J Korean Neuropsychiatr Assoc.  2005 Nov;44(6):743-753.

The Comparison of MMPI and Neuropsychological Tests according to Degree of Subjective Symptom Complaints in Patients with Traumatic Head Injury

• Koo BH
• Jung EJ
• Seo WS
• Song CJ
• Chang HK
• Bai DS

Abstract

OBJECTIVES
The purpose of this study was to investigate the clinical characteristics of "fake bad" and "fake good" patients with traumatic head injury in neuropsychological tests.
METHODS
We measured subjective symptoms by SCL-90-R and objective symptoms by McBride obstacle-valuation measure. The patient was divided into three groups according to differences between subjective and objective symptoms. We also examined their intelligence, memory, clinical characteristics, using K-WAIS, K-MAS, MMPI.
RESULTS
The group who overly expressed their subjective symptoms has its psychotic symptom exaggeratingly measured, so it will be helpful to be careful to such over-expressed symptoms in those who present a psychotic symptom in a clinical view-point. An K-WAIS measurement among those who exaggerated their subjective symptoms showed less value than the actual one, which weakens the reliability of this intelligent test. Rather, for that group, the result of K-MAS can be used with a confidence in the estimation of their severity of symptoms.
CONCLUSION
MMPI and neuropsychological tests are helpful to understand characteristics between subjective symptoms and objective disabilities of patients with traumatic head injury.

Keyword

Traumatic head injury; MMPI; Neuropsychological test; Subjective symptom complaints

MeSH Terms

Craniocerebral Trauma*
Head*
Humans
Intelligence
Memory
MMPI*
Neuropsychological Tests*