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米隆行为健康量表:在疼痛治疗中心的同时效度和预测效度

The Millon Behavioral Health Inventory: concurrent and predictive validity in a pain treatment center.

作者信息

Sweet J J, Breuer S R, Hazlewood L A, Toye R, Pawl R P

出版信息

J Behav Med. 1985 Sep;8(3):215-26. doi: 10.1007/BF00870309.

DOI:10.1007/BF00870309
PMID:4087287
Abstract

The Millon Behavioral Health Inventory (MBHI) is one of only a few diagnostic instruments designed specifically for psychological evaluations of medical patients. However, despite being available for clinical use for several years, there are virtually no published research evaluations of this inventory. The present study evaluated the MBHI in light of Minnesota Multiphasic Personality Inventory (MMPI) and Beck Depression Inventory (BDI) scores and treatment outcomes of 52 chronic pain patients. MBHI scales were highly correlated with admission and denial of psychopathology, as well as emotional distress, but had little relationship to Hs and Hy of the MMPI. The Pain Treatment Responsivity scale (PP), Allergic Inclination scale (MM), and MMPI D scale predicted the outcome of pain treatment at comparable levels. The specificity of the MBHI scales seems questionable in that 10 of 19 intercorrelations between PP and other MBHI scales were between 0.70 and 0.86. A stepwise regression procedure did not select PP among MBHI variables used to predict treatment outcomes. Results were interpreted as supporting cautious clinical use with pain patients until further research has been carried out.

摘要

米隆行为健康量表(MBHI)是专门为医学患者的心理评估而设计的少数诊断工具之一。然而,尽管该量表已在临床使用数年,但实际上几乎没有关于它的已发表研究评估。本研究根据明尼苏达多相人格量表(MMPI)和贝克抑郁量表(BDI)的得分以及52名慢性疼痛患者的治疗结果对MBHI进行了评估。MBHI量表与心理病理学的承认和否认以及情绪困扰高度相关,但与MMPI的Hs和Hy量表关系不大。疼痛治疗反应性量表(PP)、过敏倾向量表(MM)和MMPI D量表在相当程度上预测了疼痛治疗的结果。MBHI量表的特异性似乎值得怀疑,因为PP与其他MBHI量表之间的19个相互关系中有10个在0.70至0.86之间。在用于预测治疗结果的MBHI变量中,逐步回归程序没有选择PP。结果被解释为支持在对疼痛患者进行临床使用时保持谨慎,直到进行进一步的研究。

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