Incremental Contribution of the Minnesota Multiphasic Personality Inventory - 3 to Predicting One-Year Postoperative Spinal Cord Surgery/Spinal Cord Stimulation Outcomes.

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Ryan J Marek, Janet T Le, Gabriel Hapenciuc, Michelle A Philip, Josephine Chiu, Andrew R Block, Yossef S Ben-Porath
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引用次数: 0

Abstract

Pre-surgical psychological assessments are becoming common in the United States and are recommended or required prior to surgical/spinal cord stimulator intervention for chronic back pain. Psychological testing is often recommended for these evaluations and the various versions of the Minnesota Multiphasic Personality Inventory (MMPI) have demonstrated utility for predicting outcomes in this setting. This investigation sought to extend that literature with the newest version of the MMPI, the MMPI-3. The sample comprised of 909 patients (50.5% men, 49.5% women) who consented to participating in an outcome study and took the MMPI-3 along with other self-report measures of pain, functional disability, and emotional functioning prior to surgery as part of their pre-surgical psychological assessment. Self-report measures of pain, functional disability, and emotional functioning were administered again one-year following the intervention. MMPI-3 scale scores accounted for up to 9% of additional variance in the outcomes after controlling for pre-surgical measures. Measures of emotional/internalizing dysfunction, somatic dysfunction, and, to a lesser extent, behavioral/externalizing dysfunction contributed the most to the prediction of poorer outcomes.

明尼苏达多相人格量表 - 3 对预测脊髓手术/脊髓刺激术后一年疗效的增量贡献。
手术前心理评估在美国越来越普遍,建议或要求在对慢性背痛进行手术/脊髓刺激器干预之前进行心理评估。心理测试通常被推荐用于这些评估,而各种版本的明尼苏达多相人格量表(MMPI)已被证明可用于在这种情况下预测结果。这项调查试图利用最新版本的明尼苏达多相人格问卷(MMPI-3)来扩展这些文献。样本包括 909 名同意参与结果研究的患者(50.5% 为男性,49.5% 为女性),他们在手术前接受了 MMPI-3 以及其他有关疼痛、功能障碍和情绪功能的自我报告测量,作为手术前心理评估的一部分。干预一年后,他们再次进行了疼痛、功能障碍和情绪功能的自我报告测量。在控制了手术前的测量因素后,MMPI-3量表评分最多可导致 9% 的额外结果差异。情绪/内化功能障碍、躯体功能障碍以及其次的行为/外化功能障碍对预测较差结果的作用最大。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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