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

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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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Conflict of interest

Emily G. Lattie and Michael R. Walker declare no conflicts of interest. Michael Antoni and Theodore Millon receive royalties from the MBMD, and John Kamp works as a consultant for Pearson, which publishes the MBMD test. The collection of the data in this study was funded and completed by Pearson, but the funding source was not involved in the study design, analyses, interpretation and presentation, which were solely the work of the authors of the submitted manuscript.

Ethical Standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd., Coral Gables, FL, 33124-0751, USA

    Emily G. Lattie & Michael H. Antoni

  2. Institute for Advanced Study of Personology and Psychopathology, Port Jervis, NY, USA

    Theodore Millon

  3. Pearson, Thousand Oaks, CA, USA

    John Kamp

  4. North Texas Pain Recovery Center, Arlington, TX, USA

    Michael R. Walker

Authors
  1. Emily G. Lattie
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  2. Michael H. Antoni
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  3. Theodore Millon
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  4. John Kamp
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  5. Michael R. Walker
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Corresponding author

Correspondence to Emily G. Lattie.

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Lattie, E.G., Antoni, M.H., Millon, T. et al. MBMD Coping Styles and Psychiatric Indicators and Response to a Multidisciplinary Pain Treatment Program. J Clin Psychol Med Settings 20, 515–525 (2013). https://doi.org/10.1007/s10880-013-9377-9

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  • DOI: https://doi.org/10.1007/s10880-013-9377-9

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