The millon behavioral health inventory: Concurrent and predictive validity in a pain treatment center

Abstract

The Millon Behavioral Health Inventory (MBHI) is one of only a few diagnostic instruments designed specifically for psychological evaluations of medical patients. However, despite being available for clinical use for several years, there are virtually no published research evaluations of this inventory. The present study evaluated the MBHI in light of Minnesota Multiphasic Personality Inventory (MMPI) and Beck Depression Inventory (BDI) scores and treatment outcomes of 52 chronic pain patients. MBHI scales were highly correlated with admission and denial of psychopathology, as well as emotional distress, but had little relationship to Hs and Hy of the MMPI. The Pain Treatment Responsivity scale (PP), Allergic Inclination scale (MM), and MMPI D scale predicted the outcome of pain treatment at comparable levels. The specificity of the MBHI scales seems questionable in that 10 of 19 intercorrelations between PP and other MBHI scales were between 0.70 and 0.86. A stepwise regression procedure did not select PP among MBHI variables used to predict treatment outcomes. Results were interpreted as supporting cautious clinical use with pain patients until further research has been carried out.

Assessing personality with the Millon Behavioral Health Inventory, the Millon Behavioral Medicine Diagnostic, and the Millon Clinical Multiaxial Inventory.

“…Scores on the scales for Pessimism, Emotional Vulnerability, Somatic Anxiety, and Despair are relatively elevated among patients with chronic pain. Lower scores on some MBHI variables (such as Introversive Style, Sensitive Style, Emotional Vulnerability) have been shown to be associated with a variety of improved outcomes (Gatchel et al, 1985;Murphy, Tosi, & Pariser, 1989;Sweet et al, 1985;Wilcoxson et al, 1988). This is consistent with several well-known clinical patterns associated with chronic pain.…”

“…Similarly, the MBHI has predicted recovery of physical function in patients with low back pain, such that decreases in the Introversive and Emotional Vulnerability scales predicted functional restoration; further, the Sensitive Style, Recent Stress, Emotional Vulnerability, and Gastrointestinal Susceptibility scales discriminated patients who dropped out of a functional restoration program from those who completed it (Gatchel, Mayer, Capra, Diamond, & Barnett, 1986). Sweet, Breuer, Hazlewood, Toye, and Pawl (1985) used the MBHI and the MMPI to predict treatment outcome for 52 patients in a multidisciplinary chronic pain and headache treatment center. Each patient received an individual treatment plan, which often included multiple modalities (including physical therapy and biofeedback).…”

Personality traits neuroticism and openness as well as early abnormal eye conditions as predictors of the occurrence of eye problems in adulthood

“…They recommended a longitudinal study with a bigger sample to understand the role of personality in this condition. Giedd et al (2005) aimed to define the personality profile of keratoconus patients with the Millon Behavioural Health Inventory (MBHI) (Sweet et al, 1985). Keratoconus is a corneal disease that manifests itself in young adulthood and decreases vision.…”

Millon Behavioral Health Inventory Scores of Patients With Chronic Pain Associated with Myofascial Pain Syndrome

“…It assesses relevant personality factors and psychogenic attitudes. The MBHI has been used in the assessment of chronic pain [2–5], sexual dysfunction [6,7], and alcohol use [8]. It has also been used in the assessment of other specific medical populations: coronary bypass surgery patients [9], patients on dialysis [10,11], patients with dysphagia [12], oncology patients [13], and patients with duodenal ulcer [14] and other gastrointestinal disorders [15].…”