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慢性疼痛:评估工具的调查

Chronic pain: an investigation of assessment instruments.

作者信息

Murphy J K, Sperr E V, Sperr S J

出版信息

J Psychosom Res. 1986;30(3):289-96. doi: 10.1016/0022-3999(86)90005-x.

DOI:10.1016/0022-3999(86)90005-x
PMID:3735172
Abstract

The present study investigated professional perceptions of utility and the actual predictive validity of the MMPI and the Millon Behavioral Health Inventory (MBHI) in a sample of chronic pain patients. Overall results indicated statistical preference for the MBHI on nine of the ten dimensions of clinical utility. In addition, patient prognosis was rated as more favorable based upon the MBHI report. The differences noted between raters of different professional capacities were hypothesized to reflect differences in familiarity with assessing pain patients from a psychological perspective. However, over the course of a one year follow-up, neither instrument significantly predicted such behaviors as hospital usage, medication usage or general status. Rather, the psychologists who wrote the original consultations (which were not rated for utility) were more accurate than either the MMPI or the MBHI in predicting these health related behaviors.

摘要

本研究调查了慢性疼痛患者样本中对明尼苏达多相人格调查表(MMPI)和米隆行为健康量表(MBHI)实用性的专业认知及其实际预测效度。总体结果表明,在临床实用性的十个维度中的九个维度上,统计结果更倾向于MBHI。此外,根据MBHI报告,患者预后被评为更有利。不同专业能力的评估者之间的差异被假设为反映了从心理学角度评估疼痛患者的熟悉程度差异。然而,在一年的随访过程中,两种工具均未显著预测住院使用、药物使用或总体状况等行为。相反,撰写原始咨询报告(未对实用性进行评级)的心理学家在预测这些与健康相关的行为方面比MMPI或MBHI更准确。

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