Malingering = 2B Overview Backgrau! Pathophysiology + Epidemiology Show All Presentation History Physical Show All px. Workup Treatment Followup eascape.cony Epidemiology Mortality/Morbidity Feigning illness in order to receive disability compensation is common in Social Security Disability examinations, occurring in 45.8%-59.7% of adult cases. In 2011, the estimated cost of malingering in medicolegal cases totaled $2002 billion. 21 History According to the DSM-5, malingering should be ‘suspected in the presence of any combination of the following: 7 ‘* Medicolegal presentation (eg, an atlomey refers patient, a patient is seeking compensation for injury) + Marked discrepancy between the claimed istress and the objective fincings. * Lack of cooperation during evaluation and in complying with prescribed treatment + Presence of an antisocial personality cisorder Malingering often is associated with an antisocial personality disorder and @ histrionic personality style. il98200-crvea tI ¢ |/a Prolonged direct observation can reveal evidence of malingering beceuse itis dificult for the person who is malingering to maintein consistancy with the false or exaggerated claims for extended periods The person who is malingering usually lacks knowledge of the nuances of the feigned disorder. For example, someone compleining of carpal tunnel syndrome may be referred to occupational therapy. where the person who is malingering would be unable to predict the effect of true carpal tunnel syndrome on tasks in the wood shap. Prolonged interview and examination of a person suspected of a malingering disorder may induce fatigue and diminish the ability of the person who Js malingering to maintain the deception. Repic {firing of questions increases the likelihood of contradictory or inconsistent respenses. Asking leading questions may induce the person to SC Cun aa eee Neen ne Cee Peer Pees Recommended prues telaprevir Maleria Recommended telaprevir Malaria cate noes ms esouner centen