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明尼苏达多相人格测验结果:创伤受害者、心因性疼痛患者与器质性疾病患者的比较。

MMPI results: a comparison of trauma victims, psychogenic pain, and patients with organic disease.

作者信息

Chaney H S, Williams S G, Cohn C K, Vincent K R

出版信息

J Clin Psychol. 1984 Nov;40(6):1450-4.

PMID:6511963
Abstract

Made comparison using MMPI T scores on three private psychiatric sub-populations: Post-trauma patients, patients with organically based illness, and patients with psychogenic pain (complaints functional in origin) (N = 78). The standard 3 validity and 10 clinical scales were used to evaluate possible differences among the groups. Differences were presented among the groups on scales 3 (Hy), 9 (Ma), and (F). Individual profiles also were assessed. In patients with a 1-3/3-1 profile, the psychogenic group had significantly higher elevation over the post-trauma and organic groups. In patients with 8 (Sc) or 9 (Ma) high both with and without 1-3/3-1 high, differences were found; the post-trauma and organic groups showed marked elevation over those in the psychogenic group. Results indicate the MMPI to be a viable aid in distinguishing between patients with post-trauma stress disorder vs. those with functional disorders. The data suggest that MMPI profiles of patients with post-trauma stress disorder more closely resemble the MMPI profiles of patients who have organic disease with pain caused by organic pathology than the profiles of patients with psychogenic pain and/or hypochondriasis.

摘要

对三类私立精神病亚群体(创伤后患者、器质性疾病患者和心因性疼痛患者(功能性主诉),N = 78)使用明尼苏达多项人格测验(MMPI)T分数进行比较。采用标准的3个效度量表和10个临床量表来评估各组之间可能存在的差异。在量表3(癔症,Hy)、9(轻躁狂,Ma)和(诈病,F)上呈现出各组之间的差异。还对个体剖面图进行了评估。在1-3/3-1剖面图的患者中,心因性疼痛组比创伤后组和器质性疾病组的量表得分显著更高。在8(精神分裂症,Sc)或9(轻躁狂,Ma)高分且有或无1-3/3-1高分的患者中,发现了差异;创伤后组和器质性疾病组的量表得分比心因性疼痛组显著更高。结果表明,MMPI有助于区分创伤后应激障碍患者和功能性障碍患者。数据表明,创伤后应激障碍患者的MMPI剖面图与患有由器质性病变引起疼痛的器质性疾病患者的MMPI剖面图比与心因性疼痛和/或疑病症患者的剖面图更为相似。

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