一项使用莫兹利人格量表对脊柱疾病患者进行的研究。
A study of patients with spinal disease using Maudsley Personality Inventory.
作者信息
Kasai Yuichi, Takegami Kenji, Uchida Atsumasa
机构信息
Department of Orthopaedic Surgery, Mie University Faculty of Medicine, 2-174 Edobashi, 514-8507, Tsu City, Mie Prefecture, Japan.
出版信息
Int Orthop. 2004 Feb;28(1):56-9. doi: 10.1007/s00264-003-0489-y. Epub 2003 Jul 8.
We administered the Maudsley Personality Inventory (MPI) preoperatively to 303 patients with spinal diseases about to undergo surgery. Patients younger than 20 years, patients previously treated in the Department of Psychiatry, and patients with poor postoperative results were excluded. Patients with N-scores (neuroticism scale) of 39 points or greater or L-scores (lie scale) of 26 points or greater were regarded as "abnormal." Based on clinical definitions we identified 24 "problem patients" during the course and categorized them as "Unsatisfied," "Indecisive," "Doctor shoppers," or "Distrustful." Preoperative MPI categorized 26 patients as abnormal; 22 patients categorized as abnormal became problem patients ( p<0.001). MPI sensitivity and specificity was 84.6% and 99.3%, respectively. Preoperative MPI to patients with spinal disease was found to be useful in detecting problem patients.
我们对303例即将接受手术的脊柱疾病患者术前进行了莫兹利人格问卷（MPI）测试。排除了年龄小于20岁的患者、先前在精神科接受过治疗的患者以及术后效果不佳的患者。N分（神经质量表）达到或超过39分或L分（说谎量表）达到或超过26分的患者被视为“异常”。根据临床定义，我们在病程中识别出24例“问题患者”，并将他们分为“不满意型”、“优柔寡断型”、“频繁更换医生型”或“不信任型”。术前MPI将26例患者分类为异常；分类为异常的22例患者成为问题患者（p<0.001）。MPI的敏感性和特异性分别为84.6%和99.3%。结果发现，术前对脊柱疾病患者进行MPI有助于检测出问题患者。
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