신경인지적 결함의 사병(MNCD)변별지표 연구의 개관 = A Review of Studies for Malingering Discrimination Index of Malingered Neurocognitive Dysfunction

다국어 초록 (Multilingual Abstract)

This study reviews recent studies for malingering discrimination focused on malingered neurocognitive dysfunction(MNCD) that have found often in clinical assessment. This review aimed to introduce MNCD’s diagnostic criteria, type of malingering discrimination index, and prevalence of malingering reported advanced studies. In addition this study suggests internal research for prevalence of malingering is needed. Method to detect malingering was included for example analysis of error(floor effect, learning principles, etc) and empirical method. Also, differential prevalence design, simulation design, known-group design for study to development malingering discrimination index was introduced. Furthermore this review discusses the limitation of the previous studies(e.g. limitation of psychological assessment, conceptualization of malingering, necessity of definite diagnostic criteria, sensitivity and specificity of discriminant index) and future research directions.

국문 초록 (Abstract)

본 연구에서는 임상 평가 상황에서 나타날 수 있는 신경인지적 결함의 사병(MNCD; Malingered Neurocognitive dysfunction)에 초점을 맞추어 신경인지적 결함의 사병을 변별하는 사병변별지표에 대한 최근 연구들을 개관하였다. 본 개관연구에서는 사병의 정의와 최근 제안된 신경인지적 결함의 사병 진단준거에 대해 알아보았고, 진단준거에 적용되는 사병변별지표의 종류에 대해서도 살펴보았다. 외국 연구를 기반으로 사병 역학에 대해 알아보았고, 국내에서의 사병 기저율과 같은 기초적인 역학 조사의 필요성을 제안하였다. 사병 탐지를 위한 방법들로 바닥효과와 같은 오류의 양적 분석, 학습원리를 분석하는 오류의 질적 분석, 경험적 방식 등에 대해 알아보았다. 사병 탐지를 위한 연구 설계로 차별적 유병률 설계, 모사실험 설계, 실제집단 설계에 대해서도 구체적으로 살펴보았다. 또한 국내외 연구 현황을 살펴보았고, 선행연구들에서 제안된 제한점들에 대해 논의하였다. 제한점들로는 심리검사 자체에 대한 제한점, 사병이라는 용어의 개념화 문제, 명확한 진단준거의 필요성, 사병변별지표의 민감도와 특이도 문제에 대해 다루었고, 앞으로의 연구 방향에 대해서도 논의하였다.

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