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Journal of Clinical Psychology in Medical Settings

01.06.2007

Using the Millon Behavioral Medicine Diagnostic to Delineate Treatment Outcomes in Rehabilitation

verfasst von: Daisha J. Cipher, Anita K. Kurian, Kimberly G. Fulda, Richard Snider, Johann Van Beest

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 2/2007

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Abstract

Patients undergoing rehabilitation have been evidenced to improve in different ways depending on their coping styles. Amplifiers, Repressors, and Social Copers are examples of patients who present differently in rehabilitation settings and tend to have differing levels of success in their response to treatment. The current study examined the differential treatment outcomes of three coping style groups undergoing multidisciplinary rehabilitation. A sample of 59 patients suffering from injuries associated with chronic pain were assessed using the Multidimensional Pain Inventory, Beck Depression Inventory, and Beck Anxiety Inventory before, during, and after multidisciplinary pain management treatment. Coping style groups derived from the Millon Behavioral Medicine Diagnostic consisting of Amplifiers, Repressors, and Social Copers were compared with regard to reductions in depression, anxiety, pain, functional impairment, and associated outcomes. Repeated measures ANOVA revealed that Amplifiers, Repressors, and Social Copers had varying levels of success in the treatment program. Hierarchical linear modeling analyses revealed the coping style groups to have significantly different change curves from pre to post-treatment in depression, anxiety, pain severity, functional impairment, affective distress, life control, social support, and soliciting help from others. These findings support prior research emphasizing the value of tailoring treatments in rehabilitation settings toward patients’ coping styles in order to maximize outcomes.
Literatur
Beck, A. T, Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.PubMedCrossRef
Beck, A. T., Steer R. A., & Garbin M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRef
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.
Bryk, A. S., & Raudenbush, S. W. (1987). Application of hierarchical models to assessing change. Psychological Bulletin, 101, 147–158.CrossRef
Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models. Thousand Oaks, CA: Sage.
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A. M., & Kaemer, B. (1989). MMPI-2: Manual for administration and scoring. Minneapolis, MN: University of Minnesota Press.
Butcher, J. N, Graham, J. R., Williams, C. L., & Ben-Porath, Y. S. (1990). Development and use of the MMPI-2 content scales. Minneapolis: University of Minnesota Press.
Cipher, D. J., Clifford, P. A., & Schumacker, R. E. (2002). The heterogeneous chronic pain personality: Diverse coping styles among sufferers of chronic pain. Alternative Therapies in Health and Medicine, 8, 93–102.CrossRef
Cipher, D. J., & Clifford, P. A. (2003). Treatment outcome varies with coping style in chronic pain management. The Pain Clinic, 15, 35–44.CrossRef
Cipher, D. J, Fernandez, E., & Clifford, P. A. (2001). Cost effectiveness of multidisciplinary pain management: Comparison of three treatment groups. Journal of Clinical Psychology in Medical Settings, 8, 237–244.CrossRef
Cipher, D. J, Fernandez, E., & Clifford, P. A. (2002). Coping style influences compliance with multidisciplinary pain management. Journal of Health Psychology , 7, 665–673.CrossRef
Cutler, R. B., Fishbain, D. A., Rosomoff, H. L., Abdel-Moty, E., Khalil, T. M., & Rosomoff, R. S. (1994). Does nonsurgical pain center treatment of chronic pain return patients to work? Spine, 19, 643–652.PubMedCrossRef
Esterling, B. A., Antoni, M. H., Kumar, M., & Schneiderman, N. (1990). Emotional repression, stress disclosure responses, and Epstein-Barr viral capsid antigen titers. Psychosomatic Medicine, 52, 397–410.PubMed
Flor, H., Fydrich, T., & Turk, D. C. (1992). Efficacy of multidisciplinary pain treatment centers: A meta-analytic review. Pain, 49, 221–230.PubMedCrossRef
Fydrich, T., Dowdall, D., & Chambless, D. L. (1992). Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders, 6, 55–61.CrossRef
Furnham, A., Petrides, K. V., Sisterson, G., & Baluch, B. (2003). Repressive coping style and positive self-presentation. British Journal of Health Psychology, 8, 223–49.PubMedCrossRef
Goldstein, D. A., & Antoni, M. H. (1989). The distribution of repressive coping styles among non-metastatic and metastatic breast cancer patients as compared to non-cancer controls. Psychology and Health, 3, 245–258.
Jamison, R. N., Rudy, T. E., Penzien, D. B., & Mosley, T. H. (1994). Cognitive-behavioral classifications of chronic pain: Replication and extension of empirically derived patient profiles. Pain, 57, 277–292.PubMedCrossRef
Jamner, L. D., & Schwartz, G. E. (1986). Self-deception predicts self-report and endurance of pain. Psychosomatic Medicine, 48, 211–223.PubMed
Jamner, L. D., Schwartz, G. E., & Leigh, H. (1988). The relationship between repressive and defensive coping styles and monocyte, eosinophile, and serum glucose levels: Support for the opiod peptide hypothesis of repression. Psychosomatic Medicine, 50, 567–575.PubMed
Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23, 345–356.PubMedCrossRef
Kleinke, C. L. (1992). How chronic pain patients cope with pain: Relation to treatment outcome in a multidiscipinary pain clinic. Cognitive Therapy and Research, 16, 669–685.CrossRef
Long, J. D. (2000). Multilevel modeling for repeated measures. Advanced Methodology and Statistics Seminar, AABT Annual Convention.
Lorr, M. (1983). Cluster analysis for social scientists. San Francisco: Jossey-Bass.
Millon, T, Antoni, M. H, Millon, C., Meagher, S., & Grossman, S. (2001). Test Manual for the millon behavioral medicine diagnostic. Minneapolis, MN: National Computer Services.
Millon, T., Green, C. J., Meagher, R. B. (1979). The MBHI: A new inventory for the psychodiagnostician in medical settings. Professional Psychology, 10, 529–539.CrossRef
Raudenbush, S., Bryk, T., & Congdon, R. (2000). HLM 5 Hierarchical Linear and Nonlinear Modeling. Scientific Software International.
Schwartz, G. E. (1989). Disregulation theory and disease: Toward a general model for psychosomatic medicine. In S. Cheren (Ed.), Psychosomatic medicine: Theory, physiology, and practice (Vols. 1 & 2, pp. 91–117). International Universities Press Stress and Health series, Monographs 1 & 2.
Stevens, J. (1996). Applied multivariate statistics for the social sciences. Mahway, New Jersey: Lawrence Erlbaum.
Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics, (3rd ed.). NewYork: Harper Collins.
Turk, D. C. (1996). Efficacy of multidisciplinary pain centers in the treatment of chronic pain. In J. N. Campbell, & M. J. Cohen (Eds.), Pain treatment centers at the crossroads: A practical conceptual reappraisal. Seattle: IASP Press.
Turk, D. C., & Rudy, T. E. (1988). Toward an empirically derived taxonomy of chronic pain patients: Integration of psychological assessment data. Journal of Consulting and Clinical Psychology, 56, 233–238.PubMedCrossRef
Ward, J. (1963). Hierarchical grouping to optimize an objective function. American Statistical Association, 58, 236–244.CrossRef
Watten, R. G, Vassend, O., Myhrer, T., & Syversen, J. L. (1997). Personality factors and somatic symptoms. European Journal of Personality, 11, 57–68.CrossRef
Wickramasekera, I. (1993). Assessment and treatment of somatization disorders: The high risk model of threat perception. Handbook of clinical hypnosis (pp. 587–621). Washington, D.C.: American Psychological Association.
Wilcoxson, M. A., Zook, A., Zarski, J. J. (1988). Predicting behavioral outcomes with two psychological assessment methods in an outpatient pain management program. Psychology and Health, 2, 319–333.
Metadaten
Titel
Using the Millon Behavioral Medicine Diagnostic to Delineate Treatment Outcomes in Rehabilitation
verfasst von
Daisha J. Cipher
Anita K. Kurian
Kimberly G. Fulda
Richard Snider
Johann Van Beest
Publikationsdatum
01.06.2007
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 2/2007
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-007-9066-7