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首页> 美国卫生研究院文献>Springer Open Choice >Plausibility Judgments of Atypical Symptoms Across Cultures: an Explorative Study Among Western and Non-Western Experts
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Plausibility Judgments of Atypical Symptoms Across Cultures: an Explorative Study Among Western and Non-Western Experts

机译：跨文化的非典型症状的合理性判断：西方和非西方专家的探索性研究

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Symptom validity tests (SVTs) are predicated on the assumption that overendorsement of atypical symptoms flags symptom exaggeration (i.e., questionable symptom validity). However, few studies have explored how practitioners from different cultural backgrounds evaluate such symptoms. We asked professionals working in Western (n = 56) and non-Western countries (n = 37) to rate the plausibility of uncommon symptoms taken from the Structured Inventory of Malingered Symptomatology (SIMS), dissociative symptoms from the Dissociative Experience Scale (DES-T), and standard symptoms (e.g., anxiety, depression) from the Brief Symptom Inventory-18 (BSI-18). Western and non-Western experts gave similar plausibility ratings to atypical, dissociative, and standard symptoms: both groups judged BSI-18 symptoms as significantly more plausible than either dissociative or atypical symptoms, while the latter two categories did not differ. Our results suggest that the strategy to detect symptom exaggeration by exploring overendorsement of atypical items might work in a non-western context as well.
机译：症状有效性测试（SVT）的假设是，对非典型症状的过度认可会标志着症状夸大（即可疑的症状有效性）。但是，很少有研究探索来自不同文化背景的从业者如何评估此类症状。我们要求在西方国家（n = 56）和非西方国家（n = 37）工作的专业人员对从病态症状组织结构清单（SIMS）中抽取的不常见症状，从Dissociative Experience Scale（DES- T）和简短症状量表18（BSI-18）的标准症状（例如焦虑，抑郁）。西方和非西方专家对非典型，分离和标准症状给出了相似的可信度评分：两组均认为BSI-18症状比分离或非典型症状更容易接受，而后两个类别没有差异。我们的结果表明，通过探索非典型项目的过度认可来检测症状夸大的策略也可能在非西方环境中起作用。

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