The clinical utility of the multidimensional pain inventory (MPI) in characterizing chronic disabling occupational musculoskeletal disorders

Yunhee Choi, Tom G. Mayer, Mark Williams, Robert J. Gatchel

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Purpose The Multidimensional Pain Inventory (MPI) was designed to help capture unique characteristics of chronic pain patients. The present study examined the proportion of subgroups classified by the MPI in a chronic disabling occupational musculoskeletal disorder (CDOMD) patient cohort, and described characteristics of MPI profile groups in terms of other psychosocial variables. Methods A cohort of 1,270 CDOMD patients undergoing an interdisciplinary functional restoration program was studied. Before the start of the program, all patients received a standard psychosocial assessment battery. A MPI computer program scored and identified pre-defined MPI subgroups: Adaptive Coper (AC); Interpersonally Distressed (ID); and Dysfunctional (DYS). Results The distribution of MPI profiles for CDOMD patients was similar with those of highly disabled patients, with the largest proportion of patients having the DYS profile (44 %), followed by AC (33 %) and ID (23 %). The DYS profile group showed the highest level of pain severity, and psychosocial distress; the ID group had a moderate level; and the AC profile group had the lowest level. Higher rates of psychiatric disorders were also found in the DYS and ID groups. The DYS profile group was less likely to complete the treatment program. Conclusion The present study further demonstrated the clinical utility of the MPI classification in a large cohort of CDOMD patients, indicating that the MPI profiles successfully distinguish among patients who may require extra psychosocial attention to achieve successful treatment gains and program completion.

Original languageEnglish
Pages (from-to)239-247
Number of pages9
JournalJournal of Occupational Rehabilitation
Volume23
Issue number2
DOIs
StatePublished - 1 Jun 2013

Keywords

  • Adaptive coping
  • Chronic disabling occupational musculoskeletal disorders
  • Dysfunctional coping
  • Interpersonal distressed
  • Multidimensional pain inventory
  • Psychosocial assessment

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