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Journal of Clinical Psychology in Medical Settings

Published in:

01-12-2013

MBMD Coping Styles and Psychiatric Indicators and Response to a Multidisciplinary Pain Treatment Program

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

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2013

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.

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Title: MBMD Coping Styles and Psychiatric Indicators and Response to a Multidisciplinary Pain Treatment Program
Authors: Emily G. Lattie
Michael H. Antoni
Theodore Millon
John Kamp
Michael R. Walker
Publication date: 01-12-2013
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 4/2013
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-013-9377-9

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