing and/or testimony, and risk of liability when providing expert witness opinions on validity of examinee presentations. The hope is to encourage physiatrists to become more aware and skilled in validity assessment given its importance in differential diagnosis of impairment following traumatic brain injury.
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页码:621 / +
页数:17
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