TY - JOUR
T1 - The Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) and Patient-Reported Outcomes Measurement Information System–29 (PROMIS-29) Comparison Study
T2 - Assessing for PROMIS-29 Depression and Anxiety Psychopathologic Cutoff Values Amongst Patients Undergoing Elective Complex Spine Procedures
AU - Kenfack, Yves Jordan
AU - Mofor, Paula Marie
AU - Christian, Zachary
AU - Barrie, Umaru
AU - Dosselman, Luke
AU - Stewart, Nickolas
AU - Johnson, Zachary D.
AU - Dodds, Jeffrey
AU - Hall, Kristen
AU - Aoun, Salah G.
AU - Bagley, Carlos A.
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/8
Y1 - 2022/8
N2 - Objective: The Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) and the Patient-Reported Outcomes Measurement Information System–29 (PROMIS-29) are used to assess patient psychology, pain, and quality of life. As psychological factors, such as depression and anxiety, are associated with poor perioperative outcomes, we aim to translate MMPI-2-RF values to PROMIS-29 scores and establish cutoff values for PROMIS-29 anxiety and depression domains that might warrant attention preoperatively. Methods: Seventy adult patients scheduled for an elective spinal surgery between July 2018 and February 2020 who completed both the MMPI-2-RF and PROMIS-29 preoperatively at a single institution were reviewed. Results: Patients with MMPI-2-RF scores of 65 or greater (the cutoff for psychopathology) in the emotional/internalizing dysfunction scale (4.29%) had an average PROMIS-29 depression score of 14.33, which is significantly higher than the control group's (<65 score) 8.49 score (P = 0.04). Similarly, those demonstrating psychopathology on the demoralization (4.29%) and helplessness/hopelessness (4.29%) scales had average PROMIS-29 depression scores significantly higher than the control group's averages (15.33 vs. 8.45, P = 0.02 and 14.33 vs. 8.49, P = 0.04, respectively). Patients with an MMPI-2-RF score of 65 or greater on the emotional/internalizing dysfunction (4.29%), stress/worry (10.00%), and anxiety (7.14%) scales had average PROMIS-29 anxiety domain scores of 15, 15, and 15, respectively, which were significantly greater than that of the control group's scores (8.94, P = 0.04; 8.75, P = 0.004; and 8.55, P < 0.001, respectively). Conclusions: PROMIS-29 scores of 15 or greater on the depression and anxiety domains may have psychopathologies that warrant addressing, given their increased likelihood of having poor outcomes.
AB - Objective: The Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) and the Patient-Reported Outcomes Measurement Information System–29 (PROMIS-29) are used to assess patient psychology, pain, and quality of life. As psychological factors, such as depression and anxiety, are associated with poor perioperative outcomes, we aim to translate MMPI-2-RF values to PROMIS-29 scores and establish cutoff values for PROMIS-29 anxiety and depression domains that might warrant attention preoperatively. Methods: Seventy adult patients scheduled for an elective spinal surgery between July 2018 and February 2020 who completed both the MMPI-2-RF and PROMIS-29 preoperatively at a single institution were reviewed. Results: Patients with MMPI-2-RF scores of 65 or greater (the cutoff for psychopathology) in the emotional/internalizing dysfunction scale (4.29%) had an average PROMIS-29 depression score of 14.33, which is significantly higher than the control group's (<65 score) 8.49 score (P = 0.04). Similarly, those demonstrating psychopathology on the demoralization (4.29%) and helplessness/hopelessness (4.29%) scales had average PROMIS-29 depression scores significantly higher than the control group's averages (15.33 vs. 8.45, P = 0.02 and 14.33 vs. 8.49, P = 0.04, respectively). Patients with an MMPI-2-RF score of 65 or greater on the emotional/internalizing dysfunction (4.29%), stress/worry (10.00%), and anxiety (7.14%) scales had average PROMIS-29 anxiety domain scores of 15, 15, and 15, respectively, which were significantly greater than that of the control group's scores (8.94, P = 0.04; 8.75, P = 0.004; and 8.55, P < 0.001, respectively). Conclusions: PROMIS-29 scores of 15 or greater on the depression and anxiety domains may have psychopathologies that warrant addressing, given their increased likelihood of having poor outcomes.
KW - Anxiety
KW - Depression
KW - MMPI-2-RF
KW - PROMIS-29
KW - Patient-reported
KW - Psychology
KW - Spine
UR - http://www.scopus.com/inward/record.url?scp=85131803020&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85131803020&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2022.05.069
DO - 10.1016/j.wneu.2022.05.069
M3 - Article
C2 - 35618234
AN - SCOPUS:85131803020
SN - 1878-8750
VL - 164
SP - e908-e914
JO - World neurosurgery
JF - World neurosurgery
ER -