MBMD coping styles and psychiatric indicators and response to a multidisciplinary pain treatment program

Emily G. Lattie, Michael H Antoni, Theodore Millon, John Kamp, Michael R. Walker

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Psychosocial and personality factors are known to contribute to the maintenance of and recovery from chronic pain conditions but less is known about their influence on the efficacy of pain treatment programs. The purpose of the present study is to examine the ability of the Millon Behavioral Medicine Diagnostic (MBMD), a broadband measure of personality and psychosocial characteristics, to predict response to multidisciplinary pain treatment. 93 patients completed the MBMD, and ratings of current pain and average pain on an 11 point scale, prior to a multidisciplinary pain management program. Ratings of current and average pain were completed upon program completion. Participants were classified as "successful" or "unsuccessful" program completers based on pain reductions of ≥2 points. After program completion, 47 % of participants evidenced successful pain reductions. These successful participants had lower scores on depression and on coping style scales measuring introversive, inhibited, and dejected tendencies at baseline. Additionally, lower pre-treatment depression scores and lower scores on each of these coping style scales predicted lower pain ratings at discharge independent of educational level and pre-treatment pain ratings. The MBMD may be a useful tool to delineate patients who are likely to make significant treatment gains in intense, multidisciplinary pain treatment programs.

Original languageEnglish
Pages (from-to)515-525
Number of pages11
JournalJournal of Clinical Psychology in Medical Settings
Volume20
Issue number4
DOIs
StatePublished - Dec 1 2013

Fingerprint

Behavioral Medicine
Psychiatry
Pain
Therapeutics
Personality
Depression
Aptitude
Pain Management
Chronic Pain
Maintenance
Psychology

Keywords

  • Chronic Pain
  • Depression
  • Multidisciplinary pain treatment
  • Personality

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

MBMD coping styles and psychiatric indicators and response to a multidisciplinary pain treatment program. / Lattie, Emily G.; Antoni, Michael H; Millon, Theodore; Kamp, John; Walker, Michael R.

In: Journal of Clinical Psychology in Medical Settings, Vol. 20, No. 4, 01.12.2013, p. 515-525.

Research output: Contribution to journalArticle

@article{81ec29d4481a4a12812367d4b6c61e22,
title = "MBMD coping styles and psychiatric indicators and response to a multidisciplinary pain treatment program",
abstract = "Psychosocial and personality factors are known to contribute to the maintenance of and recovery from chronic pain conditions but less is known about their influence on the efficacy of pain treatment programs. The purpose of the present study is to examine the ability of the Millon Behavioral Medicine Diagnostic (MBMD), a broadband measure of personality and psychosocial characteristics, to predict response to multidisciplinary pain treatment. 93 patients completed the MBMD, and ratings of current pain and average pain on an 11 point scale, prior to a multidisciplinary pain management program. Ratings of current and average pain were completed upon program completion. Participants were classified as {"}successful{"} or {"}unsuccessful{"} program completers based on pain reductions of ≥2 points. After program completion, 47 {\%} of participants evidenced successful pain reductions. These successful participants had lower scores on depression and on coping style scales measuring introversive, inhibited, and dejected tendencies at baseline. Additionally, lower pre-treatment depression scores and lower scores on each of these coping style scales predicted lower pain ratings at discharge independent of educational level and pre-treatment pain ratings. The MBMD may be a useful tool to delineate patients who are likely to make significant treatment gains in intense, multidisciplinary pain treatment programs.",
keywords = "Chronic Pain, Depression, Multidisciplinary pain treatment, Personality",
author = "Lattie, {Emily G.} and Antoni, {Michael H} and Theodore Millon and John Kamp and Walker, {Michael R.}",
year = "2013",
month = "12",
day = "1",
doi = "10.1007/s10880-013-9377-9",
language = "English",
volume = "20",
pages = "515--525",
journal = "Journal of Clinical Psychology in Medical Settings",
issn = "1068-9583",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - MBMD coping styles and psychiatric indicators and response to a multidisciplinary pain treatment program

AU - Lattie, Emily G.

AU - Antoni, Michael H

AU - Millon, Theodore

AU - Kamp, John

AU - Walker, Michael R.

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Psychosocial and personality factors are known to contribute to the maintenance of and recovery from chronic pain conditions but less is known about their influence on the efficacy of pain treatment programs. The purpose of the present study is to examine the ability of the Millon Behavioral Medicine Diagnostic (MBMD), a broadband measure of personality and psychosocial characteristics, to predict response to multidisciplinary pain treatment. 93 patients completed the MBMD, and ratings of current pain and average pain on an 11 point scale, prior to a multidisciplinary pain management program. Ratings of current and average pain were completed upon program completion. Participants were classified as "successful" or "unsuccessful" program completers based on pain reductions of ≥2 points. After program completion, 47 % of participants evidenced successful pain reductions. These successful participants had lower scores on depression and on coping style scales measuring introversive, inhibited, and dejected tendencies at baseline. Additionally, lower pre-treatment depression scores and lower scores on each of these coping style scales predicted lower pain ratings at discharge independent of educational level and pre-treatment pain ratings. The MBMD may be a useful tool to delineate patients who are likely to make significant treatment gains in intense, multidisciplinary pain treatment programs.

AB - Psychosocial and personality factors are known to contribute to the maintenance of and recovery from chronic pain conditions but less is known about their influence on the efficacy of pain treatment programs. The purpose of the present study is to examine the ability of the Millon Behavioral Medicine Diagnostic (MBMD), a broadband measure of personality and psychosocial characteristics, to predict response to multidisciplinary pain treatment. 93 patients completed the MBMD, and ratings of current pain and average pain on an 11 point scale, prior to a multidisciplinary pain management program. Ratings of current and average pain were completed upon program completion. Participants were classified as "successful" or "unsuccessful" program completers based on pain reductions of ≥2 points. After program completion, 47 % of participants evidenced successful pain reductions. These successful participants had lower scores on depression and on coping style scales measuring introversive, inhibited, and dejected tendencies at baseline. Additionally, lower pre-treatment depression scores and lower scores on each of these coping style scales predicted lower pain ratings at discharge independent of educational level and pre-treatment pain ratings. The MBMD may be a useful tool to delineate patients who are likely to make significant treatment gains in intense, multidisciplinary pain treatment programs.

KW - Chronic Pain

KW - Depression

KW - Multidisciplinary pain treatment

KW - Personality

UR - http://www.scopus.com/inward/record.url?scp=84889037536&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84889037536&partnerID=8YFLogxK

U2 - 10.1007/s10880-013-9377-9

DO - 10.1007/s10880-013-9377-9

M3 - Article

VL - 20

SP - 515

EP - 525

JO - Journal of Clinical Psychology in Medical Settings

JF - Journal of Clinical Psychology in Medical Settings

SN - 1068-9583

IS - 4

ER -