title: Evaluating malingering in contested injury or illness.
abstract: 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.
authors.affiliation: Duke University Medical Center, Department of Psychiatry, Pain Evaluation and Treatment Service, Charlotte, North Carolina, USA. geraldaronoffmd@msn.com
authors.forename: Gerald M
authors.initials: GM
authors.lastname: Aronoff
authors.forename: Steven
authors.initials: S
authors.lastname: Mandel
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Genovese
authors.forename: Edward A
authors.initials: EA
authors.lastname: Maitz
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Dorto
authors.forename: Edwin H
authors.initials: EH
authors.lastname: Klimek
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Staats
mesh_terms: D004185:Disability Evaluation; D006801:Humans; D008306:Malingering / Q000175:diagnosis*; D001523:Mental Disorders / Q000150:complications / Q000523:psychology; D009483:Neuropsychological Tests; D010146:Pain / Q000150:complications* / Q000523:psychology*; D010147:Pain Measurement; D010808:Physical Examination; D015203:Reproducibility of Results; D012803:Sick Role; D014942:Workers' Compensation