Symptom Profile of Injured Motorists on the Structured Inventory of Malingered Symptomatology



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Submitted Feb 25, 2021
Published Mar 20, 2021
10.24018/ejmed.2021.3.2.739

Abstract viewed = 559 times

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Background: Recent extensive content analyses demonstrated that the items of the Structured Inventory of Malingered Symptomatology (SIMS) have no capacity to differentiate malingerers from legitimate medical patients: all items list or assess legitimate medical symptoms. We examined which SIMS items are the most frequently endorsed by injured motorists.

Method: De-identified archival data of 23 survivors (mean age=38.0, SD=12.8) of high impact motor vehicle accidents (MVAs) contained their SIMS scores, their responses to the Brief Pain Inventory, Morin’s Insomnia Severity Index, Rivermead Post-Concussion Symptoms Questionnaire, and to the Post-MVA Neurological Symptoms scale.

Results: All SIMS items which were endorsed by more than 43% of the patients in the directions scored by the SIMS as indicative of “malingering” were selected. Twenty-five items met this criterion. On a closer examination, all these 25 items are legitimate psychological and neuropsychological symptoms typically experienced by injured motorists, such as depression, impaired sleep, and postconcussive symptoms (memory and concentration problems, impaired balance) and whiplash symptoms (numbness in the limbs, instances of reduced muscular control over some of the limbs).

Discussion and Conclusions: The 25 endorsed items are consistent with the polytraumatic symptom profile of injured patients. In a travesty of psychological assessment, these symptoms are scored in the SIMS as denoting “malingering”. 

Keywords: malingering, SIMS, polytraumatic symptom pattern, car accidents

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References

  1. Smith GP, Burger GK. Detection of malingering: Validation of the Structured Inventory of Malingered Symptomatology (SIMS). Journal of the American Academy on Psychiatry and Law. 1997; 25:180-183.
    DOI  |   Google Scholar
  2. Cernovsky ZZ, Mendonça JD, Ferrari JR, Sidhu G, Velamoor V, Mann SC, et al. Content Validity of the Affective Disorder Subscale of the SIMS. Archives of Psychiatry and Behavioral Sciences. 2019; 2(2):33-39.
     Google Scholar
  3. Cernovsky Z, Bureau Y, Mendonça J, Velamoor V, Mann S, et al. Validity of the SIMS Scales of Neurologic Impairment and Amnestic Disorder. International Journal of Psychiatry Sciences. 2019;1(1):13-19.
     Google Scholar
  4. Cernovsky ZZ, Mendonça JD, Ferrari JR, Bureau YRJ. Content validity of SIMS low intelligence scale. International Journal of Research in Medical Science. 2019; 1(1):21-25.
     Google Scholar
  5. Cernovsky Z, Mendonça JD, Oyewumi LK, Ferrari JR, Sidhu G, Campbell R, et al. Content Validity of the Psychosis Subscale of the Structured Inventory of Malingered Symptomatology (SIMS). International Journal of Psychology and Cognitive Science. 2019;5(3):121-127.
     Google Scholar
  6. Widows MR, Smith GP. Structured Inventory of Malingered Symptomatology - Professional Manual. Lutz, FL: PAR Inc., 2005.
     Google Scholar
  7. Cernovsky ZZ, Mendonça JD, Ferrari JR. Meta Analysis of SIMS Scores of Survivors of Car Accidents and of Instructed Malingerers. Archives of Psychiatry and Behavioral Sciences. 2020;3(1):1-11.
     Google Scholar
  8. Cernovsky ZZ, Ferrari JJR, Mendonça JD. Pseudodiagnoses of Malingering of Neuropsychological Symptoms in Survivors of Car Accidents by the Structured Inventory of Malingered Symptomatology. Archives of Psychiatry and Behavioral Sciences. 2019; 2(1): 55 65.
     Google Scholar
  9. Cernovsky ZZ, Istasy PVF, Hernández-Aguilar ME, Mateos-Moreno A, Bureau Y, Chiu S. Quantifying Post Accident Neurological Symptoms Other than Concussion. Archives of Psychiatry and Behavioral Sciences. 2019, Volume 2, Issue 1, 50 54.
     Google Scholar
  10. Cleeland CS. The Brief Pain Inventory - User Guide. Houston, TX: The University of Texas - M. D. Anderson Cancer Center, 2009.
     Google Scholar
  11. Morin CM, Belleville G, Bélanger L, and Ivers H. The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011; 34:601-608.
    DOI  |   Google Scholar
  12. King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology. 1995;242:587-592.
    DOI  |   Google Scholar
  13. Cernovsky ZZ, Mann SC, Velamoor V, Oyewumi LK, Diamond DM, Litman LC. Validation of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) on Patients Injured in High Impact Car Accidents. Archives of Psychiatry and Behavioral Sciences. 2021;4(1):14-22. doi.org/10.22259/2638-5201.0401003
     Google Scholar
  14. Omalu BI, DeKosky ST, Minster RL, Kamboh MI, Hamilton RL, & Wecht CH. Chronic traumatic encephalopathy in a National Football League player. Neurosurgery. 2005;57: 128–34.
    DOI  |   Google Scholar
  15. Omalu BI, DeKosky ST, Hamilton RL, Minster RL, Kamboh MI, Shakir AM, & Wecht CH. Chronic traumatic encephalopathy in a National Football League player: Part II. Neurosurgery. 2006;59:1086-92.
    DOI  |   Google Scholar
  16. Cernovsky ZZ, Mann SC, Velamoor VR, and Oyewumi LK. The Need for Three Separate Parallel WAD Ratings of Whiplash Injuries to Cervical, Lumbosacral, and Thoracic Spine in Clinical Assessments of Injured Motorists. European Journal of Medical and Health Sciences. 2021;3(1):1-6. doi: 10.24018/ejmed.2021.3.1.699.
    DOI  |   Google Scholar
  17. Honkalampia K, Hintikkaa J, Tanskanena A, Lehtonena J, Viinamäkia H. Depression is strongly associated with alexithymia in the general population. Journal of Psychosomatic Research. 2000;48(1): 99-104. doi.org/10.1016/S0022-3999(99)00083-5.
    DOI  |   Google Scholar
  18. Khan S, Plummer M, Martinez-Arizala A, and Banovac K. Hypothermia in Patients With Chronic Spinal Cord Injury. The Journal of Spinal Cord Medicine. 2007,30(1);27-30.
    DOI  |   Google Scholar
  19. Zonnenberg C, Bueno-de-Mesquita JM, Ramlal D, and Blom JD. Hypothermia due to Antipsychotic Medication: A Systematic Review. Frontiers in Psychiatry. 2017 (September 7). doi.org/10.3389/fpsyt.2017.00165.
    DOI  |   Google Scholar
  20. Kloos RT. Spontaneous periodic hypothermia. Medicine (Baltimore). 1995 Sep;74(5):268-80. doi: 10.1097/00005792-199509000-00004.
    DOI  |   Google Scholar
  21. Gutierrez J, Nosonova V, Cernovsky Z, Fattahi M, Tenenbaum S. Gutierrez Questionnaire for Assessments of Patients after Car Accidents. Archives of Psychiatry and Behavioral Sciences. 2019;2(2):10-21.
     Google Scholar


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