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Biomedical subjects

C W Freeman

Publications and source records attributed to C W Freeman.

10 recordsLinked to original sources
PubMed1979

Comparison of the utility of two abbreviated forms of the MMPI for psychiatric screening of the elderly.

Assessed the utility of the Faschingbauer Abbreviated MMPI (FAM) and MMPI-168 for use with the elderly. FAM and MMPI-168 items were extracted from the MMPIs of 24 older male veteran medical or alcoholic patients. The results indicate that both abbreviated forms are highly correlated with and yield similar diagnostic inferences to the standard MMPI. For this sample population, the FAM was significantly (p less than .001) more in accordance with the standard MMPI than the MMPI-168.

Aged↗
PubMed1978

Personality organization as an aspect of back pain in a medical setting.

The MMPI profiles of 74 low back pain patients who had previously been classified as "functional,""organic," or "mixed" were sorted into six profile groups. The six profile groups were those used by Pichot, Perse, Lekous, Dureau, Perez, and Rychewaert (1972); denial, "conversion V" without defensiveness, "conversion V" with defensiveness, depressed/anxious, psychotic and normal. Results indicate that all six profile types are well represented in the low back pain group. Evidence is also presented which shows that each of the pathological MMPI profile types examined across "functional," "organic," and "mixed" classification is significantly more elevated than a normal profile group on two scales (Lb, DOR) designed to measure functional aspects of pain. Pathological MMPI profile groups did not differ significantly from each other on the "functional" pain scales. The data presented in this study point to the relationship of various forms of psychopathology with "functional pain." The findings of this study would not support a homogeneous "pain personality" for low back pain patients. However, combined "conversion V" profiles accounted for 58% of the "functional" group, 45% of the "mixed" group and 35% of the "organic" group.

Adult↗
PubMed1977

Application of the Faschingbauer Abbreviated MMPI with alcoholic patients.

There is a need to examine the usefulness of an abbreviated form of the MMPI with alcoholic patients. The Faschingbauer Abbreviated MMPI (FAM) was administered to 225 male alcoholics. The correlations between the T-scores for the FAM and their full MMPI counterparts ranged from .761 to .919. Examination of the high-point code for each FAM-MMPI pair yielded 52.89% with identical high-point codes. A comparison between the MMPI and the FAM pairs showed that 78% of the profiles had the same number of scales with T-score above 70 plus or minus one scale. The authors suggest that when a full MMPI administration is not feasible, the FAM is a valid substitute for alcoholic populations.

Adult↗
PubMed1977

Application of the somatization factor of the MMPI-168 with low back pain patients.

The usefulness of the Somatization factor of the MMPI-168 with low back pain patients was examined in two separate studies. In study 1, 58 male veteran low back pain patients who had been divided into organic and mixed groups served as Ss. MMPI protocols were rescored for the five factors of Overall, Hunter, and Butcher (1973). The organic and mixed groups differed only on the Somatization factor. A cutting score of raw greater than or equal to 8 (T = 75) was determined to classify the sample correctly 74.5% of the time. In study 2, a second sample of 48 male veteran low back pain patients was divided into mixed, organic, and functional groups. The mixed group was subdivided further into a mixed-pain group who still were having pain and were seeking treatment and a mixed-relief group who were experiencing a reduction of pain and were returning to vocational activities. The functional and mixed-pain groups differed from the organic and mixed-relief groups on the Somatization and Depression factors. The cutting score determined in the study 1 correctly classified patients 83% of the time.

Adjustment Disorders↗
PubMed1977

Psychological correlates of survival on renal dialysis.

The Minnesota Multiphasic Personality Inventory was administered to 47 male patients on the Renal Dialysis Unit at the Seattle VA Hospital. The patients were divided into three survival groups for comparison. Group A died within 1 year of initiating dialysis. Group B had been alive on dialysis between 3 and 7 years, while group C had been alive between 7 and 10 years at the time of data analysis. Group A differed significantly from group B on the Hs, D, and Hy scales, and from group C on the F, Hs, D, and Pt scales. Interpretation of the mean MMPI profiles implies that persons in group A are characterized by feelings of helplessness, high levels of depression, anxiety, and preoccupation with somatic difficulties, whereas those in groups B and C tended to be dependent, have mild levels of depression, and have a sense of hopefulness about the future. The authors suggest that psychiatric intervention might increase the longevity of those patients judged to be moderately to severely depressed with somatic preoccupations.

Adult↗
PubMed1977

Predicting alcohol treatment program drop-outs.

The feasibility of using psychological tests to predict patient drop-outs from an alcohol treatment program was studied. Eighty-four alcoholic male veterans being treated in an inpatient program were administrered the Rotter Locus of Control scale (I-E) and the MMPI-168 at the beginning of the treatment. Those patients who completed an 8 week inpatient program and a one year outpatient program were compared to those patients who completed the inpatient phase, but dropped out during the outpatient phase on the five MMPI-168 factors and the total I-E score. The two groups differed significantly only on the I-E. The data was also subjected to a discriminant analysis to generate a prediction equation. The prediction equation correctly classified 82% of the drop-outs.

Adult↗
PubMed1976

Relationship between psychopathology, experienced control and perceived locus of control: in search of alcoholic subtypes.

Alcoholic Ss were categorized into four subtypes based upon differential levels of perceived locus of control and experienced control. The relationship between generalized psychopathology, as measured by the MMPI, and subtype classification was investigated. Alcoholics with an internal locus of control and high levels of experienced control exhibited the least psychopathology. The greatest degree of psychopathology was found among Ss with an external locus of control and minimal levels of experienced control. The implications of these results with respect to psychosocial functioning and drinking behavior among alcoholic subgroups were discussed.

Adult↗
PubMedDate not supplied

Patient selection for lumbar discectomy. An objective approach.

A reproducible method is presented for selecting patients with low-back pain and sciatica for lumbar discectomy based on specific objective criteria in four categories: neurologic signs, sciatic tension signs, personality factors (MMPI scores), and lumbar myelography. Operative findings for 50 consecutive cases selected using this method revealed complete nucleus pulposus herniation in 43 cases. This contrasts with complete herniation in only 5 of 26 patients undergoing lumbar discectomy before the method was employed. This objective preoperative evaluation method reduced negative disc explorations and improved early surgical results. We recommend its use for patients being considered for elective lumbar discectomy.

Adolescent↗