MMPI-2 Characteristics in a Chronic Pain Population

Slesinger, David; Archer, Robert P.; Duane, William

doi:10.1177/1073191102238153

Cited by 23 publications

(9 citation statements)

References 29 publications

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“…These personality traits of hypochondria, depression and hysteria have been shown to play a role in the chronicization of pain [67] and may increase the affective dimension of pain [68]. Although previous studies reported increased anxiety in chronic pain patients [6,7], our MMPI measurements revealed abnormal anxiety traits in only 11% of our population. More investigations on anxiety and chronic pain are thus needed to better investigate the relationship between both factors.…”

Section: Discussionmentioning

confidence: 55%

Efficacy of virtual reality to reduce chronic low back pain: Proof-of-concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome

et al. 2019

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Objectives Chronic pain, such as low-back pain, can be a highly disabling condition degrading people’s quality of life (QoL). Not every patient responds to pharmacological therapies, thus alternative treatments have to be developed. The chronicity of pain can lead to a somatic dysperception, meaning a mismatch between patients’ own body perception and its actual physical state. Since clinical evaluation of pain relies on patients’ subjective reports, a body image disruption can be associated with an incorrect pain rating inducing incorrect treatment and a possible risk of drug abuse. Our aim was to reduce chronic low-back pain through a multimodal neurorehabilitative strategy using innovative technologies to help patients regain a correct body image. Methods Twenty patients with chronic low-back pain were included. Before and after treatment, patients underwent: a neurological exam; a neuro-psychological evaluation testing cognitive functions (memory, attention, executive functions) and personality traits, QoL and mood; pain ratings; sensorimotor functional abilities’ testing. Patients underwent a 6 week-neurorehabilitative treatment (total 12 sessions) using virtual reality (VRRS system, Khymeia, Italy). Treatment consisted on teaching patients to execute correct movements with the painful body parts to regain a correct body image, based on the augmented multisensory feedback (auditory, visual) provided by the VRRS. Results Our data showed significant reductions in all pain rating scale scores (p<0.05); significant improvements of QoL in the domains of physical functioning, physical role functioning, bodily pain, vitality, and social role functioning; improvements in cognitive functions (p<0.05); improvements in functional scales (p<0.05) and mood (p = 0.04). Conclusion This non-pharmacological approach was able to act on the multi-dimensional aspects of pain and improved patients’ QoL, pain intensity, mood and patient’s functional abilities.

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Section: Discussionmentioning

confidence: 55%

Efficacy of virtual reality to reduce chronic low back pain: Proof-of-concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome

et al. 2019

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“…Optional questionnaires can be used to assist the psychological assessment. The most recognized questionnaire in this context is the Minnesota Multiphasic Personality Inventory 2 Restructured (MMPI-2-RF) [67–70]. The Hospital Anxiety and Depression Scale (HADS) allows detection of various states of depression (HADS-D) and anxiety (HADS-A) [71–73], and the Fear Avoidance Beliefs Questionnaire Work and Activity (FABQ) measures patient's fear of pain [74].…”

Section: Resultsmentioning

confidence: 99%

Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment

Rigoard

Gatzinsky

Deneuville

et al. 2019

Pain Research and Management

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Failed back surgery syndrome (FBSS) is a controversial term for identifying patients affected by new, recurrent, or persistent pain in the low back and/or legs following spinal surgery. The lack of a comprehensive standardized care pathway compromises the appropriate management of FBSS patients, which is associated with a heavy financial burden. An international panel of spine surgeons, neurosurgeons, and pain specialists with a particular interest in FBSS established the chronic back and leg pain (CBLP) network with the aim of addressing the challenges and barriers in the clinical management of FBSS patients by building a common transdisciplinary vision. Based on literature reviews, additional input from clinical expertise of multiple professional disciplines, and consensus among its members, the network attempted to provide recommendations on the management of patients with FBSS utilizing a multidisciplinary team (MDT) approach. The presentation of this work has been divided in two separate parts to enhance its clarity. This first paper, in favour of selecting appropriate validated tools to improve the FBSS patient assessment, focuses on FBSS taxonomy and its clinical implications for evaluation. Concise recommendations for assessment, treatment, and outcome evaluation using a MDT approach would be an important resource for specialists and nonspecialist clinicians who manage patients with FBSS, to improve decision-making, reduce variation in practice, and optimize treatment outcomes in this difficult-to-treat population.

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“…Four major subtypes of chronic pain patients have been identified and cross-validated from responses on the MMPI/MMPI-2, although these four groups may only comprise some 50% of all patients (Keller & Butcher, 1991;Slesinger, Archer, & Duane, 2002;Vendrig, 2000). One of these subtypes involves elevations on most scales and has been characterized as a psychopathological subtype; a second involves a "conversion" profile with particular elevations on scales 1 and 3; a third involves elevation on all of the neurotic triad scales, that is, scales 1, 2 and 3; and the last is generally within normal limits.…”

Section: Questionnairesmentioning

confidence: 99%