Applegate Katherine L, Keefe Francis J, Siegler Ilene C, Bradley Laurence A, McKee Daphne C, Cooper Karen S, Riordan Paul
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27708, USA.
J Pain. 2005 Feb;6(2):92-7. doi: 10.1016/j.jpain.2004.11.001.
The purpose of this study was to evaluate whether personality traits, as assessed by the Minnesota Multiphasic Personality Inventory (MMPI), at time of college entry can predict the number of reported pain conditions at an approximate 30-year follow-up for 2332 subjects, 1834 men and 498 women, who were administered the MMPI on entry to the University of North Carolina (Chapel Hill) between 1964 and 1966. In 1997, a follow-up was conducted in which subjects were administered a self-report questionnaire regarding whether they had experienced 1 or more chronic pain conditions. Analyses of the relationship between the MMPI clinical scales at college entrance and the report of number of chronic pain conditions at follow-up were conducted. Among male participants, elevations of Scales 1 (Hypochondriasis), 3 (Hysteria), and 5 (Masculinity/Femininity) predicted increases in number of chronic pain conditions at follow-up. For female participants, elevations in Scales 1, 3, and 6 (Paranoia) predicted increases in number of chronic pain conditions at follow-up. The current study suggests that a statistically significant relationship exists between MMPI responses at college entry and reports of chronic pain conditions at mid-life.
This study found a small, but significant relationship between elevations on MMPI scales measuring hypochondriasis and hysteria and the report of chronic pain conditions at follow-up. The study is important because it is the first to examine how personality assessed in younger adults relates to the number of chronic pain conditions reported 30 years later.
本研究的目的是评估1964年至1966年间进入北卡罗来纳大学(教堂山分校)时通过明尼苏达多相人格调查表(MMPI)评估的人格特质,能否预测2332名受试者(1834名男性和498名女性)在大约30年随访期内报告的疼痛状况数量。1997年进行了一次随访,让受试者填写一份关于他们是否经历过1种或更多慢性疼痛状况的自我报告问卷。对大学入学时的MMPI临床量表与随访时慢性疼痛状况数量报告之间的关系进行了分析。在男性参与者中,量表1(疑病)、量表3(癔症)和量表5(男性化/女性化)得分升高预示着随访时慢性疼痛状况数量增加。对于女性参与者,量表1、量表3和量表6(偏执狂)得分升高预示着随访时慢性疼痛状况数量增加。当前研究表明,大学入学时的MMPI反应与中年时慢性疼痛状况报告之间存在统计学上的显著关系。
本研究发现,在测量疑病和癔症的MMPI量表上得分升高与随访时慢性疼痛状况报告之间存在虽小但显著的关系。该研究很重要,因为它首次研究了年轻成年人的人格如何与30年后报告的慢性疼痛状况数量相关。