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通过使用哈里斯和林戈斯分量表对多发性硬化症患者的明尼苏达多相人格调查表第二版(MMPI-2)进行更深入的解读。

A more in-depth interpretation of MMPI-2 in MS patients by using Harris and Lingoes subscales.

作者信息

Incerti Chiara C, Argento Ornella, Pisani Valerio, Magistrale Giuseppe, Sabatello Ugo, Caltagirone Carlo, Nocentini Ugo

机构信息

a Neurology and Neurorehabilitation Unit , I.R.C.C.S. "Santa Lucia" Foundation , Rome , Italy.

b Department of Developmental Neurology and Psychiatry , University of Rome "La Sapienza" , Rome , Italy.

出版信息

Appl Neuropsychol Adult. 2017 Sep-Oct;24(5):439-445. doi: 10.1080/23279095.2016.1197128. Epub 2016 Jun 29.

Abstract

Multiple Sclerosis (MS) is frequently associated with neuropsychiatric abnormalities. The aim of our study was to discriminate between psychosomatic disturbances and MS physically-related symptoms using the Harris-Lingoes subscales of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Forty-six MS out-patients (35 females; mean age = 44.5); and 82 healthy volunteers (62 females; mean age = 46.5) were evaluated with MMPI-2 questionnaire. The frequency distribution of MMPI-2 clinical scales with high scores (> = 65) and the related Harris-Lingoes subscales were analyzed for both MS patients and healthy control subjects. Data analysis showed elevated scores in 47.8% of the patients mainly on MMPI-2 clinical scales 1, 2, and 3. The Harris-Lingoes subscales analysis allowed us to isolate and identify physical symptoms contributing to elevation of MMPI-2 clinical scales, reduce the occurrence of false positives (MMPI-2 clinical scales elevations mainly due to MS physical disability) and provide a more detailed description of psycho-emotional symptoms of MS patients. In conclusion, our study shows the utility of Harris-Lingoes subscales analysis when MMPI-2 is used for psychological assessment of MS patients.

摘要

多发性硬化症(MS)常伴有神经精神异常。我们研究的目的是使用明尼苏达多相人格调查表第二版(MMPI-2)的哈里斯-林戈斯分量表,区分身心障碍与MS的躯体相关症状。对46名MS门诊患者(35名女性;平均年龄 = 44.5岁)和82名健康志愿者(62名女性;平均年龄 = 46.5岁)进行了MMPI-2问卷调查评估。分析了MS患者和健康对照者中MMPI-2临床量表高分(>= 65)的频率分布以及相关的哈里斯-林戈斯分量表。数据分析显示,47.8%的患者分数升高,主要集中在MMPI-2临床量表1、2和3上。哈里斯-林戈斯分量表分析使我们能够分离和识别导致MMPI-2临床量表分数升高的躯体症状,减少假阳性情况的发生(MMPI-2临床量表分数升高主要归因于MS躯体残疾),并更详细地描述MS患者的心理情绪症状。总之,我们的研究表明,在将MMPI-2用于MS患者的心理评估时,哈里斯-林戈斯分量表分析具有实用性。

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