Rosen J C, Frymoyer J W, Clements J H
J Clin Psychol. 1980 Oct;36(4):994-1000. doi: 10.1002/1097-4679(198010)36:4<994::aid-jclp2270360431>3.0.co;2-e.
Tested the accuracy of the MMPI for two separate predictions: organic vs. functional back disorder, and appropriate vs. inappropriate disability (N = 123). Consistent with other reports, the Low Back and Dorsal scales did not improve upon chance prediction. However, disability was predicted with a high degree of accuracy by Hypochondriasis and Hysteria, which suggested that precedence should be given to these two scales. Because organically based pain and severe psychological symptomatology were not mutually exclusive, the error rate was high when the MMPI was used to predict organicity. Clinicians therefore are urged to avoid predicting whether a physical basis for pain exists and to focus primarily on the psychological aspects of the disability.
测试了明尼苏达多相人格测验（MMPI）在两个不同预测方面的准确性：器质性与功能性背痛，以及适当与不适当的残疾认定（N = 123）。与其他报告一致，腰椎和背侧量表在随机预测的基础上并无改善。然而，疑病量表和癔病量表对残疾认定的预测具有高度准确性，这表明应优先考虑这两个量表。由于基于器质性的疼痛和严重的心理症状并非相互排斥，当使用MMPI来预测器质性时错误率很高。因此，敦促临床医生避免预测疼痛是否存在身体基础，而应主要关注残疾的心理方面。
