二项必选数字记忆及智力测验在脑外伤患者中伪装记忆缺损的鉴别应用

Detecting Application between Binomial Forced-choice Digit Memory Test and Intelligence Test for Malingering of Memory Damage in Patients with Traumatic Brain Injure

目的:探讨二项必选数字记忆测验(BFDMT)及智力测验在诉讼与非诉讼脑外伤患者中伪装记忆缺损的鉴别应用。方法:应用BFDMT及智力测验对有诉讼要求脑外伤患者(诉讼组,40例)、无诉讼要求脑外伤患者(非诉讼组,40例)及神经症患者(神经症组,40例)进行检测。结果:诉讼组、非诉讼组与神经症组的BFDMT及智商得分均值比均有统计学意义(P<0.01),诉讼组伪装比例高于非诉讼组及神经症组(P<0.05)。结论:BFDMT合并智力测验是鉴别伪装记忆缺损的有效评定工具。

Objective： To investigate the detecting application between binomial forced-choice digit memory test （BFDMT） and intelligence test for malingering of memory damage in patients with and without litigation with traumatic brain injure. Methods： Forty patients（ traumatic brain injure）of litigation and 40 patients with traumatic brain injury but without litigation, 40 subjects with neurosis were detected by BFDMT and intelligence test. Results： There were signifi- cant differences among groups in the score of BFDMT and the score intelligence quotient in means（ P 〈 0.01）. The malingering rate of litigation group was significant higher than without litigation group and neurosis group（ P 〈 0.05）. Conclusion： BFDMT and intelligence test are useful for detecting true memory deficit as well as dissimulation.