REPORT
Disclaimer
The Pain Symptom Ratings Version 2.0 (PSR) was designed to aid in the differential diagnosis of psychological determinants of pain and pain-related impairment including mood, adjustment, personality, response bias, and symptom distortion. PSR subscales were derived on the basis of statistical analyses of the responses of over 13000 chronic pain patients ranging in age between 16 and 89 years. Reliability and validity data are outlined in the technical manual. Despite the evidence supporting the reliability and validity of this test, diagnostic and/or treatment decisions should not be made solely on the basis of the results and narrative provided in this report. Additionally, the narrative and example interpretations should not be considered complete and absolutely true for all patients. PSR results should be interpreted by professionals licensed to diagnose pain and painful medical conditions, and weighed against other aspects of the patient's presentation including the nature and severity of the injury, normal recovery rates, co-morbid medical conditions known to influence recovery, objective evidence of ongoing physical illness and impairment, demographics, and motivation.
| Patient ID | Birth date | Sex | Marital Status | Children | Date of Injury | Date Tested | Injured at Work |
|---|---|---|---|---|---|---|---|
| 09-14-24-57 | Lorem | Lorem | Lorem | Lorem | Lorem | Lorem | Lorem |
| Injured in MVC | Other's Negligence: |
|---|---|
| 09-14-24-57 | Lorem |
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| RESULTS | Disciminant Analysis |
|---|---|
| Validity | Cluster = 1 |
Discriminant analysis of the examinees's Clinical Scales shows possible signs of SYMPTOM
MINIMIZATION. Scores on the validity scales should be reviewed for confirmation.
1. The clinical profile was analyzed for latent content using a clustering function
derived from a statistical analysis of approximately 13000 chronic pain patients.
Overall, individuals with similar profiles tend to obtain high scores on the MIN
(Minimizing) and NTR (Neutral Responding) scales and low scores on the COM (Common
Symptoms) and FRE (Frequent Symptoms) scales. As such, the results indicate that the
overall profile may have been skewed by a tendency to endorse symptoms at the low end of
the scale. This cluster is characterized by low scores on all PSR Clinical Scales,
particularly ACT (Activity Interference). Individuals in this cluster tend to obtain
elevated scores on concurrent measures of social desirability (e.g., MCMI3-Y, MMPI2-L,
16PF-IM), and average scores on measures of forced-choice recognition (e.g., TOMM, WAIS4
Word Choice), general intellectual ability (Full Scale IQ), and academic achievement.
They tend to report few somatic symptoms, and symptoms in fewer organ systems than other
chronic pain patients. Their scores on measures of somatic preoccupation, anxiety,
depression, cognitive impairment, stress, and pathological personality, tend to be
average but lower than those of other chronic pain patients. Their scores on measures of
treatment rejection tend to be average but higher than other chronic pain patients. On
measures of normal personality, they tend to report relatively higher levels of
emotional stability, rule consciousness, perfectionism, extroversion, and
tough-mindedness, and relatively lower levels of abstractedness, apprehension,
self-reliance, and anxiety. On measures of emotional functioning (e.g., EQi2), they tend
to report relatively higher levels of self-regard, assertiveness, and stress tolerance,
and relatively lower emotional self-awareness, impulse control, and flexibility.
Figure 1. Response Set Scores (T Scores). Examinee
Acronyms: INF (Infrequent Symptoms), COM (Common Symptoms), FRE (Frequent Symptoms), MIN (Minimizing), NTR (Neutral Responding), MAX (Maximizing), EXT (Extreme Responding), INC (Inconsistent Responding), MIS (Missing Items).
Figure 2. Primary Scale Scores (T Scores)
Acronyms: EMO (Emotional Distress), NON (Non-Organic Symptoms), ACT (Activity Interference), NEU (Neurogenic/Acute Pain), STP (Soft Tissue/Chronic Pain), CAT (Catastrophic Thinking), FOR (Fear of Re-Injury), PTR (Poor Treatment Response), SOC (Social Anxiety), DIS (Social Disbelief), LMC (Lack of Medical Comprehensiveness)..
Figure 3. EMO and NON Subscale Scores (T Scores)
Acronyms: DEP (Depression), ACU (Acute Emotional Distress), FAT (Fatigue), ABS (Absurd Symptoms), ATY (Atypical Symptoms).
Figure 4. Predicted Physical Symptoms (% Change)
Acronyms: HEA (Head), EYE (Eyes), EAR (Ears), NOS (Nose), MOU (Mouth), LYM (Lymphatic), PUL (Pulmonary), BRE (Breasts), CAR (Cardiac), VAS (Vascular), GAS (Gastrointestinal), DIE (Diet), END (Endocrine), GEN (Genitourinary), MUS (Musculoskeletal), NEU (Neurological), PSY (Psychiatric), SOM (% Change in Overall Symptoms).
Figure 5. Predicted PAI Scores (T Scores)
Acronyms: HEA (Head), EYE (Eyes), EAR (Ears), NOS (Nose), MOU (Mouth), LYM (Lymphatic), PUL (Pulmonary), BRE (Breasts), CAR (Cardiac), VAS (Vascular), GAS (Gastrointestinal), DIE (Diet), END (Endocrine), GEN (Genitourinary), MUS (Musculoskeletal), NEU (Neurological), PSY (Psychiatric), SOM (% Change in Overall Symptoms).
Figure 6. Predicted MCMI-3 Scores (Base Rate)
Acronyms: X (Disclosure), Y (Desirability), Z (Debasement), 1 (Schizoid), 2A (Avoidant), 2B (Depressive), 3 (Dependent), 4 (Histrionic), 5 (Narcissistic), 6A (Antisocial), 6B (Aggressive), 7 (Compulsive), 8A (Passive-Aggressive), 8B (Self-Defeating), S (Schizotypal), C (Borderline), P (Paranoid), A (Anxiety), H (Somatoform), N (Bipolar), D (Dysthymia), B (Alcohol Dependence), T (Drug Dependence), R (PTSD), SS (Thought Disorder), CC (Major Depression), PP (Delusional Disorder).
Figure 7. Predicted 16PF Scores (T Scores)
Acronyms: EQI (Total EI), SP-C (Self Perception Composite), SR (Self Regard), SA (Self Actualization), SW (Self Awareness), SE-C (Self Expression Composite), EE (Emotional Expression), A (Assertiveness), I (Independence), IN-C (Interpersonal Composite), IR (Interpersonal Relationships), E (Empathy), SR (Social Responsibility), DM-C (Decision Making Composite), PS (Problem Solving), RT (Reality Testing), IC (Impulse Control), SM-C (Stress Management Composite), F (Flexibility), ST (Stress Tolerance), O (Optimism), H (Happiness).
Figure 8. Predicted EQI Scores (Standard Score)
Acronyms: EQI (Total EI), SP-C (Self Perception Composite), SR (Self Regard), SA (Self Actualization), SW (Self Awareness), SE-C (Self Expression Composite), EE (Emotional Expression), A (Assertiveness), I (Independence), IN-C (Interpersonal Composite), IR (Interpersonal Relationships), E (Empathy), SR (Social Responsibility), DM-C (Decision Making Composite), PS (Problem Solving), RT (Reality Testing), IC (Impulse Control), SM-C (Stress Management Composite), F (Flexibility), ST (Stress Tolerance), O (Optimism), H (Happiness).
Figure 8. Predicted EQI Scores (Standard Score)
Figure 9. Predicated CWPI Scores
(Percentile Score).
RESPONSE BREAKDOWN
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