Empirically derived pain-patient MMPI subgroups: Prediction of treatment outcome

Moore, James E.; Armentrout, David P.; Parker, Jerry C.; Kivlahan, Daniel R.

doi:10.1007/bf00844644

Cited by 26 publications

(3 citation statements)

References 9 publications

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“…Whereas 7 of the 9 RC Scales (and several other MMPI-2-RF Scales) were significantly, meaningfully associated with the outcome variable, only one MMPI-2 Clinical Scale (Schizophrenia) demonstrated a significant association. The latter finding is consistent with most past research indicating that MMPI/MMPI-2 Scale scores are not associated with outcomes in this setting (McGill, Lawlis, Selby, Mooney, & McCoy, 1983;Moore, Armentrout, Parker, & Kivlahan, 1986). However, notwithstanding the limitations of its predecessors, the newest version of the MMPI-the MMPI-2-RF-was meaningfully associated with outcomes in this study, likely owing to its improved psychometrics and convergence with modern models of psychopathology (Sellbom, Ben-Porath, & Bagby, 2008).…”

Section: Discussionsupporting

confidence: 90%

Prospective Comparison of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and MMPI-2-Restructured Form (MMPI-2-RF) in Predicting Treatment Outcomes Among Patients with Chronic Low Back Pain

Tarescavage

Scheman

Ben‐Porath

2018

J Clin Psychol Med Settings

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The purpose of the current study was to examine the relative utility of the most updated MMPI adult instrument, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), which was designed to address psychometric limitations of the MMPI-2. To this end, we compared mean scores and correlates of emotional distress treatment outcomes using the Depression Anxiety Stress Scales in a sample of 230 patients (73 males, 157 females) who had completed an interdisciplinary chronic pain rehabilitation program. Structural equation modeling analyses indicated that higher scale scores from all the MMPI-2-RF substantive domains were meaningfully associated with worse emotional distress outcomes, whereas the MMPI-2 Clinical Scales generally did not have any meaningful associations. Similar results were found in additional analyses using a clinically significant change framework with more direct clinical implications. The results of this study provide preliminary support for the use of the MMPI-2-RF among patients with chronic low back pain.

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Section: Discussionsupporting

confidence: 90%

Prospective Comparison of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and MMPI-2-Restructured Form (MMPI-2-RF) in Predicting Treatment Outcomes Among Patients with Chronic Low Back Pain

Tarescavage

Scheman

Ben‐Porath

2018

J Clin Psychol Med Settings

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“…Finally, there is a crucial point of concern in connection with the predictive validity of the MMPI sub-groups. Up to now, no convincing evidence has been reported that there is a relationship between MMPI sub-group profiles and treatment outcome (Guck et al, 1988;Moore et al, 1986).…”

Section: Non-optimal Treatment Results and Identification Of Patient Sub-groupsmentioning

confidence: 99%

“…The psychometric qualities of the MMPI, as also the interpretation of elevations on clinical scales, have been criticized (by e.g., Watson, 1982). Perhaps the most important argument against the MMPI typology is that the predictive validity of the MMPI-sub-groups is questionable, since the relationship between them and treatment outcome has been demonstrated in only one study (McCreary, 1985) and other studies have failed to demonstrate it (Guck et al, 1988;McGill et al, 1983;Moore et al, 1986).…”

Section: Introductionmentioning

confidence: 99%

Chronic pain : multiaxial assessment and behavioral mechanisms

Lousberg¹

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A comparison of clinically and empirically derived MMPI groupings in low back pain patients

McCreary¹,

Naliboff²,

Cohen³

1989

J. Clin. Psychol.

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Two methods of grouping MMPI scales were employed with 271 patients who were attending a Back Clinic at a university hospital. One method involved clinically derived decision rules, while the other utilized a multivariate clustering procedure. Five subgroups of patients were identified with each method. Both procedures showed subgroup differences in terms of pretreatment pain intensity, activity limitations, McGill affective scores, and physician ratings of degree of functional impairment; the elevated subgroups showed more dysfunction. Follow‐up comparisons revealed that, regardless of the classification procedure used, the elevated subgroups showed poorer response to treatment. Only the clinically derived groupings had significant differences in chronicity of pain and total scores on the McGill Pain Questionnaire. On the other hand, only the statistically based system showed significant differences on age and marital status. Furthermore, only the statistical system identified subgroups of male patients that predicted follow‐up pain intensity decreases in a manner that indicated clinical usefulness.

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Empirically derived pain-patient MMPI subgroups: Prediction of treatment outcome

Cited by 26 publications

References 9 publications

Prospective Comparison of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and MMPI-2-Restructured Form (MMPI-2-RF) in Predicting Treatment Outcomes Among Patients with Chronic Low Back Pain

Prospective Comparison of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and MMPI-2-Restructured Form (MMPI-2-RF) in Predicting Treatment Outcomes Among Patients with Chronic Low Back Pain

Chronic pain : multiaxial assessment and behavioral mechanisms

A comparison of clinically and empirically derived MMPI groupings in low back pain patients

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