Psychological Profiles Distinguishing Litigating and Nonlitigating Pain Patients: Subtle, and Not So Subtle

David M. Dush · Paul C. Nation · Sally Y. Ayres

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Psychological Testing and Assessment Musculoskeletal pain and rehabilitation Personality Traits and Psychology

Abstract

Chronic pain patients in the midst of litigation over settlement for their injuries were examined as a naturally occurring group where one might expect various distortions or differences in test findings on the Minnesota Multiphasic Personality Inventory-Revised (MMPI-2). Similar groups of 43 chronic pain patients in litigation and 45 not in litigation were examined on 10 key MMPI-2 variables selected a priori. Multivariate analysis of variance revealed a significant difference between groups (p = .036). Litigators were most distinct in endorsing more obvious and fewer subtle symptoms. A conversion profile was also more salient for litigators once the obvious versus subtle differences were taken into account. Implications for use of the MMPI-2 and for clinical work with litigious patients are examined.

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References

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1999Chronic Pain Disability Exaggeration/Malingering and Submaximal Effort Research 2007Malingering in the Medical Setting 2002A validity index for the MMPI-2 2004Psychometric Perspectives on Detection of Malingering of Pain 1997Current Status of MMPI--2 Research: A Methodologic Overview 2001Predictive Validity of the MMPI among Chronic Pain Patients

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