Trief P M, Yuan H A
J Clin Psychol. 1983 Jan;39(1):46-53. doi: 10.1002/1097-4679(198301)39:1<46::aid-jclp2270390109>3.0.co;2-3.
Assessed the usefulness of the MMPI in predicting treatment outcome for chronic low back pain patients. One hundred and thirty-two chronic low back pain patients who participated in a 6-week rehabilitation program were differentiated according to "successful" outcome. Outcome was defined in three major ways: Vocational restoration, significantly improved physical mobility, and patients' subjective evaluations of improved functional level. Pretreatment MMPIs of all outcome groups were compared. Data were analyzed by examining individual scale scores and code-types and by applying multiple regression analyses to the data. Results demonstrate that the MMPI can predict successful outcome. However, the strength of the relationship varies according to the outcome measure employed and the type of analysis completed on the data. It is concluded that, though an interesting research tool, at this time the MMPI is not a consistently valid clinical tool with the chronic back pain population in terms of predicting response to rehabilitation.
评估了明尼苏达多相人格调查表(MMPI)在预测慢性腰痛患者治疗结果方面的有用性。132名参与为期6周康复计划的慢性腰痛患者根据“成功”结果进行了区分。结果通过三种主要方式定义:职业恢复、身体活动能力显著改善以及患者对功能水平改善的主观评价。比较了所有结果组的治疗前MMPI。通过检查个体量表得分和编码类型以及对数据进行多元回归分析来分析数据。结果表明,MMPI可以预测成功结果。然而,这种关系的强度因所采用的结果测量方法和对数据完成的分析类型而异。得出的结论是,尽管MMPI是一种有趣的研究工具,但就预测对康复的反应而言,目前它在慢性背痛人群中并非始终是有效的临床工具。