Comparison of premorbid and postinjury mmpi-2 profiles in late postconcussion claimants.
A comparison of premorbid and postinjury MMPI-2 profiles was performed in 23 patients with mild cranial/cervical injuries. All claimants attributed major personality change to their injuries during the course of compensation-related neuropsychological examinations. Their premorbid MMPI-2 profiles were all abnormal and the modal code-type indicated somatoform psychopathology. The post-accident MMPI profiles showed continuous somatization trends, but they unexpectedly showed (a) increased defensiveness and (b) a general decrease in global psychopathology. The findings did not support an 'eggshell plaintiff' theory of chronic postconcussive complaints. The view that chronic postconcussive complaints require a wider focus on non-neuropsychological factors is enhanced.
Greiffenstein
F M
FM
ABPP-CN, Psychological Systems, Inc., Royal Oak, MI 48067, USA.
Baker
J W
JW
D000063:Accidents, Traffic / Q000331:legislation & jurisprudence; D000328:Adult; D020208:Brain Injury, Chronic / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence; D007346:Insurance, Accident / Q000331:legislation & jurisprudence; D008950:MMPI / Q000706:statistics & numerical data*; D008297:Male; D008306:Malingering / Q000175:diagnosis / Q000523:psychology; D011594:Psychometrics; D011599:Psychopathology; D015203:Reproducibility of Results; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology