Incremental Contribution of the Minnesota Multiphasic Personality Inventory – 3 to Predicting One-Year Postoperative Spinal Cord Surgery/Spinal Cord Stimulation Outcomes

Marek, Ryan J.; Le, Janet T.; Hapenciuc, Gabriel; Philip, Michelle A.; Chiu, Josephine; Block, Andrew R.; Ben-Porath, Yossef S.

doi:10.1007/s10880-023-09971-3

Cited by 1 publication

(4 citation statements)

References 46 publications

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“…The substantive scales are organized hierarchically with three Higher Order (H-O) scales, eight Restructured Clinical (RC) scales, and 26 Specific Problems scales, complemented by five PSY-5 scales, which measure a model of personality pathology (Harkness et al, 1995). Evidence supporting MMPI-3 scores has been reported in the MMPI-3 Technical Manual (Ben-Porath & Tellegen, 2020b) and in several peer-reviewed studies, some of which have included a subset of these data (Marek et al, 2022, 2023).…”

Section: Methodsmentioning

confidence: 89%

“…MMPI-3 scores also demonstrated convergent and discriminant validity, as indicated by associations with self-report measures of pain, functional disability, poorer emotional functioning, and unemployment status (Marek et al, 2022). Additionally, MMPI-3 scores demonstrated significant incremental validity beyond medical risk factors and other self-report measures (Marek et al, 2022, 2023). For example, the MMPI-3 Restructured Clinical Scales explained an additional 15% of variance in non-self-report criteria beyond that which was explained by baseline ratings of pain and disability (Marek et al, 2022).…”

Section: Influence Of Psychopathology and Personality Traits On Traje...mentioning

confidence: 92%

“…11-276). A subset of these MMPI-3 data was previously analyzed, but data from 24-month follow-up surveys have not been used (Marek et al, 2022, 2023). A subset of the MMPI-3 data was utilized to create the MMPI-3 Spine Surgery/Spinal Cord Stimulator Candidate comparison group that is available via Pearson Assessment’s Q global and Q local software.…”

Section: Methodsmentioning

confidence: 99%

“…Although screeners and brief, symptom-focused measures capture severity, they are not sufficiently comprehensive in presurgical evaluations where practitioners must assess for a breadth of psychopathology and over- and underreporting response styles (e.g., exaggeration of symptoms to receive favorable outcomes, such as insurance coverage; Marek & Block, 2023). The Minnesota Multiphasic Personality Inventory (MMPI) is one of the more commonly used broadband instruments for presurgical evaluations across medical specialties (Block & Marek, 2020), and empirical support for the reliability and validity of its scale scores in presurgical evaluations of spine surgery candidates has accumulated (Block et al, 2013, 2017; Block & Marek, 2020; Marek et al, 2020, 2022, 2023).…”

Section: Influence Of Psychopathology and Personality Traits On Traje...mentioning

confidence: 99%

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Differences in presurgical MMPI-3 scores across trajectories of recovery from spine surgery.

Rabinowitz,

Whitman,

Marek

et al. 2024

Psychological Assessment

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Approximately 30% of patients who undergo spinal surgery for chronic back pain continue to experience significant pain and disability up to 2 months following surgery. Prior studies have identified mental health variables including depression and anxiety as predictors of poorer postsurgical outcomes using screening instruments, but no studies have examined long-term outcomes using the Minnesota Multiphasic Personality Inventory-3 (MMPI-3), a commonly used tool used in presurgical psychological evaluations (PPE). Using group-based trajectory modeling and a sample of 404 spine surgery evaluees, the present study examined the trajectories of changes in disability scores from presurgery through 3, 12, and 24 months postsurgery. We then compared scores on MMPI-3 scales between trajectory groups. We identified three trajectory groups of change in disability over time: a rapid-remitting group (8%), characterized by moderate presurgical disability that rapidly and substantially remitted by 12 and 24 months; a steady-recovering group (68%), characterized by moderate presurgical disability, slower change over time, and mild levels of disability at the 2-year time point; and a persisting disability group (24%), characterized by severe presurgical disability that continued into long-term follow-ups. Participants in the persisting pain group produced higher presurgical scores on somatic/cognitive and internalizing MMPI-3 scales than participants in the rapid-remitting and steady-recovering groups. Our results support the clinical utility of the MMPI-3 in PPEs and highlight the importance of evaluating somatic/cognitive concerns and internalizing dysfunction to identify patients who are likely to have poorer postsurgical outcomes. Public Significance StatementSome patients who undergo spine surgery may not experience the same relief as others. In this study, we found that participants with poorer postsurgical outcomes were more likely to have reported presurgery somatic, cognitive, and emotional problems on a commonly used psychological test compared to those with better postsurgical outcomes. We provide recommendations for presurgical psychological evaluations for spine surgery.

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Section: Methodsmentioning

confidence: 89%

Section: Influence Of Psychopathology and Personality Traits On Traje...mentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Influence Of Psychopathology and Personality Traits On Traje...mentioning

confidence: 99%

See 2 more Smart Citations

Differences in presurgical MMPI-3 scores across trajectories of recovery from spine surgery.

Rabinowitz,

Whitman,

Marek

et al. 2024

Psychological Assessment

Self Cite

View full text Add to dashboard Cite

show abstract

Incremental Contribution of the Minnesota Multiphasic Personality Inventory – 3 to Predicting One-Year Postoperative Spinal Cord Surgery/Spinal Cord Stimulation Outcomes

Cited by 1 publication

References 46 publications

Differences in presurgical MMPI-3 scores across trajectories of recovery from spine surgery.

Differences in presurgical MMPI-3 scores across trajectories of recovery from spine surgery.

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