RELATIONSHIP BETWEEN MMPI-2 CLUSTER PROFILES AND SURGICAL OUTCOME IN LOW-BACK-PAIN PATIENTS

被引:26
作者
RILEY, JL [1 ]
ROBINSON, ME [1 ]
GEISSER, ME [1 ]
WITTMER, VT [1 ]
SMITH, AG [1 ]
机构
[1] UNIV FLORIDA,HLTH SCI CTR,DEPT CLIN & HLTH PSYCHOL,GAINESVILLE,FL 32610
来源
JOURNAL OF SPINAL DISORDERS | 1995年 / 8卷 / 03期
关键词
MMPI-2; CHRONIC PAIN; BACK SURGERY; OUTCOME; CLUSTER ANALYSIS;
D O I
10.1097/00002517-199506000-00006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this study was to investigate back surgery outcome differences based on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) profile types. Four homogenous subgroups were found from a hierarchical cluster analysis of 201 MMPI-2 profiles. These four clusters consisted of a Depressed-pathological profile, a conversion V profile (V-type), a neurotic Triad profile, and a within normal limit (WNL) profile. Patients in the WNL and Triad subgroups reported significantly more satisfaction with postsurgical improvement than did patients in the Depressed-pathological or V-type subgroups. The Triad subgroup also gave a more favorable subjective rating of surgical outcome than did patients in the Depressed-pathological or V-type subgroups. These groups also differed on measures of work status and nonwork-related physical activity levels but not on indices of pain.
引用
收藏
页码:213 / 219
页数:7
相关论文
共 36 条
[1]  
Keller L.S., Butcher J.N., Assessment of Chronic Pain Patients with the MMPI-2, (1988)
[2]  
Sternbach R.A., Pain Patients: Traits and Treatment, (1974)
[3]  
Bradley L.A., Prokop C.K., Margolis R., Gentry W.D., Multivariate analysis of the MMPI profiles of low back pain patients, J Behav Mecl, 3, pp. 253-272, (1978)
[4]  
Costello R.M., Hulsey T., Schoenfeld L.S., Ramamurthy S., P-A-I- N: A four cluster MMPI typology for chronic pain, Pain, 30, pp. 199-209, (1987)
[5]  
Riley J.L., Robinson M.E., Geisser M.E., Wittmer V., Multivariate cluster analysis of the MMPI-2 in chronic low-back pain patients, Clin J Pain, 9, pp. 248-252, (1993)
[6]  
Guck T., Meilman P., Skultety F., Poloni L., Pain-patient Minnesota Multiphasic Personality Inventory (MMPI) subgroups: Evaluation of long-term treatment outcome, J Behav Med, 11, pp. 159-169, (1988)
[7]  
Mc creary C.P., Empirically derived MMPI profile clusters and characteristics of low back pain patients, J Consult Clin Psychol, 53, pp. 558-560, (1985)
[8]  
Mc gill J.C., Lawlis G.F., Selby D., Mooney V., Mc coy C.E., The relationship of Minnesota Multiphasic Personality Inventory (MMPI) profile clusters to pain behaviors, J Behav Med, 6, pp. 77-92, (1983)
[9]  
Swimmer G.I., Robinson M.E., Geisser M.E., The relationship of MMPI cluster type, pain coping strategy and treatment outcome, Clin J Pain, 8, pp. 131-137, (1992)
[10]  
Moore J.E., Armentrout D.P., Parker J.C., Kivlahan D.R., Empirical derived pain-patient MMPI subgroups: Predictors of treatment outcome, J Behav Med, 9, pp. 51-63, (1986)