Minnesota Multiphasic Personality Inventory (MMPI) cluster groups among chronically ill patients: Relationship to illness adjustment and treatment outcome
| Autor: | Charles H. Bombardier, George W. Divine, Francis A. Neelon, John S. Jordan, W. Blair Brooks |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychometrics media_common.quotation_subject Personality Disorders Cost of Illness Minnesota Multiphasic Personality Inventory MMPI Adaptation Psychological medicine Cluster Analysis Humans Personality Personality test Psychiatry General Psychology Aged media_common Depressive Disorder Sick role Psychosomatics Sick Role Middle Aged medicine.disease Psychophysiologic Disorders Personality disorders Psychiatry and Mental health Health psychology Treatment Outcome Chronic Disease Female Psychology Clinical psychology |
| Zdroj: | Journal of Behavioral Medicine. 16:467-484 |
| ISSN: | 1573-3521 0160-7715 |
| Popis: | Cluster analysis of the MMPI has been utilized widely in the chronic low back pain literature to try to identify reliable patient subtypes predictive of treatment outcome. We extended this methodology to patients with heterogeneous chronic medical conditions by replicating prototypic MMPI cluster group profiles and by relating cluster groups to clinical baseline and outcome data. Subjects were two independent samples (n = 254 and n = 263) of chronically ill patients admitted to an inpatient medicine/psychiatry unit. Using a four-cluster solution, similar cluster profile groups were replicated in both samples. Consistent differences emerged between cluster groups on functional impairment, psychiatric diagnoses, depression, and psychosomatic symptoms. Cluster group membership also predicted changes in functional impairment and depression six months after treatment. Results are discussed in terms of similarities between chronic low back pain and chronic illness and tailoring treatment to different patient types. |
| Databáze: | OpenAIRE |
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