ABSTRACT The SIMS is used in the medico-legal context to assess people who have suffered a traffic accident without proven scientific evidence to support this procedure. The objective of this research is to evaluate the SIMS’ ability to discriminate instructed malingerers, general population, patients who have suffered a traffic accident, and overreporting patients. A simulation design was used to evaluate a total of 650 subjects divided into the four mentioned groups. Our results indicate that the cut-off scores proposed by the authors of the English and Spanish versions (14 and 16) produce moderate sensitivity and specificity values. With a cut-off score of 10, specificity decreases, but sensitivity significantly increases. These results suggest that the SIMS needs to be adapted to the context’s particularities, either by using the proposed cut-off score and other instruments that compensate for the low specificity or by designing new subscales that include symptoms that are typical for the usual conditions in the context.

中文翻译：

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机动车事故患者畸形症状结构化量表 (SIMS) 的诊断准确性

摘要 SIMS 用于医学法律环境中，以评估在没有经过证实的科学证据支持此程序的情况下遭受交通事故的人。本研究的目的是评估 SIMS 区分受过训练的装病者、一般人群、遭遇交通事故的患者和多报患者的能力。模拟设计用于评估总共 650 名受试者，这些受试者分为四个提到的组。我们的结果表明，英语和西班牙语版本（14 和 16）的作者提出的截止分数产生中等敏感性和特异性值。截止分数为 10，特异性降低，但敏感性显着增加。这些结果表明 SIMS 需要适应上下文的特殊性，