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The Korean Journal of Health Psychology

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Vol.14 No.2

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MMPI Profiles and the Other Psychometric Characteristics of Patients with Complex Regional Pain Syndrome

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2009, v.14 no.2, pp.313-327
https://doi.org/10.17315/kjhp.2009.14.2.006





& (2009). MMPI Profiles and the Other Psychometric Characteristics of Patients with Complex Regional Pain Syndrome. The Korean Journal of Health Psychology, 14(2), 313-327, https://doi.org/10.17315/kjhp.2009.14.2.006

Abstract

This study aimed at identifying the psychometric characteristics of patients with complex regional pain syndrome (CRPS). CRPS refers to neuropathic pain disorders developing as a disproportionate consequence of painful trauma or a nerve lesion affecting the limbs or a bone fracture, or as a consequence of a remote process like stroke, spinal cord injury or myocardial infarction. Although CRPS mechanism for the disease is still controversial, its onset and progress are widely known to be related to psychological factors. The subjects of this study included 102 patients suffering from CRPS. Their demographic data, responses to the illness behavior questionnaire (IBQ), multidimensional health locus of control scale (MHLC) and coping strategies questionnaire (CSQ), and their MMPI T scores were analyzed. Multivariate clustering analysis divided the patients' MMPI profiles into three homogeneous subgroups. Group I was characterized by 'conversion V' pattern with elevated Hs and Hy scores. Group II showed relatively normal profiles, but had more internal control than group III. Group III showed simultaneous increases in Hs-D-Hy scores and Pa-Pt-Sc scores. It also acquired higher scores than the other two subgroups in illness behavior characteristics, such as the hypochondriasis, disease conviction, affective inhibition and affective disturbance. Besides, with respect to a way to handle the pain, group III displayed more disastrous thinking than group II. In conclusion, an appropriate therapeutic approach that takes into account the characteristics of each sub group should be considered in the psychological treatment of patients suffering from CRPS.

keywords
complex regional pain syndrome, MMPI, illness behavior, health locus of control, pain-coping, complex regional pain syndrome, MMPI, illness behavior, health locus of control, pain-coping, 복합부위통증증후군, MMPI, 질병행동, 건강통제소재, 통증대처

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