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|Title:||The assessment of depression in chronic back pain patients using the MMPI and the Beck Depression Inventory-Short Form|
|Author(s):||Leister, Sandra Carter|
|Doctoral Committee Chair(s):||Terwilliger, Edith R.|
|Department / Program:||Psychology, Clinical
|Degree Granting Institution:||University of Illinois at Urbana-Champaign|
|Abstract:||There is much conflicting research regarding the presence of pain and depression in chronic pain patients. The present research was a retrospective study of a group of chronic back pain patients who had entered a multidisciplinary treatment program two to four years prior to this study. Pretreatment and follow up evaluation included demographic information, personality functioning using the Minnesota Multiphasic Personality Inventory (MMPI) and the Back Depression Inventory-Short Form (BDI-SF) and levels of pain measured by the Sternbach Pain Estimate Score.
The primary areas addressed were (a) comparison of the use of the MMPI and the BDI-SF in assessing depression in chronic back pain patients; (b) comparison of the pain levels for patients identified as depressed by the MMPI Scale 2 and the BDI-SF; (c) investigation of the relationship between depression and reported pain; and (d) investigation of whether a change in the patient's reported pain at follow up was associated with change in the patient's depression score at follow up.
Results can be briefly summarized. (1) The BDI-SF and MMPI identified 41% of the patients as depressed in common; also, each instrument identified a separate patient group as depressed. (2) Patients identified as depressed by the BDI-SF only had significantly lower pain scores than patients identified either by the MMPI alone or patients identified by both the MMPI and the BDI-SF together. (3) A significant positive correlation was found between the patients' pretreatment depression measures (BDI-SF and MMPI Scale 2). A significant negative correlation was found between the pretreatment BDI-SF measure of depression and the pretreatment level of pain. (4) Finally, for individuals, no correlation was found at follow up between change in pain level and change in depression. However, group mean pain scores and group mean depression scores were significantly reduced from pretreatment to follow up.
|Rights Information:||Copyright 1990 Leister, Sandra Carter|
|Date Available in IDEALS:||2011-05-07|
|Identifier in Online Catalog:||AAI9026248|