Abstract
Previous research involving cluster analysis of Minnesota Multiphasic Personality Inventory (MMPI) profiles among persons with chronic low back pain has suggested the existence of four distinct profile clusters. The present study had two goals: (1) to replicate the previous finding independently and (2) to investigate the relationship of the profiles to the subjects' self-reported pain history and response to treatment. Subjects were 92 patients in a multimodal inpatient low back-pain treatment program. A cluster analysis of the MMPI profiles was performed and the resultant clusters were compared in terms of histories and treatment outcome. The four clusters were successfully replicated for the total sample and for males and females separately. The profiles were significantly related to subjects' pain histories, but only one outcome difference was found. It was inferred that the MMPI is of value in understanding patients' pain coping behaviors but that further research is needed to explore the utility of the MMPI in understanding their response to treatment.
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References
Bradley, L. A., Prokop, C. K., Margolis, R., and Gentry, W. D. (1978). Multivariate analyses of the MMPI profiles of low back pain patients.J. Behav. Med. 1(3): 253–272.
Caldwell, A. B., and Chase, C. (1977). Diagnosis and treatment of personality factors in chronic low back pain.Clin. Orthopaed. Related Res. 129: 141–149.
Cattell, R. B. (1949). r p and other coefficients of pattern similarity.Psychometrica 14(4): 279–298.
Fordyce, W. E., Fowler, R. S., Lehmann, J. F., DeLateur, B. J., Sand, P. L., and Trieschman, R. B. (1973). Operant conditioning in the treatment of chronic pain.Arch. Phys. Med. Rehab. 54: 399–408.
Gentry, W. D., Shows, W. D., and Thomas, M. (1974). Chronic low back pain: A psychological profile.Psychosomatics 15(4): 174–177.
Horn, J. L. (1961). Significance tests for use with r p and related profile statistics.Educ. Psychol. Measure. 21(2): 363–370.
Louks, J. L., Freeman, C. W., and Calsyn, D. A. (1978). Personality organization as an aspect of back pain in a medical setting.J. Personal. Assess. 42(2): 152–162.
Nie, N. H., Hull, C. H., Jenkins, J. G., Steinbrenner, K., and Bent, D. H. (1975).Statistical Package for the Social Sciences, McGraw-Hill, New York.
Ransford, A. O., Cairns, D., and Mooney, V. (1976). The pain drawing as an aid to the psychologic evaluation of patients with low-back pain.Spine 1(2): 127–134.
Sternbach, R. A., Wolf, S. R., Murphy, R. W., and Akeson, W. H. (1973a). Aspects of chronic low back pain.Psychosomatics 14(1): 52–56.
Sternbach, R. A., Wolf, S. R., Murphy, R. W., and Akeson, W. H. (1973b). Traits of pain patients; the low-back “loser”.Psychosomatics 14(4): 226–229.
Sternback, R. A. (1974).Pain patients-traits and treatment, Academic Press, New York.
Veldman, D. J. (1967).Fortran Programming for the Behavioral Sciences, Holt, Rinehart and Winston, New York.
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McGill, J.C., Lawlis, G.F., Selby, D. et al. The relationship of Minnesota Multiphasic Personality Inventory (MMPI) profile clusters to pain behaviors. J Behav Med 6, 77–92 (1983). https://doi.org/10.1007/BF00845278
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DOI: https://doi.org/10.1007/BF00845278