Abstract:Results indicate that patients who have aphysiologic CDP sway patterns are more likely to have higher MSPQ scores. Both aphysiologic CDP results and high MSPQ scores have been associated with intentional exaggeration. These results indicate that patients with both aphysiologic CDP findings and high MSPQ scores are more likely to be intentionally exaggerating their balance-related complaints and deficits.
“…Similar to the MMPI, both are useful for identifying patients whose physical symptom presentations and disability are influenced by non-organic factors (Petrak, Hardt, Kappis, Nickel, & Tiber Egle, 2003;Sikorski, Stampfer, Cole, & Wheatley, 1996). For instance, Brasseux, Greve, Gianoli, Soileau, and Bianchini (2008) found a positive correlation between MSPQ scores and aphysiologic (i.e., non-organic) computerized dynamic posturography sway patterns in a sample of 115 patients with complaints of vestibular dysfunction and hearing impairment. Within the context of pain, Larrabee (2003) found both the MSPQ and PDI to accurately detect malingered pain presentations in preliminary research; however the generalizability of these results is not clear.…”
The Modified Somatic Perception Questionnaire (MSPQ) and the Pain Disability Index (PDI) are both popular clinical screening instruments in general orthopedic, rheumatologic, and neurosurgical clinics and are useful for identifying pain patients whose physical symptom presentations and disability may be non-organic. Previous studies found both to accurately detect malingered pain presentations; however, the generalizability of these results is not clear. This study used a criterion groups validation design (retrospective cohort of patients with chronic pain, n = 328) with a simulator group (college students, n = 98) to determine the accuracy of the MSPQ and PDI in detecting Malingered Pain Related Disability. Patients were grouped based on independent psychometric evidence of MPRD. Results showed that MSPQ and PDI scores were not associated with objective medical pathology. However, they accurately differentiated Not-MPRD from MPRD cases. Diagnostic statistics associated with a range of scores are presented for application to individual cases. Data from this study can inform the clinical management of chronic pain patients by screening for psychological overlay and malingering, thus alerting clinicians to the possible presence of psychosocial obstacles to effective treatment and triggering further psychological assessment and/or treatment.
“…Similar to the MMPI, both are useful for identifying patients whose physical symptom presentations and disability are influenced by non-organic factors (Petrak, Hardt, Kappis, Nickel, & Tiber Egle, 2003;Sikorski, Stampfer, Cole, & Wheatley, 1996). For instance, Brasseux, Greve, Gianoli, Soileau, and Bianchini (2008) found a positive correlation between MSPQ scores and aphysiologic (i.e., non-organic) computerized dynamic posturography sway patterns in a sample of 115 patients with complaints of vestibular dysfunction and hearing impairment. Within the context of pain, Larrabee (2003) found both the MSPQ and PDI to accurately detect malingered pain presentations in preliminary research; however the generalizability of these results is not clear.…”
The Modified Somatic Perception Questionnaire (MSPQ) and the Pain Disability Index (PDI) are both popular clinical screening instruments in general orthopedic, rheumatologic, and neurosurgical clinics and are useful for identifying pain patients whose physical symptom presentations and disability may be non-organic. Previous studies found both to accurately detect malingered pain presentations; however, the generalizability of these results is not clear. This study used a criterion groups validation design (retrospective cohort of patients with chronic pain, n = 328) with a simulator group (college students, n = 98) to determine the accuracy of the MSPQ and PDI in detecting Malingered Pain Related Disability. Patients were grouped based on independent psychometric evidence of MPRD. Results showed that MSPQ and PDI scores were not associated with objective medical pathology. However, they accurately differentiated Not-MPRD from MPRD cases. Diagnostic statistics associated with a range of scores are presented for application to individual cases. Data from this study can inform the clinical management of chronic pain patients by screening for psychological overlay and malingering, thus alerting clinicians to the possible presence of psychosocial obstacles to effective treatment and triggering further psychological assessment and/or treatment.
“…Exaggerated symptom endorsement in association with MND has been reported for the Pain Disability Index (PDI; Tait, Chibnall, & Krause, 1990) and Modified Somatic Perception Questionnaire (MSPQ; Main, 1983), with large effect sizes for discriminating probable malingerers from published data on chronic pain samples (d = 1.08 for PDI; d = 2.92 for MSPQ; Larrabee, 2003c). Patients failing computerized dynamic posturography (CDP) with nonphysiologic (i.e., feigned) patterns of performance produced significantly higher scores on the MSPQ than persons with physiologic patterns of performance on CDP (Brasseux, Greve, Gianoli, Soileau, & Bianchini, 2008).…”
Section: Methods: Measuring Performance and Symptom Validitymentioning
“…It is a 13 item four-point self-report scale that has been developed for investigating chronic backache17 or other forms of chronic pain,18–29 stroke and cardiovascular diseases,30–34 tinnitus and Meniere’s disease,34–37 and patients undergoing surgery 39–49. It has also been used to measure somatization in nonpainful conditions 50,51. To the best of our best knowledge this questionnaire has never been used in an immigrant population.…”
The number of immigrants in Italy has doubled every 10 years from 1972 and Genoa hosts two large communities of immigrants from South America and Africa. We investigated differences in the somatic perception between immigrants and Italians and between South Americans and Africans living in the city of Genoa. During a 7 month period, an anonymous questionnaire asking for sociodemographic information and the Modified Somatic Perception Questionnaire (MSPQ) were administered to all immigrants accessing an outpatient clinic or the general practitioners offices. MSPQ mean scores were significantly higher in immigrant patients than in Italian patients, after adjusting for sex and age differences. We found no differences between South Americans and Africans in MSPQ score. The tendency to express discomfort through physical symptoms appears to be related to being a foreigner who arrived in Italy through a migratory trip and also to being a person who comes from a cultural context that is very different from the one of developed countries.
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