Distorsión clínica y simulación en la incapacidad temporalun estudio preliminar

  1. Antonio Domínguez Muñoz 1
  2. Rafael López Pérez 2
  3. Fernando Gordillo León 3
  4. Ana Gómez Álvarez 1
  5. José Luis de la Fuente Madero 1
  1. 1 Instituto Nacional de la Seguridad Social
  2. 2 Fundación Universitaria Behavior & Law
  3. 3 Universidad Camilo José Cela
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    Universidad Camilo José Cela

    Villanueva de la Cañada, España

    ROR https://ror.org/03f6h9044

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Revista:
Psicopatología Clínica Legal y Forense

ISSN: 1576-9941

Ano de publicación: 2013

Volume: 13

Número: 1

Páxinas: 29-45

Tipo: Artigo

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Outras publicacións en: Psicopatología Clínica Legal y Forense

Resumo

Various studies show the high frequency of malingering when applying for temporary incapacity, and poor training to detect it. Using a descriptive and retrospective study, this work aims to basically address the phenomenon of distortion in medical assessment of disability by reviewing the first 100 medical discharges issued by a medical assessor of the Instituto Nacional de la Seguridad Social [National Social Security Institute] (INSS). Following the analysis of the data, the description of the sample shows that that directly paid and "white collar” workers have a higher frequency of moderate and marked distortion. However, the Special Agricultural Scheme revealed the presence of the highest marked distortion, with 10 out of 14 cases (71%, p < .001 with Fisher's F), but this did not occur in the unemployed workers, who present only 22% of marked distortion, and its distribution is no different from that of the group as a whole. The need for training for the medical evaluation of disability in malingering and distortion of symptoms are discussed and recommended.

Fonte de datos: Dialnet