Journal of Clinical Psychology in Medical Settings最新文献_第2页

Thwarted Belongingness and Suicide Risk in Primary Care: Perceived Burdensomeness and Psychache as Mediators. 基层医疗机构的归属感受挫与自杀风险：感知到的负担和心理痛苦是中介。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-02 DOI: 10.1007/s10880-023-09960-6

Byron D Brooks, Trever J Dangel, Andréa R Kaniuka, Emma Jaszczak, Anusha Limdi, Jon R Webb, Jameson K Hirsch

引用次数: 0

Using a Delphi Technique to Define Primary Care Behavioral Health Clinical Supervision Competencies. 使用德尔菲技术定义初级保健行为健康临床监督能力。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-06-02 DOI: 10.1007/s10880-023-09964-2

Stacy A Ogbeide, Bryan Bayles

{"title":"Using a Delphi Technique to Define Primary Care Behavioral Health Clinical Supervision Competencies.","authors":"Stacy A Ogbeide, Bryan Bayles","doi":"10.1007/s10880-023-09964-2","DOIUrl":"10.1007/s10880-023-09964-2","url":null,"abstract":"There is an increasing need for Primary Care Behavioral Health (PCBH) workforce development (i.e., increase in well-trained PCBH providers) given the growth of behavioral health (BH) integration into primary care, specifically at a time when behavioral health needs are increasing because of the COVID-19 pandemic (Kanzler and Ogbeide in Psychol Trauma 12(S1):S177-S179, https://doi.org/10.1037/tra0000761 , 2020). Therefore, it is imperative to provide current and future behavioral health clinical supervisors in primary care settings specific competencies, given there are no current competencies specific to clinical supervision within the PCBH Model. Using a Delphi process, the authors identified and reached expert consensus on competencies for BH clinical supervisors in primary care. A purposive sample (in: Patton, Qualitative evaluation and research methods, Sage, Newbury Park, 1990) of fifteen experts (n = 15) in PCBH clinical training and education evaluated quantitative and qualitative domains and specific competencies associated with PCBH supervision gathered during an initial in-depth qualitative interview. This was followed by two subsequent rounds of quantitative Delphi surveys to reach consensus. The response rates from our panel of experts were 100% (15/15) for all stages (interviews, round one and round two surveys). Three domains (Primary Care Knowledge, Clinical Supervisor Development, and Clinical Supervision Skills) were rated as essential for providing clinical supervision with PCBH for pre-licensure level learners. The development of competencies will further support BH clinical supervisor needs, professional development, and provide a concrete way to evaluate progress towards teaching and training excellence. This will also have a great impact on the development of the future BH workforce within primary care.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"108-121"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10236401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views. 内外科护理期间提供的危险饮酒干预：患者和医护人员的观点。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI: 10.1007/s10880-023-09954-4

Christine Timko, Mandy Lewis, Mai Chee Lor, Laura Aldaco-Revilla, Daniel Blonigen, Mark Ilgen

{"title":"Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views.","authors":"Christine Timko, Mandy Lewis, Mai Chee Lor, Laura Aldaco-Revilla, Daniel Blonigen, Mark Ilgen","doi":"10.1007/s10880-023-09954-4","DOIUrl":"10.1007/s10880-023-09954-4","url":null,"abstract":"Addressing hazardous drinking during medical-surgical care improves patients' health. This formative evaluation examined patients' consideration of options to change drinking and engage in treatment. It explored whether interventions such as \"DO-MoST\" overcome treatment barriers. We interviewed 20 medical-surgical patients with hazardous drinking in a trial of DO-MoST, and 16 providers. Analyses used a directed content approach. Patients were receptive to and comfortable discussing drinking during medical-surgical care. Interventions like DO-MoST (patient-centered, motivational approach to shared decision making) addressed some treatment barriers. Patients and providers viewed such interventions as helpful by building a relationship with a psychologist who facilitated self-awareness of drinking behaviors, and discussing connections between alcohol- and physical health-related problems and potential strategies to address drinking. However, both groups expressed concerns about individual and system-level barriers to long-term change. Interventions like DO-MoST bridge the gap between the patient's medical treatment episode and transition to other health care settings. TRIAL REGISTRATION: The study is registered on ClinicalTrials.gov (ID: NCT03258632).","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"224-235"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain. 小儿复发性腹痛的积极模式、应对方法和生活质量。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI: 10.1007/s10880-023-09952-6

Soeun Lee, Rachel Tomlinson, Margaret N Lumley, Kevin C Bax, Dhandapani Ashok, C Meghan McMurtry

{"title":"Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain.","authors":"Soeun Lee, Rachel Tomlinson, Margaret N Lumley, Kevin C Bax, Dhandapani Ashok, C Meghan McMurtry","doi":"10.1007/s10880-023-09952-6","DOIUrl":"10.1007/s10880-023-09952-6","url":null,"abstract":"Pediatric recurrent abdominal pain is commonly associated with negative impacts on quality of life (QOL). Positive schemas (core beliefs about the self with subthemes of self-efficacy, optimism, trust, success, and worthiness) are a resilience factor that has not yet been examined within a pediatric recurrent pain context. This cross-sectional study examined (a) associations between positive schemas, pain coping, and youth QOL, and (b) exploratory analyses to investigate whether specific positive schema subthemes predicted QOL outcomes in youth with recurrent abdominal pain. Participants were 98 youth with recurrent abdominal pain (i.e., pain related to a disorder of gut-brain interaction [DGBI] or organic cause) who completed measures on positive schemas, QOL, and pain coping. Age and diagnostic status were controlled for in analyses. Positive schemas were significantly positively correlated with emotional, social, school, and overall QOL, as well as with approach and problem-focused avoidant coping, and significantly negatively correlated with emotion-focused coping. Worthiness was the strongest and only significant predictor of youth social functioning. Positive schemas may be an important cognitive resilience factor to consider within interventions for pediatric recurrent pain.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"37-47"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9162126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Health Care Transition Needs of Adolescents and Emerging Adults with Chronic Pain: A Narrative Review. 患有慢性疼痛的青少年和新成人的医疗过渡需求：叙述性综述》（The Health Care Transition Needs of Adolescents and Emerging Adults with Chronic Pains: A Narrative Review.

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-06-26 DOI: 10.1007/s10880-023-09966-0

Mary K Lynch Milder, Sydney Ward, Ashley Bazier, Julia Stumpff, Michele Tsai Owens, Amy E Williams

{"title":"The Health Care Transition Needs of Adolescents and Emerging Adults with Chronic Pain: A Narrative Review.","authors":"Mary K Lynch Milder, Sydney Ward, Ashley Bazier, Julia Stumpff, Michele Tsai Owens, Amy E Williams","doi":"10.1007/s10880-023-09966-0","DOIUrl":"10.1007/s10880-023-09966-0","url":null,"abstract":"The aim of this narrative review was to provide an overview of what is known about the health care transition process in pediatric chronic pain, barriers to successful transition of care, and the roles that pediatric psychologists and other health care providers can play in the transition process. Searches were run in in Ovid, PsycINFO, Academic Search Complete, and PubMed. Eight relevant articles were identified. There are no published protocols, guidelines, or assessment measures specific to the health care transition in pediatric chronic pain. Patients report many barriers to the transition process, including difficulty attaining reliable medical information, establishing care with new providers, financial concerns, and adapting to the increased personal responsibility for their medical care. Additional research is needed to develop and test protocols to facilitate transition of care. Protocols should emphasize structured, face-to-face interactions and include high levels of coordination between pediatric and adult care teams.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"26-36"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9683870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reactivity of Health-Related Quality of Life to Perceived Stress: The Buffering Role of Psychosocial Resources in a Longitudinal Study of Adults with and Without HIV. 与健康相关的生活质量对感知压力的反应性:在一项HIV携带者和非HIV携带者的纵向研究中，社会心理资源的缓冲作用

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-19 DOI: 10.1007/s10880-023-09962-4

Vanessa B Serrano, Elizabeth C Pasipanodya, Jessica L Montoya, Robert K Heaton, Dilip V Jeste, David J Moore

{"title":"Reactivity of Health-Related Quality of Life to Perceived Stress: The Buffering Role of Psychosocial Resources in a Longitudinal Study of Adults with and Without HIV.","authors":"Vanessa B Serrano, Elizabeth C Pasipanodya, Jessica L Montoya, Robert K Heaton, Dilip V Jeste, David J Moore","doi":"10.1007/s10880-023-09962-4","DOIUrl":"10.1007/s10880-023-09962-4","url":null,"abstract":"People with HIV now have increased longevity; however, their health-related quality of life (HRQoL) still lags significantly compared to people without HIV. Perceived stress negatively impacts HRQoL, whereas psychosocial resources are linked to better HRQoL. This longitudinal analysis aims to explore the buffering role of psychosocial resources on the relationship between HRQoL and perceived stress. Participants (N = 240) included 142 persons with HIV (PwH) and 98 without HIV, M(SD) = 50.9(8.1) years. Multilevel models over four study years examined longitudinal relationships between HRQoL (outcome) and perceived stress (predictor) and potential moderation by psychosocial resources (personal mastery, social support, and resilience) by HIV serostatus. Among PwH only, personal mastery (p = 0.001), social support (p = 0.015), and resilience (p = 0.029) were associated with an attenuated effect of perceived stress (less negative slopes) for physical HRQoL over time. Bolstering personal mastery, social support, and resilience may have relevance for improving physical well-being among PwH.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"174-185"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9489738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting Kidney Transplant Evaluation Non-attendance. 预测不参加肾移植评估的情况。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI: 10.1007/s10880-023-09953-5

C Graham Ford, Yuridia Leyva, Eric S Kruger, Yiliang Zhu, Emilee Croswell, Kellee Kendall, Chethan Puttarajapa, Mary Amanda Dew, Yue Harn Ng, Mark L Unruh, Larissa Myaskovsky

{"title":"Predicting Kidney Transplant Evaluation Non-attendance.","authors":"C Graham Ford, Yuridia Leyva, Eric S Kruger, Yiliang Zhu, Emilee Croswell, Kellee Kendall, Chethan Puttarajapa, Mary Amanda Dew, Yue Harn Ng, Mark L Unruh, Larissa Myaskovsky","doi":"10.1007/s10880-023-09953-5","DOIUrl":"10.1007/s10880-023-09953-5","url":null,"abstract":"Non-attendance to kidney transplant evaluation (KTE) appointments is a barrier to optimal care for those with kidney failure. We examined the medical and socio-cultural factors that predict KTE non-attendance to identify opportunities for integrated medical teams to intervene. Patients scheduled for KTE between May, 2015 and June, 2018 completed an interview before their initial KTE appointment. The interview assessed various social determinants of health, including demographic (e.g., income), medical (e.g. co-morbidities), transplant knowledge, cultural (e.g., medical mistrust), and psychosocial (e.g., social support) factors. We used multiple logistic regression analysis to determine the strongest predictor of KTE non-attendance. Our sample (N = 1119) was 37% female, 76% non-Hispanic White, median age 59.4 years (IQR 49.2-67.5). Of note, 142 (13%) never attended an initial KTE clinic appointment. Being on dialysis predicted higher odds of KTE non-attendance (OR 1.76; p = .02; 64% of KTE attendees on dialysis vs. 77% of non-attendees on dialysis). Transplant and nephrology teams should consider working collaboratively with dialysis units to better coordinate care, (e.g., resources to attend appointment or outreach to emphasize the importance of transplant) adjusting the KTE referral and evaluation process to address access issues (e.g., using tele-health) and encouraging partnership with clinical psychologists to promote quality of life for those on dialysis.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"153-162"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9554258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking the Disability Spiral: A Case Series Report Illustrating the Delivery of a Brief Skills Based Coaching Intervention to Prevent Chronic Dysfunction and Pain After Orthopedic Injury. 打破残疾螺旋：一个案例系列报告，说明如何通过简短的技能辅导干预来预防骨科损伤后的慢性功能障碍和疼痛。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-30 DOI: 10.1007/s10880-023-09959-z

Brooke A Duarte, Ryan A Mace, James D Doorley, Terence M Penn, Jafar Bakhshaie, Ana-Maria Vranceanu

{"title":"Breaking the Disability Spiral: A Case Series Report Illustrating the Delivery of a Brief Skills Based Coaching Intervention to Prevent Chronic Dysfunction and Pain After Orthopedic Injury.","authors":"Brooke A Duarte, Ryan A Mace, James D Doorley, Terence M Penn, Jafar Bakhshaie, Ana-Maria Vranceanu","doi":"10.1007/s10880-023-09959-z","DOIUrl":"10.1007/s10880-023-09959-z","url":null,"abstract":"Orthopedic traumas are common, costly, and burdensome - particularly for patients who transition from acute to chronic pain. Psychosocial factors, such as pain catastrophizing and pain anxiety, increase risk for poor outcomes after injury. The Toolkit for Optimal Recovery (TOR) is a novel multi-component mind-body intervention informed by the fear-avoidance model to promote re-engagement in daily activities and prevent transition toward chronic pain and physical dysfunction. The current case series aims to 1) describe the intervention and 2) showcase the treatment course of three TOR completers from diverse geographic locations in the U.S. with distinct injury types and varying personal identities to illustrate how the intervention can be delivered flexibly. Results indicate pre-to-post program improvement in physical function, pain severity, pain catastrophizing, pain anxiety, and other relevant outcomes targeted by the intervention (i.e., depression, mindfulness, coping). Experiences of our three TOR completers suggest that integrating TOR with standard orthopedic care may promote physical recovery after injury.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"91-107"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9593829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-08-29 DOI: 10.1007/s10880-023-09971-3

Ryan J Marek, Janet T Le, Gabriel Hapenciuc, Michelle A Philip, Josephine Chiu, Andrew R Block, Yossef S Ben-Porath

{"title":"Incremental Contribution of the Minnesota Multiphasic Personality Inventory - 3 to Predicting One-Year Postoperative Spinal Cord Surgery/Spinal Cord Stimulation Outcomes.","authors":"Ryan J Marek, Janet T Le, Gabriel Hapenciuc, Michelle A Philip, Josephine Chiu, Andrew R Block, Yossef S Ben-Porath","doi":"10.1007/s10880-023-09971-3","DOIUrl":"10.1007/s10880-023-09971-3","url":null,"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.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"77-90"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MMPI-2-RF Profiles of Treatment-Seeking Veterans in a VA Pain Clinic and Associations with Markers of Physical Performance. 退伍军人事务部疼痛诊所中寻求治疗的退伍军人的 MMPI-2-RF 资料以及与体能指标的关联。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-07-07 DOI: 10.1007/s10880-023-09967-z

Erika J Wolf, Diana M Higgins, Xiang Zhao, Sage E Hawn, Victoria Sanborn, Catherine A Todd, Dana Fein-Schaffer, Antoun Houranieh, Mark W Miller

{"title":"MMPI-2-RF Profiles of Treatment-Seeking Veterans in a VA Pain Clinic and Associations with Markers of Physical Performance.","authors":"Erika J Wolf, Diana M Higgins, Xiang Zhao, Sage E Hawn, Victoria Sanborn, Catherine A Todd, Dana Fein-Schaffer, Antoun Houranieh, Mark W Miller","doi":"10.1007/s10880-023-09967-z","DOIUrl":"10.1007/s10880-023-09967-z","url":null,"abstract":"Chronic pain is a debilitating condition for many military Veterans and is associated with posttraumatic stress disorder (PTSD). This study examined the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in 144 Veterans (88.2% male, mean age = 57.95 years) recruited from a VA outpatient pain clinic and associations with self-reported pain severity, pain-related interference in daily activities, prescription opioid use, and objective metrics of physical performance on tasks impacted by pain (walking, stair climbing, grip strength, indexed by a single latent variable). Among the cohort with valid responses on the MMPI-2-RF (n = 117) and probable PTSD, mean Somatic Complaints (RC1) and Ideas of Persecution (RC6) scores were clinically elevated. All MMPI-2-RF scales were more strongly correlated with self-reported pain interference than severity. Regressions revealed associations between self-rated pain interference (but not pain or PTSD severity) and physical performance scores (β = .36, p = .001). MMPI-2-RF overreporting Validity and Higher-Order scales contributed incremental variance in predicting physical performance, including Infrequent Psychopathology Responses (β = .33, p = .002). PTSD severity was associated with prescription opioid use when accounting for the effects of over-reported somatic and cognitive symptoms (odds ratio 1.05, p ≤ .025). Results highlight the role of symptom overreporting and perceptions of functional impairment to observable behaviors among individuals with chronic pain.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"58-76"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10771538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9762231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0