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Personality and Psychological Aspects of Spinal Disorders Yoshihito Sakai 1 , Yukihiro Matsuyama 1 , Manabu Goto 1 , Hisatake Yoshihara 1 , Taichi Tsuji 1 , Hiroshi Nakamura 1 , Naoki Ishiguro 1 1Department of Orthopaedic Surgery, Nagoya University School of Medicine Keyword: psychological aspect , 心理的側面 , personality , 性格 , spinal disorder , 脊椎疾患 pp.577-582
Published Date 2004/4/1
DOI https://doi.org/10.11477/mf.1408100433
  • Abstract
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 We administered the Maudsley Personality Inventory (MPI) and SF-36 preoperatively to 72 consecutive spinal disorder patients (33 men and 39 women;mean age, 46.6 years;range, 13 to 80 years) since January 2000. The spinal disoders consisted of spinal cord tumor (20 cases), spinal tumor (7 cases), spinal deformity (8 cases), cervical myelopathy (7 cases), lumbar spinal canal stenosis (6 cases), trauma (4 cases), Chiari malformation (4 cases), thoracic OPLL (4 cases), caries (2 cases), spinal cord herniation (2 cases) and others (8 cases). The spinal disorder patients were inclined to be introverted and prevaricate, and spinal tumor patients tended to be MPI-positive. The SF-36 scores of MPI-positive patients were generally lower than those of MPI-normal patients, and there are significant differences in SF and MH wihch represent mental health component. The postoperative improvement rate was 59.2% in the introversion type, 25.0% in neuroticism type, 71.8% in the adaptive and ongoing type, and-25.0% in emotional instability type, and there was significant difference between MPI-positive cases (38.9%) and MPI-normal cases (71.4%). The MPI is a useful means of evaluating the preoperative personality and psychological aspects of spinal surgery patient.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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