Yonsei Med J.  2013 Jul;54(4):813-818. 10.3349/ymj.2013.54.4.813.

Psychopathological Influence of Lumbar Disc Herniation in Male Adolescent

• Kim TW
• Oh CH
• Shim YS
• Yoon SH
• Park HC
• Park CO

• KMID: 2158212
• DOI: http://doi.org/10.3349/ymj.2013.54.4.813

Abstract

PURPOSE
There is no report about psychopathological effect causing by disc herniation. The disease could impose psychopathological influence on the social life, the treatment period, and response to the treatment. This study was to evaluate retrospectively the psychopathological influence of lumbar disc herniation (LDH) among Korean 19-year-old males.
MATERIALS AND METHODS
We compared the Korean military multiphasic personality inventory (KMPI) profiles of 74 LDH cases with the KMPI profiles of 150 controls. The LDH groups were categorized to 2 groups according to the presence of thecal sac compression by disc materials, and evaluated the relation between the KMPI and LDH.
RESULTS
The decrease of the faking-good response scale and increase of the faking-bad response scale were observed more in the LDH group than in the normal volunteer group (p<0.05). The neurosis set such as anxiety, depression and somatization was markedly increased in the LDH group compared to the normal volunteers group (p<0.05). The scale of personality disorder was also increased more in the LDH group (p=0.002). The differences of KMPI scales were not correlated with the severe pathology of LDH.
CONCLUSION
Young male with LDH may tend to have more abnormal results of multiphasic personality inventory test compared to the normal volunteers, suggesting that LDH may be related to the psychopathology in young males in Korea. Therefore, clinicians are recommended to evaluate and treat the psychopathological aspects in patients with LDH.

Keyword

Lumbar disc herniation; multiphasic personal inventory; psychopathology; lumbar disc herniation; conscription

MeSH Terms

Adolescent
Anxiety
Case-Control Studies
Depression
Humans
Intervertebral Disc Displacement/*psychology
Lumbar Vertebrae/pathology
Male
*Personality Assessment
Personality Inventory
Retrospective Studies

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