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Diagnostic Change and Personality Stability Following Functional Restoration Treatment in Chronic Low Back Pain Patients

Jeffrey R. Vittengl

Lee Anna Clark

University of Iowa

Erin Owen-Salters

Robert J. Gatchel

University of Texas, Southwestern Medical Center at Dallas

This study examined personality pathology in a group of patients with chronic low back pain (CLBP) using both diagnostic interviews and dimensional self-report instruments. A group of CLBP patients (N = 125) was assessed before functional restoration treatment and compared with a matched normal comparison group (N = 75). The CLBP group evidenced broad personality pathology in all assessment modes pretreatment relative to the normal comparison sample. In addition, two subsamples of CLBP patients (n = 49 and n = 56) were assessed after treatment. Reductions in personality pathology between pre- and posttreatment assessments were more pronounced for diagnostic interview than dimensional self-report assessments. These results are discussed in the context of personality assessment and CLBP.

Key Words: Chronic pain • personality assessment • personality disorder • personality inventories • trait dimensions

Assessment, Vol. 6, No. 1, 79-91 (1999)
DOI: 10.1177/107319119900600109
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