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Multidimensional Pain Inventory profile classifications and psychopathology

M A Etscheidt1, H G Steger, B Braverman

  • 1University of Kentucky College of Medicine, Lexington, USA.

Journal of Clinical Psychology
|January 1, 1995
PubMed
Summary

The Multidimensional Pain Inventory (MPI) and MMPI reveal distinct psychopathology profiles in chronic pain patients. Adaptive copers show fewer signs of psychological distress compared to dysfunctional or interpersonally distressed groups.

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Area of Science:

  • Psychology
  • Psychiatry
  • Pain Medicine

Background:

  • The Multidimensional Pain Inventory (MPI) and Minnesota Multiphasic Personality Inventory (MMPI) are established tools for chronic pain assessment.
  • Understanding the relationship between MPI-defined patient profiles and MMPI-measured psychopathology is crucial for targeted treatment.

Purpose of the Study:

  • To investigate the association between patient classifications derived from the MPI and the presence of psychopathology indicated by MMPI scores.
  • To differentiate psychological profiles of chronic pain patients based on their coping strategies.

Main Methods:

  • Utilized data from chronic pain patients assessed with both the MPI and MMPI.
  • Compared MMPI scale scores across MPI-defined patient groups: Dysfunctional, Interpersonally Distressed, and Adaptive Copers.

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  • Analyzed significant differences in MMPI psychopathology scales (2, 4, 6, 7, 8) between MPI groups.

    • Main Results:

    • MPI Dysfunctional and Interpersonally Distressed groups showed significantly higher MMPI scores on scales 4, 6, 7, and 8 compared to Adaptive Copers.
    • Significant differences were also observed on MMPI scale 2 between Dysfunctional and Adaptive Coper groups.
    • A high percentage of Dysfunctional (79%) and Interpersonally Distressed (62%) patients exhibited psychopathology via MMPI two-point scale elevations, contrasting with only 23% of Adaptive Copers.

    Conclusions:

    • MPI classifications correlate significantly with MMPI-identified psychopathology in chronic pain patients.
    • Adaptive Coper profiles are associated with lower levels of psychopathology compared to Dysfunctional and Interpersonally Distressed profiles.
    • These findings support using MPI profiles to anticipate and address specific psychological needs in chronic pain management.