A study of patients with spinal disease using Maudsley Personality Inventory.
We administered the Maudsley Personality Inventory (MPI) preoperatively to 303 patients with spinal diseases about to undergo surgery. Patients younger than 20 years, patients previously treated in the Department of Psychiatry, and patients with poor postoperative results were excluded. Patients with N-scores (neuroticism scale) of 39 points or greater or L-scores (lie scale) of 26 points or greater were regarded as "abnormal." Based on clinical definitions we identified 24 "problem patients" during the course and categorized them as "Unsatisfied," "Indecisive," "Doctor shoppers," or "Distrustful." Preoperative MPI categorized 26 patients as abnormal; 22 patients categorized as abnormal became problem patients ( p<0.001). MPI sensitivity and specificity was 84.6% and 99.3%, respectively. Preoperative MPI to patients with spinal disease was found to be useful in detecting problem patients.
Kasai
Yuichi
Y
Department of Orthopaedic Surgery, Mie University Faculty of Medicine, 2-174 Edobashi, 514-8507, Tsu City, Mie Prefecture, Japan. ykasai@clin.medic.mie-u.ac.jp
Takegami
Kenji
K
Uchida
Atsumasa
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods / Q000523:psychology*; D011300:Preoperative Care; D011581:Psychological Tests; D013122:Spinal Diseases / Q000523:psychology* / Q000601:surgery