Naliboff Bruce D, McCreary Charles P, McArthur David L, Cohen Michael J, Gottlieb Harold J
Sepulveda Veterans Administration Medical Center, Sepulveda, CAU.S.A. Department of Anesthesiology, UCLA Medical Center, Los Angeles, CAU.S.A. Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CAU.S.A. Long Beach Veterans Administration Medical Center, Long Beach, CAU.S.A. Comprehensive Back Services, Casa Colina Hospital for Rehabilitative Medicine, and Department of Psychology, California State University, Los Angeles, CAU.S.A.
Pain. 1988 Dec;35(3):271-277. doi: 10.1016/0304-3959(88)90137-6.
A large sample of patients with chronic low back pain were studied on admission to a behaviorally oriented in-patient pain program, at program completion, and at 1 month follow-up. Cluster analysis of admissions MMPI scores were used to identify 4 patient subgroups each for males and females. There were no subgroup differences found on any of the admissions demographic, pain report, or physical function measures, or differential treatment outcome based on subgroup. All groups began with high levels of pain and disability, yet improved dramatically following treatment. There was a general normalization of the MMPI reflected by elevated MMPI scales found at admission showing significant decreases at follow-up testing. Subgroups derived from follow-up MMPI testing were related to physical functioning at follow-up and pain report measures, with the elevated subgroups showing higher levels of continued pain and disability.
对一大群慢性下背痛患者在入院参加一个以行为为导向的住院疼痛治疗项目时、项目结束时以及随访1个月时进行了研究。利用入院时明尼苏达多相人格调查表（MMPI）分数的聚类分析，分别为男性和女性确定了4个患者亚组。在任何入院时的人口统计学、疼痛报告或身体功能测量方面，均未发现亚组差异，也未发现基于亚组的不同治疗结果。所有组在治疗开始时疼痛和残疾程度都很高，但治疗后显著改善。MMPI出现了总体正常化，表现为入院时升高的MMPI量表在随访测试时显著下降。从随访MMPI测试得出的亚组与随访时的身体功能和疼痛报告测量相关，量表升高的亚组显示持续疼痛和残疾程度更高。
