Document Detail


The relationship between the modified somatic perception questionnaire and dynamic platform posturography.
MedLine Citation:
PMID:  18165790     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To analyze if patients whose vestibular symptoms are associated with nonorganic sway patterns show more evidence of somatization and/or malingering than patients whose vestibular symptoms are associated with normal or physiologically abnormal sway patterns observed in people with documented vestibular pathologic findings. PATIENTS: One hundred fifteen patients with complaints of vestibular dysfunction and hearing impairment. INTERVENTIONS: Computerized dynamic posturography (CDP) and completion of the Modified Somatic Perception Questionnaire (MSPQ)--a validated test for the detection of malingering. MAIN OUTCOME MEASURES: Computerized dynamic posturography results classified into 4 categories (normal, physiologic abnormal, borderline-aphysiologic, and aphysiologic) were correlated with the results of the MSPQ. RESULTS: A significant CDP group effect on the MSPQ, with the aphysiologic patients scoring significantly higher than the other groups. Moreover, a significantly higher proportion of aphysiologic patients scored more than the MSPQ cutoffs for malingering. CONCLUSION: Results indicate that patients who have aphysiologic CDP sway patterns are more likely to have higher MSPQ scores. Both aphysiologic CDP results and high MSPQ scores have been associated with intentional exaggeration. These results indicate that patients with both aphysiologic CDP findings and high MSPQ scores are more likely to be intentionally exaggerating their balance-related complaints and deficits.
Authors:
Raven Brasseux; Kevin W Greve; Gerard J Gianoli; James S Soileau; Kevin J Bianchini
Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  29     ISSN:  1531-7129     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-05-20     Completed Date:  2008-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  359-62     Citation Subset:  IM    
Affiliation:
Department of Psychology and The Jefferson Neurobehavioral Group, University of New Orleans, New Orleans, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diagnosis, Computer-Assisted / standards*
Dizziness / diagnosis,  physiopathology
Female
Humans
Male
Malingering / diagnosis,  physiopathology
Middle Aged
Perception
Posture*
Questionnaires / standards*
Reproducibility of Results
Vertigo / diagnosis,  physiopathology
Vestibular Diseases / diagnosis*,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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