Advances and issues in the diagnostic differential of malingering versus brain injury

Bordini, Ernest J.; Chaknis, Manuel; Ekman-Turner, Rose M.; Perna, Robert

doi:10.3233/nre-2002-17202

Cited by 23 publications

(8 citation statements)

References 50 publications

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“…In addition, a worker with certain personality traits may find being questioned about their disability or injury to be unnerving, which may satisfy the third criterion independent of any malingering. Furthermore, recommendations have been published to implement neuropsychological testing for possible malingering in persons with TBI [ 57 ]. This raises the issue of language proficiency [ 49 , 58 ], as these evaluations would be performed using tests that were developed in English and have not been validated in other languages.…”

Section: Discussionmentioning

confidence: 99%

Modeling community integration in workers with delayed recovery from mild traumatic brain injury

et al. 2015

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BackgroundDelayed recovery in persons after mild traumatic brain injury (mTBI) is poorly understood. Community integration (CI) is endorsed by persons with neurological disorders as an important outcome. We aimed to describe CI and its associated factors in insured Ontario workers with delayed recovery following mTBI.MethodsA cross-sectional study of insured workers in the chronic phase following mTBI was performed at a rehabilitation hospital in Ontario, Canada. Sociodemographic, occupational, injury-related, clinical, and claim-related data were collected from self-reports, medical assessments, and insurers’ referral files. Community Integration Questionnaire (CIQ) scores were compared using analysis of variance or Spearman’s correlation tests. Stepwise multivariable linear regression models were used to evaluate the associations with CI.ResultsNinety-four workers with mTBI (45.2 ± 9.9 years old, 61.2 % male) at 197 days post-injury (interquartile range, 139–416 days) were included. The CIQ total and subscale scores were similar to those reported in more severe TBI samples. The CIQ scores were moderately to strongly correlated with various sociodemographic, claim-related, and clinical variables. In the multivariable regression analysis, several covariates accounted for 36.4 % of the CIQ variance in the final fully adjusted model.DiscussionThis study evaluated CI in workers with mTBI, and analyzed its associated variables. Analysis revealed insomnia, head or neck pain, being married or in a relationship, time since injury, and a diagnosis of possible/probable malingering were independently associated with limited CI.ConclusionsWorkers with delayed recovery from mTBI experience difficulty with CI. Insomnia is a particularly relevant covariate, explaining the greater part of its variance. To enhance participation, care should focus on clinical and non-clinical covariates.Electronic supplementary materialThe online version of this article (doi:10.1186/s12883-015-0432-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Modeling community integration in workers with delayed recovery from mild traumatic brain injury

et al. 2015

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“…Malingering is another frequent concern in the assessment of neurocognitive function in patients after TBI (Bordini et al 2002). The rate of negative response bias in adults after mTBI is much higher than in second-grade or disabled children (Green et al 2009).…”

Section: Discussionmentioning

confidence: 99%

Long-term cognitive and emotional consequences of mild traumatic brain injury

et al. 2010

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“…Individuals alleging cognitive impairment from head injury or other causes should have a careful neurological evaluation and assessment by a neuropsychologist to determine cognitive ability and possible areas of dysfunction. The neuropsychological testing should include subscales designed to evaluate malingering 90 . Persons who malinger almost never accept psychiatric referral, and the success of such consultation is usually minimal.…”

Section: Post‐traumatic Headachementioning

confidence: 99%

Evaluating Malingering in Contested Injury or Illness

Aronoff

Mandel

Genovese³

et al. 2007

Pain Practice

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An interdisciplinary task force of physicians and neuropsychologists with advanced training in impairment and disability assessment provided a review of the literature on malingering in chronic pain, medical disorders, and mental/cognitive disorders. Our review suggests that treating health care providers often do not consider malingering, even in cases of delayed recovery involving work injuries or other personal injuries, where there may be a significant incentive to feign or embellish symptoms or delay recovery. This report discusses the implications of this issue and offers recommendations to evaluating physicians and other health care professionals.

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Advances and issues in the diagnostic differential of malingering versus brain injury

Cited by 23 publications

References 50 publications

Modeling community integration in workers with delayed recovery from mild traumatic brain injury

Modeling community integration in workers with delayed recovery from mild traumatic brain injury

Long-term cognitive and emotional consequences of mild traumatic brain injury

Evaluating Malingering in Contested Injury or Illness

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