Kinney R K, Gatchel R J, Mayer T G
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas.
Spine (Phila Pa 1976). 1991 Aug;16(8):940-2. doi: 10.1097/00007632-199108000-00013.
The efficacy of using the SCL-90R as an alternative measure to the MMPI in the psychological screening of chronic low-back pain (CLBP) patients was investigated. The MMPI and the SCL-90R were administered to 99 CLBP patients (63 men and 36 women) at the time of admission to a functional restoration treatment program. The SCL-90R was readministered after successful completion of the treatment program. Analyses indicated that there were significant changes on almost all SCL-90R clinical scales from pretreatment to post-treatment (P less than 0.01). Moreover, there were adequate levels of correlation between corresponding MMPI and SCL-90R scales (r ranged from 0.35 to 0.51). However, analyses of the interscale correlations of the SCL-90R indicated that it may be a single-factor instrument that assesses general psychological distress. It was suggested that the SCL-90R may be used as a screening device for psychological distress in CLBP patients, but if more detailed information about the patients' psychological condition is needed, the MMPI will be a more useful instrument.
研究了使用症状自评量表（SCL - 90R）作为明尼苏达多项人格调查表（MMPI）的替代测量工具，对慢性下腰痛（CLBP）患者进行心理筛查的效果。在99名CLBP患者（63名男性和36名女性）进入功能恢复治疗项目时，对其进行了MMPI和SCL - 90R测试。在治疗项目成功完成后，再次对患者进行SCL - 90R测试。分析表明，从治疗前到治疗后，几乎所有SCL - 90R临床量表都有显著变化（P小于0.01）。此外，相应的MMPI和SCL - 90R量表之间存在适度的相关性（r范围为0.35至0.51）。然而，对SCL - 90R量表间相关性的分析表明，它可能是一种评估一般心理困扰的单因素工具。研究表明，SCL - 90R可作为CLBP患者心理困扰的筛查工具，但如果需要更详细的患者心理状况信息，MMPI将是更有用的工具。
