Moore J E, Armentrout D P, Parker J C, Kivlahan D R
J Behav Med. 1986 Feb;9(1):51-63. doi: 10.1007/BF00844644.
Fifty-seven male chronic pain patients admitted to an inpatient multimodal pain treatment program at a Midwestern Veterans Administration hospital completed the MMPI, Profile of Mood States (POMS), Tennessee Self-Concept Scale (TSCS), Rathus Assertiveness Schedule (RAS), activity diaries, and an extensive pain questionnaire. All patients were assessed both before and after treatment, and most also were assessed 2-5 months prior to treatment. No significant changes occurred during the baseline period, but significant improvements were evident at posttreatment on most variables: MMPI, POMS, TSCS, RAS, pain severity, sexual functioning, and activity diaries. MMPI subgroup membership, based on a hierarchical cluster analysis in a larger sample, was not predictive of differential treatment outcome. Possible reasons for comparable treatment gains among these subgroups, which previously have been shown to differ on many psychological and behavioral factors, are discussed.
五十七名男性慢性疼痛患者入住中西部一家退伍军人管理局医院的住院多模式疼痛治疗项目,他们完成了明尼苏达多相人格测验(MMPI)、情绪状态剖面图(POMS)、田纳西自我概念量表(TSCS)、拉瑟斯自信量表(RAS)、活动日记以及一份详尽的疼痛问卷。所有患者在治疗前后均接受评估,大多数患者在治疗前2至5个月也接受了评估。在基线期未发生显著变化,但在治疗后,大多数变量均有显著改善:MMPI、POMS、TSCS、RAS、疼痛严重程度、性功能和活动日记。在一个更大样本中基于层次聚类分析得出的MMPI亚组成员身份,并不能预测不同的治疗结果。文中讨论了这些亚组之前在许多心理和行为因素上存在差异,但却获得相当治疗效果的可能原因。