[Symptom validation in patients with migration background in psychosomatic medicine]. / Beschwerdenvalidierung bei Rehabilitanden mit Migrationshintergrund in der Psychosomatik.
Rehabilitation (Stuttg)
; 51(5): 356-64, 2012 Oct.
Article
in De
| MEDLINE
| ID: mdl-23070890
ABSTRACT
OBJECTIVES:
The aim of this study is to investigate differences in the occurrence of symptom over-reporting in insurants with and without migration background as well as to determine factors that predict the occurrence of symptom over-reporting.METHODS:
A survey-based screening of validating complaints including Structured Inventory of Malingered Symptomatology (SIMS), L-scale (Minnesota Multiphasic Personality Inventory - MMPI-2), Health-49 and Predictive validity of a brief scale measuring the subjective prognosis of gainful employment (SPE-scale) was carried out with 457 German insurants and 138 insurants with migration background previous to their inpatient rehabilitation treatment.RESULTS:
Symptom over-reporting measured by the SIMS could be observed in 33% of the German insurants and 50% of the insurants with migration background. Highest predictive power relative to symptom over-reporting was achieved by Health-49-score followed by social class and sex.CONCLUSIONS:
Percentage of symptom over-reporting is higher in insurants with migration background than in German insurants, but taking into account more factors, differences in German and Non-German insurants can be largely explained by differences in social class and gender distribution. Studies applying multi-method symptom validation are required to clarify the causes of high prevalence of sympom over-reporting in German and Non-German insurants.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psychometrics
/
Psychophysiologic Disorders
/
Transients and Migrants
/
Neuropsychological Tests
Type of study:
Diagnostic_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
De
Journal:
Rehabilitation (Stuttg)
Year:
2012
Document type:
Article