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Cost of malingering mild traumatic brain injury-related cognitive deficits during compensation and pension evaluations in the veterans benefits administration.
Appl Neuropsychol Adult. 2019 Jan-Feb; 26(1):1-16.AN

Abstract

Given the high rates of exaggeration in those claiming long-term cognitive deficits as a result of mild traumatic brain injury (mTBI), the aim of this study was to evaluate the rates of malingering in those seeking disability through the Veterans Benefits Administration and estimate the financial burden of disability payments for those receiving compensation despite exaggerated mTBI-related cognitive deficits. Retrospective review included 74 veterans seen for Compensation and Pension evaluations for mTBI. Rates of malingering were based on failure of the Medical Symptom Validity Test (MSVT) and/or the Test of Memory Malingering (TOMM) trial 1 ≤ 40. Total estimated compensation was based on the level of disability awarded and the number of individuals found to be malingering cognitive deficits. Overall, 33-52% of the sample was found to be malingering mTBI-related cognitive deficits. The malingering groups were receiving approximately $71,000-$121,000/year ($6,390-$7,063 per year, per veteran on average). Estimated nationwide disability payments for those possibly malingering mTBI-related cognitive deficits would be $136-$235 million/year (projected costs from 2015-2020 = $700 million-$1.2 billion). It is critical that providers and administrative officials identify those exaggerating disability claims attributed to mTBI. The cost of malingering impacts society in general as well as veterans themselves, as it diverts needed funds/resources away from those legitimately impaired by their military service.

Authors+Show Affiliations

a Department of Veteran Affairs, Mental Health Service , Ralph H. Johnson Veterans Affairs Medical Center , Charleston , South Carolina , USA. b Department of Psychiatry and Behavioral Sciences , Medical University of South Carolina , Charleston , South Carolina , USA.c Mid-Atlantic Mental Illness Research, Education, and Clinical Center , Salisbury , North Carolina , USA. d Mental Health and Behavioral Science Service Line , W. G. (Bill) Hefner Veterans Affairs Medical Center (VAMC) , Salisbury , North Carolina , USA. e Department of Psychiatry and Behavioral Medicine , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28816502

Citation

Denning, John H., and Robert D. Shura. "Cost of Malingering Mild Traumatic Brain Injury-related Cognitive Deficits During Compensation and Pension Evaluations in the Veterans Benefits Administration." Applied Neuropsychology. Adult, vol. 26, no. 1, 2019, pp. 1-16.
Denning JH, Shura RD. Cost of malingering mild traumatic brain injury-related cognitive deficits during compensation and pension evaluations in the veterans benefits administration. Appl Neuropsychol Adult. 2019;26(1):1-16.
Denning, J. H., & Shura, R. D. (2019). Cost of malingering mild traumatic brain injury-related cognitive deficits during compensation and pension evaluations in the veterans benefits administration. Applied Neuropsychology. Adult, 26(1), 1-16. https://doi.org/10.1080/23279095.2017.1350684
Denning JH, Shura RD. Cost of Malingering Mild Traumatic Brain Injury-related Cognitive Deficits During Compensation and Pension Evaluations in the Veterans Benefits Administration. Appl Neuropsychol Adult. 2019 Jan-Feb;26(1):1-16. PubMed PMID: 28816502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost of malingering mild traumatic brain injury-related cognitive deficits during compensation and pension evaluations in the veterans benefits administration. AU - Denning,John H, AU - Shura,Robert D, Y1 - 2017/08/17/ PY - 2017/8/18/pubmed PY - 2019/4/26/medline PY - 2017/8/18/entrez KW - Malingering KW - medical symptom validity test KW - neuropsychology KW - test of memory malingering KW - traumatic brain injury KW - veterans SP - 1 EP - 16 JF - Applied neuropsychology. Adult JO - Appl Neuropsychol Adult VL - 26 IS - 1 N2 - Given the high rates of exaggeration in those claiming long-term cognitive deficits as a result of mild traumatic brain injury (mTBI), the aim of this study was to evaluate the rates of malingering in those seeking disability through the Veterans Benefits Administration and estimate the financial burden of disability payments for those receiving compensation despite exaggerated mTBI-related cognitive deficits. Retrospective review included 74 veterans seen for Compensation and Pension evaluations for mTBI. Rates of malingering were based on failure of the Medical Symptom Validity Test (MSVT) and/or the Test of Memory Malingering (TOMM) trial 1 ≤ 40. Total estimated compensation was based on the level of disability awarded and the number of individuals found to be malingering cognitive deficits. Overall, 33-52% of the sample was found to be malingering mTBI-related cognitive deficits. The malingering groups were receiving approximately $71,000-$121,000/year ($6,390-$7,063 per year, per veteran on average). Estimated nationwide disability payments for those possibly malingering mTBI-related cognitive deficits would be $136-$235 million/year (projected costs from 2015-2020 = $700 million-$1.2 billion). It is critical that providers and administrative officials identify those exaggerating disability claims attributed to mTBI. The cost of malingering impacts society in general as well as veterans themselves, as it diverts needed funds/resources away from those legitimately impaired by their military service. SN - 2327-9109 UR - https://www.unboundmedicine.com/medline/citation/28816502/Cost_of_malingering_mild_traumatic_brain_injury_related_cognitive_deficits_during_compensation_and_pension_evaluations_in_the_veterans_benefits_administration_ L2 - http://www.tandfonline.com/doi/full/10.1080/23279095.2017.1350684 DB - PRIME DP - Unbound Medicine ER -