Comparison of premorbid and postinjury mmpi-2 profiles in late postconcussion claimants

Clin Neuropsychol. 2001 May;15(2):162-70. doi: 10.1076/clin.


A comparison of premorbid and postinjury MMPI-2 profiles was performed in 23 patients with mild cranial/cervical injuries. All claimants attributed major personality change to their injuries during the course of compensation-related neuropsychological examinations. Their premorbid MMPI-2 profiles were all abnormal and the modal code-type indicated somatoform psychopathology. The post-accident MMPI profiles showed continuous somatization trends, but they unexpectedly showed (a) increased defensiveness and (b) a general decrease in global psychopathology. The findings did not support an 'eggshell plaintiff' theory of chronic postconcussive complaints. The view that chronic postconcussive complaints require a wider focus on non-neuropsychological factors is enhanced.

MeSH terms

  • Accidents, Traffic / legislation & jurisprudence
  • Adult
  • Brain Injury, Chronic / diagnosis*
  • Brain Injury, Chronic / psychology
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Humans
  • Insurance Claim Review / legislation & jurisprudence
  • Insurance, Accident / legislation & jurisprudence
  • MMPI / statistics & numerical data*
  • Male
  • Malingering / diagnosis
  • Malingering / psychology
  • Psychometrics
  • Psychopathology
  • Reproducibility of Results
  • Somatoform Disorders / diagnosis*
  • Somatoform Disorders / psychology