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Gepubliceerd in: Neuropraxis 2/2008

01-04-2008 | Uit de praktijk

Onwaarschijnlijke symptomen simuleren: de Wildman Symptom Checklist

Auteurs: Harald Merckelbach, Tom Smeets, Marko Jelicic

Gepubliceerd in: Neuropraxis | Uitgave 2/2008

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Samenvatting

Patiënten die symptomen simuleren bestaan. Maar hoe spoor je ze op? De consensus is dat de clinicus er verstandig aan doet om meerdere instrumenten in te zetten, waaronder tests en taken, maar ook een interview. In zo'n interview moet worden nagegaan of de patiënt ertoe neigt om voor de dag te komen met onwaarschijnlijke symptomen en kenmerken. Maar wat vraag je dan aan de patiënt? In ons onderzoek probeerden we bruikbare symptomen en kenmerken te genereren.
Voetnoten
1
Zie Gezondheidsraad (2007). Verzekeringsgeneeskundige mediprudentie. Den Haag: Gezondheidsraad (publicatie 2007/14).
 
2
Deze benadering staat te boek als de multidimensional-multimethod approach (zie Sweet, 1999).
 
3
Ook de door Rogers en collega's (1992) ontwikkelde sirs bestaat uit een lange reeks van onwaarschijnlijke, atypische en non-existente symptomen en kenmerken. De rationale achter de sirs is dat simulanten zullen zeggen last te hebben van dit soort symptomen.
 
4
Een integrale vertaling van de checklist en realistische items is bij de auteurs te verkrijgen.
 
5
De getalsmatige verhouding tussen controles en simulanten is niet toevallig: zij is zo gekozen dat de base rate van simulatie in de buurt komt van de door Greve en Bianchini (2004) aanbevolen 0.30.
 
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Metagegevens
Titel
Onwaarschijnlijke symptomen simuleren: de Wildman Symptom Checklist
Auteurs
Harald Merckelbach
Tom Smeets
Marko Jelicic
Publicatiedatum
01-04-2008
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Neuropraxis / Uitgave 2/2008
Print ISSN: 1387-5817
Elektronisch ISSN: 1876-5785
DOI
https://doi.org/10.1007/BF03077120