Abstract
Objectives
The aim of this study was to identify associations between pneumo- or hemo-thorax presence and psychological distress in young males by using the Military Multiphasic Personality Inventory (MPI) test.
Methods
A retrospective cross-sectional study was conducted on data from 19-year-old examinees that were admitted to the Military Manpower Administration in Korea between February 2009 and January 2010. A total of 1955 young males were enrolled in this study. Among them, a normal volunteer control group (n=1561) included individuals without a pneumo- or hemo-thorax. The pneumo- or hemo-thorax group (n=394) included individuals with a pneumo- or hemo-thorax. The latter group was divided into two subgroups : Group A (treated with conservative care or chest tube insertion, n=341) and Group B (treated with wedge resection, n=53).
Results
We compared each of three groups (Control group, Group A, Group B) by using covariance analysis. The somatization subscale score within the neurosis category was significantly higher in Group A (p<0.001) than in the Control group, and there was a tendency toward a higher somatization score in Group B than in the Control group (p=0.073). The other score categories (validity scale ; anxiety, depression, and personality disorder subscales for neurosis scale ; and psychopath scale) showed no significant differences among the three tested groups.
Conclusion
Conservative care or chest tube insertion group was associated with higher somatization symptom scores than that in the control group. The wedge resection group had a tendency toward a higher somatization score than that in the control group. The result indicate that individuals with a history of pneumo- or hemo-thorax may be more concerned about their body shape and/or general condition than those without such a history. Supportive intervention and psychiatric education approaches may be useful in relieving somatic distress.
Figures and Tables
Table 2
* : Statistically significant between groups (p<0.05). Group A : Treated with conservative care or chest tube insertion, Group B : Treated with wedge resection, a : Control, b : Group A, c : Group B, FG : Faking good, FB : Faking bad, INF : Infrequency, AX : Anxiety, DEP : Depression, SOM : Somatization, PD : Personality disorder, SCZ : Schizophrenia, PA : Paranoia
References
1. Tschopp JM, Rami-Porta R, Noppen M, Astoul P. Management of spontaneous pneumothorax: state of the art. Eur Respir J. 2006; 28:637–650.
3. Broderick SR. Hemothorax: etiology, diagnosis, and management. Thorac Surg Clin. 2013; 23:89–96. vi–vii.
4. Ohmori K, Ohata M, Narata M, Iida M, Nakaoka Y, Irako M, et al. [28 cases of spontaneous hemopneumothorax]. Nihon Kyobu Geka Gakkai Zasshi. 1988; 36:1059–1064.
6. Marx J. Rosen's emergency medicine: concepts and clinical practice. 7th ed. Philadelphia, PA: Mosby/Elsevier;2010. p. 393–396.
7. Lim HK, Yoon SH, Oh CH, Choo SH, Kim TH. The impact of primary spontaneous pneumothorax on multiphasic personal inventory test results in young South Korean males. Yonsei Med J. 2012; 53:901–905.
8. Eryigit H, Ozkorumak E, Unaldi M, Ozdemir A, Cardak ME, Ozer KB. Are there any psychological factors in male patients with primary spontaneous pneumothorax? Int J Clin Exp Med. 2014; 7:1105–1109.
9. Lee SH, Choi H, Kim S, Choi TK, Lee S, Kim B, et al. Association between anger and first-onset primary spontaneous pneumothorax. Gen Hosp Psychiatry. 2008; 30:331–336.
10. Martín Martín M, Cuesta Serrahima L, Rami Porta R, Soler Insa P, Mateu Navarro M. [Study of the personality of patients with spontaneous pneumothorax]. Arch Bronconeumol. 2001; 37:424–428.
11. Wolf EJ, Miller MW, Orazem RJ, Weierich MR, Castillo DT, Milford J, et al. The MMPI-2 restructured clinical scales in the assessment of posttraumatic stress disorder and comorbid disorders. Psychol Assess. 2008; 20:327–340.
12. Won HT, Han DW, Sin ES, Park KB, Lee YH, Yuk SP. Final report on development study of military personality inventory. Seoul: Korean Psychological Association;1998.
13. Lee JG, Nam WM. The evaluation of the Korean military personality inventory. Korean Psychological Association Annual Conference. Seoul: Korean Psychological Association;2006. p. 466–467.
14. Lee JG, Nam WM, Park JH, Lim HS, Yoon HH, Han JH. The relationship between the KMPI and the military personality inventory. Korean Psychological Association Annual Conference. Seoul: Korean Psychological Association;2006. p. 464–465.
15. Kim T, Kim JJ, Kim MY, Kim SK, Roh S, Seo JS. A U-shaped association between body mass index and psychological distress on the Multiphasic Personality Inventory: retrospective cross-sectional analysis of 19-year-old men in Korea. J Korean Med Sci. 2015; 30:793–801.
16. van Balen HG, de Mey HR, van Limbeek J. A neurocorrective approach for MMPI-2 use with brain-damaged patients. Int J Rehabil Res. 1999; 22:249–259.
17. Wetzel RD, Guze SB, Cloninger CR, Martin RL, Clayton PJ. Briquet's syndrome (hysteria) is both a somatoform and a “psychoform” illness: a Minnesota Multiphasic Personality Inventory study. Psychosom Med. 1994; 56:564–569.
18. Comrey AL. A factor analysis of items on the MMPI hypochondriasis scale. Educ Psychol Meas. 1957; 17:566–577.
19. O'Connor JP, Stefic EC. Some patterns of hypochondriasis. Educ Psychol Meas. 1959; 19:363–371.