Multivariate analyses of the MMPI profiles of low back pain patients
Abstract
A multivariate clustering procedure was used to identify replicable, homogeneous MMPI profile subgroups among three independent cohorts of male (N = 233) and female (N = 315) low back pain ((LBP) patients. Three subgroups were replicated across all male cohorts and four subgroups were replicated across all female cohorts. Multiple discriminant analysis showed that for both male and female patients between-subgroup variability was significantly greater than within-subgroup variability. The results suggest that LBP patients may not be solely characterized by MMPI profiles featuring the "conversion V" configuration. Examination of the profile subgroups also suggests there may be distinct, pain-related, behavioral attributes associated with each subgroup which might have important implications for practitioners' choice of treatment modalities. Suggestions are made for research regarding the development of specific, optimal treatments for various LBP patient subgroups.
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Research studies have shown that homogeneous and replicable subgroups of patients can be identified within heterogeneous populations of persons with persistent pain.
“research studies have shown that homogeneous and replicable subgroups of patients can be identified within heterogeneous populations of persons with persistent pain.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [9]
Researchers have identified patient subgroups based on personality factors and pain behaviors.
“Researchers have identified patient subgroups based on personality factors”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [9]
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Psychological aspects of persistent pain: Current state of the science
Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004) · The Journal of Pain · doi:10.1016/j.jpain.2004.02.576 · Cited by 897 · see citing works
Giesecke, T., Williams, D. A., Harris, R. E., Cupps, T. R., Tian, X., Tian, T. X., Gracely, R. H., & Clauw, D. J. (2003) · Arthritis & Rheumatism · doi:10.1002/art.11272 · Cited by 424 · see citing works
- Authors
- Bradley, L. A., Prokop, C. K., Margolis, R., & Gentry, W. D.
- Affiliations
- Fordham University (US)
- Duke Medical Center (US)
- Duke University (US)
- ORCID
- Bradley, Laurence A.
- Venue
- Journal of Behavioral Medicine
- Published
- 1978-09
- Volume
- 1
- Issue
- 3
- Pages
- 253-272
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1997744680
- Cited by
- 156
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 4
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- low back pain, MMPI profiles, conversion disorder, pain behavior, sex differences, patient subtyping, treatment selection
- MeSH terms
- Analysis of Variance, Back Pain, Conversion Disorder, Female, Humans, Male, MMPI, Psychophysiologic Disorders, Space-Time Clustering
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