Psychological assessment of renal dialysis patients using standard psychometric techniques.

Abstract

The question of differences in personality, intelligence level, and organic brain dysfunction relative to vocational readjustment was addressed with two renal dialysis groups and a group of orthopedic patients. Minnesota Multiphasic Personality Inventory profile differences were found between good, fair, and poor vocational rehabilitation adjustment groups when a profile classification system was used. Patients with normal profiles were more likely to return to full employment, whereas patients with abnormal maladaptive profiles were more likely to be unemployed. There were no differences on age-correlated Wechsler Adult Intelligence Scale (WAIS) scale scores between the three hemodialysis vocational rehabilitation groups, although educational levels were significantly different, with the full-time employment group being higher. Further, analysis indicated no differences on age-correlated WAIS scale scores among groups.

The MMPI as a Measure of the Emotional Correlates of Chronic Hemodialysis: A Review

“…Finally, the propensity to average profiles across subjects contributes to loss of potentially useful data about valuable information, as evidenced by a Calsyn et al (1978), Freeman, Calsyn, Sherrard, & Paige (1980, and Triesch-TJ m mann and Sand (1971). Perhaps the 2 most useful approach is to report group -m mean scores and provide data concern-; ing profile types.…”

“…Calsyn et al (1978) found higher rates of employment for groups (a) and (b) combined than group (c). In the Freeman et al, (1980) study, patients with normal profiles were more likely to achieve good rehabilitation while patients with abnormal maladaptive profiles were more likely to have poor rehabilitation outcomes. Mean MMPI profiles of poor, fair, and good rehabilitation groups did not differ, however.…”

“…The influence of personality, as represented by MMPI scores, on vocational rehabilitation was examined by Calsyn et al (1978) and Freeman et al (1980). In both studies, hemodialysis patients were divided into three profile types according to rules specified by Freeman et al (1980): (a) normal, (b) abnormal-adaptive (consisting of denial and psychophysiological subtypes), and (c) abnormal-maladaptive (consisting of depressed/anxious and schizoid subtypes). Calsyn et al (1978) found higher rates of employment for groups (a) and (b) combined than group (c).…”

Disability, psychopathology, and vocational adjustment.

“…Goldberg, 1968) suggestion to use configural strategies, which utilize profile shape and dispersion as well as scale elevation, as analytic strategies. In fact, Freeman, Calsyn, Sherrard, and Paige (1980) were unable to differentiate between renal dialysis patients who had successful or unsuccessful vocational rehabilitation outcomes using mean MMPI scale scores, but were able to do so using profile decision rules. The purpose of the present study was to use MMPI decision rules to examine the relationship among rehabilitation clients' preservice psychological status, type of disability, severity of disability, and vocational adjustment at follow-up.…”