The Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF): Incremental validity in predicting early postoperative outcomes in spine surgery candidates.

Ryan J. Marek · Andrew R. Block · Yossef S. Ben‐Porath

47 citations0/0 files storedPsychological Assessment

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Psychological Testing and Assessment Psychometric Methodologies and Testing Musculoskeletal pain and rehabilitation

Abstract

A substantial proportion of individuals who undergo surgical procedures to relieve spine pain continue to report significant pain and dysfunction after recovery. Psychopathology and patient expectations have been linked to poor results, leading to an increasing reliance on presurgical psychological screening (PPS) as part of the surgical diagnostic process. The original Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) and the MMPI-2 (Butcher, Graham, Ben-Porath, Tellegen, & Dahlstrom, 2001) were among the measures most commonly used in PPS evaluations and research. This study focuses on the newest version of the test, the MMPI-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008/2011; Tellegen & Ben-Porath, 2008/2011) as a predictor of outcomes for spine surgery candidates. Using a sample of 172 men and 210 women who underwent a PPS, we examined the ability of MMPI-2-RF scale scores to predict early surgical outcomes independent of other presurgical risk factors identified by other means, as well as patients' presurgical expectations. MMPI-2-RF results accounted for up to 11% of additional variance in measures of early postoperative functioning. MMPI-2-RF scales that assess for emotional/internalizing problems, specifically Demoralization, measures of somatoform dysfunction, and interpersonal problems contributed most to the prediction of diminished outcome.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1989MMPI-2 : Minnesota Multiphasic Personality Inventory-2 : manual for administration and scoring 1986The role of factor analysis in the development and evaluation of personality scales 1985Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report.2012Interpreting the MMPI-2-RF 1943The Minnesota multiphasic personality inventory, Rev. ed., 2nd printing 2000The minnesota multiphasic personality inventory and chronic pain

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