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Ann R Coll Surg Engl. 1982 May;64(3):191-4.

Diagnosis and prognosis in compensation claims.


Psychiatric syndromes following compensable injury are not unusual in surgical practice. All such patients show exaggeration of their symptoms; compensation neurosis and malingering in particular are difficult to separate clinically. The signs and symptoms are reviewed. The prognosis has been assessed in 52 cases of compensation neurosis/malingering; remission of symptoms was usual except for spinal injuries, but return to previous occupation was not common and, despite the triviality of 70% of the injuries, 73% of the patients were off work for more than 6 months. The factors affecting prognosis are discussed, but the effect of legal settlement of claims could not be assessed accurately.

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