Validation of the MPI patient profiles by partners and healthcare providers.
Validation of the MPI patient profiles by partners and healthcare providers.
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DOI：
10.1016/j.pain.2009.03.025
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发表时间：
2009-07
期刊：
影响因子：
7.4
通讯作者：
Broderick JE
中科院分区：
文献类型：
--
作者：
Junghaenel DU;Broderick JE
多维疼痛量表 (MPI) 是评估患者应对慢性疼痛的最广泛使用的工具之一。它提供了一个社会心理分类系统，将患者分为三种应对方式：适应性、功能障碍和人际关系困扰。迄今为止，还无法从患者以外的信息提供者处获得有关 MPI 分类法有效性的全面信息。这对于 MPI 在多大程度上捕捉患者对自我报告之外的慢性疼痛的适应程度的结论有限。本研究首次检验了患者群体背后的不同多维特征是否可以通过代理报告来确认。九十九名慢性疼痛患者、他们的伴侣以及他们的医疗保健提供者参与了这项研究。患者完成两次 MPI 以确定分类的稳定性。合作伙伴和提供者根据为本研究开发的 MPI 代理版本对患者进行评分。结果显示，合作伙伴和提供者报告的 MPI 评级与自我报告的患者概况相对应。显示分类稳定性而不是在两次 MPI 评估之间切换聚类分配的患者概况与代理评级具有最高的对应性。这些结果扩展了先前对 MPI 的有效性研究，并表明合作伙伴和医疗保健提供者可以可靠地识别针对慢性疼痛的不同心理适应方式。
The Multidimensional Pain Inventory (MPI) is one of the most widely used instruments to assess patients’ coping with chronic pain. It provides a psychosocial classification system that categorizes patients into three coping styles: Adaptive, Dysfunctional, and Interpersonally Distressed. To date, comprehensive information about the validity of the MPI taxonomy obtained from informants other than the patient has been unavailable. This has limited conclusions about the extent to which the MPI captures patients’ adaptation to chronic pain beyond self-report. The present study is the first to examine whether the distinct multidimensional profiles underlying the patient clusters can be confirmed by proxy report. Ninety-nine chronic pain patients, their partners, and their healthcare providers participated in the study. Patients completed the MPI twice to determine stability of classification. Partners and providers rated the patient on MPI proxy versions developed for this study. Results revealed that partner- and provider- reported MPI ratings corresponded with the self-report patient profiles. The profiles of patients showing classification stability rather than switching of cluster assignment between the two MPI assessments had the highest correspondence with proxy ratings. These results extend prior validity research on the MPI and demonstrate that differential psychological adaptational styles to chronic pain can be reliably recognized by partners and healthcare providers.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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