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 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Erika J Wolf, Diana M Higgins, Xiang Zhao, Sage E Hawn, Victoria Sanborn, Catherine A Todd, Dana Fein-Schaffer, Antoun Houranieh, Mark W Miller
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引用次数: 0

摘要

慢性疼痛使许多退伍军人感到虚弱,并与创伤后应激障碍(PTSD)有关。本研究调查了从退伍军人事务部疼痛门诊招募的 144 名退伍军人(88.2% 为男性,平均年龄为 57.95 岁)的明尼苏达多相人格量表-2-重组表(MMPI-2-RF),以及与自我报告的疼痛严重程度、与疼痛相关的日常活动干扰、处方阿片类药物的使用和受疼痛影响的任务(步行、爬楼梯、握力,以单一潜变量为指标)的客观身体表现指标之间的关系。在对 MMPI-2-RF 作出有效反应(n = 117)并可能患有创伤后应激障碍的人群中,躯体抱怨(RC1)和迫害观念(RC6)的平均得分在临床上有所升高。所有 MMPI-2-RF 量表与自我报告的疼痛干扰的相关性均强于疼痛严重程度。回归结果显示,自评疼痛干扰(而非疼痛或创伤后应激障碍严重程度)与体能表现评分之间存在关联(β = .36, p = .001)。MMPI-2-RF 过度报告有效性和高阶量表在预测体能表现方面贡献了增量方差,包括不常见的精神病理学反应(β = .33,p = .002)。如果考虑到过度报告的躯体症状和认知症状的影响,创伤后应激障碍的严重程度与处方阿片类药物的使用有关(几率比 1.05,p ≤ .025)。研究结果凸显了症状多报和对功能障碍的认知对慢性疼痛患者可观察行为的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

MMPI-2-RF Profiles of Treatment-Seeking Veterans in a VA Pain Clinic and Associations with Markers of Physical Performance.

MMPI-2-RF Profiles of Treatment-Seeking Veterans in a VA Pain Clinic and Associations with Markers of Physical Performance.

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.

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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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