Date of Award
Doctor of Psychology (PsyD)
Graduate Department of Clinical Psychology
This study evaluated chronic pain patients in an attempt to predict treatment outcome. Forty-one volunteer patients completed a Patient History Questionnaire, The Ways of Coping (WOC), The Interpersonal Behavior Survey (!BS), The Spiritual Well-Being Inventory (SWB) , and the Minnesota Multiphasic Personality Inventory (MMPI). Each of these instruments were used to predict treatment outcome as measured by items from the Pain Treatment Outcome Questionnaire including Functional Activity Level, Use of Analgesic Medications, Subjective Pain Rating, and Return to Work. Linear regression statistics were used to determine which of the independent variables successfully predicted treatment outcome. Number of Months Since Last Worked predicted Post Treatment Return to Work and was the strongest of all the predictive variables. Functional Activity Level predicted Post Treatment Functional Activity Level. Spiritual Well-Being predicted Post Treatment reduction of Medication Use. Problem Focused Coping, from the Ways of Coping predicted Post Treatment reduction of Subjective Pain. Elevations on the MMPI D, Pd, Male and conversion V scales all predicted for a failure to reduce Post Treatment Use of Analgesic Medications. Elevations on the MMPI Mf scale predicted for Post Treatment Return to Work. All of the following variables failed to significantly predict any of the treatment outcome variables: The Ways of Coping Emotion Focused Coping, Religious Coping, the MMPI manipulative reaction profile (Hs, D, Pd, Ma), the Interpersonal Behavior Survey General Assertiveness scale, and Frequency of Church Attendance. This study was approached from a cognitive phenomenological perspective which integrated the work of Lazarus and Moos. Developing training for return to work and increasing chaplaincy programs in Pain Treatment Centers are practical applications of these findings.
Mullins, William H., "Orronic Pain: A Study of Treatment Outcome as it Relates to Coping Behaviors, Assertiveness, Spiritual Well-Being, and MMPI Scores" (1985). Doctor of Psychology (PsyD). 412.