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PubMed1993

Feigning schizophrenic disorders on the MMPI-2: detection of coached simulators.

The Minnesota Multiphasic Personality Inventory (MMPI) and, more recently, its revised version (the MMPI-2) have represented the "gold standard" in the psychometric assessment of malingering and other response styles. In this study, we provide a stringent test of the MMPI-2 validity indices and their ability to detect feigned schizophrenia in four groups of simulators (n = 72). Simulators were randomly assigned to one of four conditions: (a) coached on symptoms of schizophrenia, (b) coached on strategies for the detection of fakers, (c) coached on both symptoms and strategies, or (d) uncoached. Simulators were compared to subjects responding under an honest condition (n = 13) and a comparison group of schizophrenic inpatients (n = 37). We found knowledge of strategies alone allowed many simulators (i.e., one third or more, depending on the validity indices) to elude detection. In contrast, knowledge of the disorder appeared less useful to simulators in avoiding detection. Coaching on both strategies and symptoms was not as effective as strategies alone. Consistent with previous studies, uncoached simulators were detected with moderately high levels of accuracy.

Adult↗
PubMed1993

MMPI assessment of the DSM-III-R histrionic personality disorder.

This study investigated the MMPI characteristics of a group of 25 Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) histrionic personality disorder patients, contrasted with a mixed group of 57 other personality disorder patients. All patients were diagnosed by means of a semistructured interview (SCID-II; Spitzer, Williams, & Gibbon, 1987). Effects for diagnostic category were found for MMPI Scales 9 (Ma), 0 (Si) and for the HST scale, developed by Morey, Waugh, and Blashfield (1985) for the diagnosis of the histrionic personality disorder. Further analysis of the results revealed that these MMPI scales, and especially the HST scale, mainly assess a social introversion-extraversion dimension, on which histrionic inpatients can be differentiated from nonhistrionic inpatients. This study does not offer direct empirical support for the use of the HST scale as a measurement of the DSM-III-R histrionic personality disorder concept.

Adolescent↗
PubMed1994

The development of the MMPI-A Immaturity Scale: findings for normal and clinical samples.

The Immaturity (IMM) Scale was developed as a supplementary scale for the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A). This study describes the development of the IMM Scale and presents some concurrent validity data derived from the MMPI-A normative sample of 1,620 adolescents and a clinical sample of 122 adolescent inpatients. The IMM Scale was examined in relation to Biographical and Life Events data to identify external correlates for the MMPI-A normative sample. In the clinical sample, external correlates were derived from diagnostic and rating form data provided by the adolescents' treatment staff and by their parents. Current findings were discussed in terms of the relationship of correlate patterns to descriptions of the preconformist and conformist stages of Loevinger's (1976) concept of ego development, and future research directions were suggested.

Adolescent↗
PubMed1994

Detecting malingered and defensive responding on the MMPI-2 in a forensic inpatient sample.

The purpose of this study was to examine the effectiveness of the various validity scales and indices on the MMPI-2 to detect malingered (fake-bad), and defensive (fake-good) responding. The entire sample consisted of 165 college students who completed the MMPI-2 under one of three conditions--fake-bad, fake-good, or respond honestly--and 173 forensic inpatients who completed the test as part of a routine evaluation. To detect faking-good and faking-bad, cutting scores for the validity scales and indices were established from the fake-good and fake-bad groups and were compared to the honest and patient groups. Corresponding sensitivity and specificity rates were then determined. Four validity indicators appeared to be moderately effective-at detecting fake-bad profiles: F, F--K, the MMPI-2 version of revised Gough Dissimulation Scale, and Wiener's Obvious-Subtle index, whereas the fake-good indicators were much less effective--only F--K and the Obvious-Subtle index appeared to have moderate utility.

Adolescent↗
PubMed1994

A short MMPI scale to identify people likely to begin smoking.

An item analysis of the Minnesota Multiphasic Personality Inventory (MMPI) was conducted to develop questionnaires that best discriminated (a) individuals who ever smoked versus those who never smoked and (b) ex-smokers from current smokers. The analyses were based on a sample of subjects who took the MMPI during 1964-1967 and reported their smoking status during 1987. Although no items distinguished individuals who quit versus continued to smoke, several items discriminated people who ever smoked from nonsmokers. These items formed two factors: Extraversion and Unconventionalism. These results provide support for the importance of extraversion, impulsivity, and antisocial tendencies as personality predictors of smoking initiation. The utility of this MMPI scale is discussed.

Adolescent↗
PubMed1994

Validity of the substance abuse scales of the MMPI-2 in a college student sample.

This study assessed the validity of three Minnesota Multiphasic Personality Inventory-2-based (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) substance abuse scales. The scales were the MacAndrew Alcoholism Scale-Revised (MAC-R; Butcher et al., 1989) and the recently developed Addiction Acknowledgment Scale and Addiction Potential Scale (AAS & APS; Weed, Butcher, McKenna, & Ben-Porath, 1992). Study participants were 308 male and female college students who completed the MMPI-2 and the substance use disorder modules of the Diagnostic Interview Schedule. The MAC-R and the APS had a nonsignificant-to-weak relationship with substance dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1980). The AAS had a moderate ability to identify the 33 study participants who met DSM-III-R criteria for a substance use disorder, primarily alcoholism. Broadening the definition of substance abuse to a continuum of alcohol/drug problems did not alter the character of findings. These results highlight the relative superiority of direct (AAS) versus subtle (APS, MAC-R) scales to detect substance dependence and support studies that question the overall utility of traditional MMPI scales to identify substance abuse.

Adolescent↗
PubMed1994

Correlations between the MMPI and the Scale for the Assessment of Positive Symptoms and the Scale for the Assessment of Negative Symptoms in schizophrenic patients.

Our study examined the relationship between the Minnesota Multiphasic Personality Inventory (MMPI) and the Scale for the Assessment of Positive Symptoms (SAPS; Andreason, 1984) and the Scale for the Assessment of Negative Symptoms (SANS; Andreason, 1983) in patients who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) diagnostic criteria for schizophrenia (n = 125). A significant correlation was found between the SAPS Delusions scale and Scale 6 (Paranoia), the SAPS Positive Thought Disorder Scale and Scale F (Infrequency), and the SAPS Positive Thought Disorder and Scale 9 (Hypomania). Additional analysis also shows, however, that severity of symptoms was the best predictor of MMPI scores. Consistent with previous studies, the MMPI appears useful for screening but not for the detailed evaluation of symptomatology of schizophrenic patients.

Adult↗
PubMed1994

Item level improvements for use of the MMPI with adolescents.

The decision to develop a separate adolescent form of the Minnesota Multiphasic Personality Inventory (i.e., the MMPI-A) raised questions about continued use of 20 original items that seemed unnecessarily ambiguous in content when employed with younger students (Ss). The responses of 362 academically gifted boys, aged 14 to 17 years, from an urban Catholic high school were compared on the experimental 704-item Form TX of the MMPI and a form containing 20 rewritten and 9 control items. The psychometric properties of the rewritten items indicated the same or better performance than that on the original versions while improving the items' face validity and reducing item ambiguity. Responses from 321 Ss to a follow-up questionnaire suggested eliminating offensive or irrelevant items and reducing the test's length would increase acceptance of the MMPI-A.

Adolescent↗
PubMed1995

Interrelationship between MMPI-2 and Rorschach variables in a sample of Vietnam veterans with PTSD.

We examined interrelationships between theoretically related MMPI-2 and Rorschach variables in a sample of Veterans Affairs outpatients with Posttraumatic Stress Disorder (PTSD). Subjects were 20 White Vietnam combat veterans diagnosed with PTSD who completed the Rorschach and MMPI-2 as part of a comprehensive evaluation. Correlations were calculated for variables in three groups: validity, depression and anxiety, and thought disturbance. Results showed strong relationships between m, MOR, and the Dramatic special score of the Rorschach and MMPI-2 indices of distress. Positive relationships were also found for some indicators of thought disturbance, whereas correlations for other depressive indicators were not significant. Findings are discussed with regard to implications for the clinical assessment of combat-related PTSD and future directions for assessment research.

Adult↗
PubMed1995

The North Carolina Dissociation Index: a measure of dissociation using items from the MMPI-2.

The development of a new measure of dissociation using items from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) is described. In Experiment 1, 525 college students were administered a measure of hypnotic susceptibility and completed several specialized measures of dissociation or dissociation-like experiences. The new measure, the North Carolina Dissociation Index (NCDI) demonstrated adequate internal consistency and good convergent validity. In Experiment 2, the NCDI demonstrated adequate internal consistency and test-retest reliability with a different sample of college students. Moreover, NCDI scores showed a relatively strong correlation with an interview-based measure of dissociative symptoms. In addition, a small sample of students with dissociative disorders had significantly higher NCDI scores than students with anxiety disorders and normal control subjects. In Experiment 3, 19 gang combat veterans were administered a semistructured diagnostic interview and the MMPI-2. Subjects who were diagnosed with Posttraumatic Stress Disorder (PTSD) scored significantly higher on the NCDI than subjects who did not have PTSD. The NCDI is intended primarily as a tool in settings where the MMPI-2 is routinely administered.

Adolescent↗
PubMed1995

Impact of simulating borderline personality disorder on the MMPI-2: a costs-benefits model employing base rates.

This investigation extends current work on the impact of role-specific response sets on dissimulated Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) profiles. Specifically, one group of subjects was given specific symptom information and instructed to simulate borderline personality disorder on the MMPI-2. This dissimulation performance was compared to a clinical comparison group of clients diagnosed with borderline personality disorder, a group of subjects instructed to simulate major depression, and a group of subjects who responded honestly to the MMPI-2. In both simulating conditions, subjects produced significantly higher elevations on a majority of clinical and validity scales than the clinical comparison group. A rigorous evaluation of the F scale was conducted to provide a range of predictive values for different F scale cutting scores for detecting malingering. Sensitivity, specificity, and positive and negative predictive power were computed for this range of F scale values. A similar analysis was conducted for the Borderline Personality Disorder Scale (BPDsc) of Morey, Waugh, and Blashfield (1985). These results are integrated with extant research. A costs-benefits model is proposed for employing F scale cutting scores in clinical situations with different base rates of malingering.

Adolescent↗
PubMed1996

MMPI differences among adolescent inpatients, rapists, sodomists, and sexual abusers.

This study examined Minnesota Multiphasic Personality Inventory (MMPI) responding among 61 adolescent sex offenders accused of Sexual Abuse (n = 22), Rape (n = 19), and Sodomy (n = 18) and 15 adolescents without a history of sexual offending admitted to an inpatient psychiatric unit. Results indicated significant differences between sex offenders and inpatients as well as among sex offender groups on both single-scale elevations and 2-point code types. Contrary to previous research, adolescents in the sex offender groups demonstrated significantly more psychopathology than those in the inpatient sample. Subjects in the Sodomy group achieved the highest clinical scale elevations and were more likely to have scales associated with significant psychopathology as one of their 2-point pairs. In general, increased psychopathology was associated with increased sexual deviancy. That is, subjects in the sexual offender groups evidenced more psychopathology than inpatients and the more deviant Sodomy and Rape groups evidenced more psychological disturbance on the MMPI than Sexual Abuser subjects. Results indicate that the MMPI can be useful in providing both quantitative and qualitative distinctions among adolescent sex offenders.

Adolescent↗
PubMed1996

Use of the MMPI-2 in the outpatient assessment of women with Anorexia Nervosa or Bulimia Nervosa.

Past research has shown that women with eating disorders commonly display clinical elevations on several scales of the Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1983), so the MMPI may be useful for the differentiation of women with Anorexia Nervosa from those with Bulimia Nervosa. In the study presented here, 116 women diagnosed with either Bulimia Nervosa or Anorexia Nervosa completed the Minnesota Multiphasic Personality Inventory-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989). Multivariate analyses failed to reveal any differences among the diagnostic subtypes. Consideration of profile code types was suggestive of possible group differences that mirror those discussed in previous literature on the personality features of women with eating disorders. Results are discussed with regard to past research and the clinical utility of the MMPI in the outpatient assessment of women with Anorexia Nervosa or Bulimia Nervosa.

Adult↗
PubMed1998

MMPI profiles of opiate addicts: predicting response to treatment.

Although many studies document the use of the MMPI to classify opiate users, the predictive validity of the resulting subgroups is rarely reported. In this study, we used cluster analysis to identify MMPI profile types that predicted differential response to methadone maintenance treatment. Participants (N = 151) completed MMPIs shortly after entry into treatment. Cluster analysis of MMPI scores produced four distinct subgroups that differed significantly in severity of psychosocial problems measured at admission and on the mean number of drug-free urine specimens submitted during the 24-week study period. Cluster 1 participants evidenced low levels of psychological disturbance, improved their urinalysis results over time, and submitted the most posttest drug-free urine specimens. Cluster 2 was the only other group that improved significantly over time, even though these patients were the most psychologically disturbed. The results suggest the relation between psychological problems and outcome may be more complex than is commonly assumed.

Analysis of Variance↗
PubMed1999

Comparative validity of the MMPI-2 Wiener-Harmon subtle-obvious scales in male prison inmates.

The Wiener-Harmon subtle-obvious MMPI subscales (Wiener, 1948; Wiener & Harmon, 1946) have been the subject of considerable debate. In this study, we examined the intercorrelations among full clinical scale T scores and their subtle and obvious subscales in an offender population. Low subtle to full-scale correlations were observed, suggesting that these items contribute little to full-scale scores. Further, we explored the criterion validity of the MMPI-2 subtle-obvious scales in this forensic sample. The results demonstrated that the obvious scales of the MMPI-2 had greater criterion validity than the subtle scales when compared to crime history data. Scores on the subtle subscales were unrelated to crime history. The Ma-O subscale demonstrated the strongest association to crime history data. The findings from this study add to a mounting body of evidence indicating that when respondents are in a position to understand item content, and can therefore provide a direct self-appraisal, responses are most predictive of clinical criteria.

Adult↗
PubMed1999

Taxometric analysis of impression management and self-deception on the MMPI-2 in child-custody litigants.

The typology of impression management (IM), a deliberate attempt to create a positive social image, and self-deceptive positivity (SDP), an unintentional concealment of symptoms, were examined using taxometric procedures with MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) underreporting scales in several custody-litigant samples. IM was identified as a taxon using several procedures and estimates of the base rate that were consistent (.40, .37, .31, .36, .37). SDP was better characterized as a dimensional construct. Means and estimated validities for MMPI-2 underreporting scales in this sample are reported. IM and SDP appear to be distinct and measurable underreporting constructs on the MMPI-2.

Adult↗
PubMed2000

The MMPI-2 in Perú: a normative study.

In this study, we compared a Peruvian normative group to the standard Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989b) U.S. normative sample. The MMPI-2 Hispanic Version was administered under standardized conditions to participants with a wide range of age, educational, occupational, and socioeconomic levels. Between the 2 samples, there was a high degree of similarity across most basic and supplementary scales. Elevations (Ts = 60-65) were found on Scale F for men and women and Scales Mf and MDS for women only. For both men and women, small elevations (Ts = 55-60) were found on several other scales. The differences were consistent with those found in other Latin American populations. The results of this study suggest that the adaptation of the MMPI-2 with the U.S. norms is appropriate for use in Perú.

Adult↗
PubMed2000

Effect of altered instructions on the MMPI-2 profiles of college students who are not motivated to distort their responses.

Research has shown that when the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) is administered with instructions designed to make people aware of the validity indexes and when people are encouraged to respond honestly rather than invalidate the test through defensiveness, their scores on validity scales suggest a more candid responding. Before such modified administration procedures can be broadly used to increase the validity of the MMPI (Hathaway & McKinley, 1943) profiles, it is necessary to have more information about the effect of the altered instructions on test performance of people in general. This study involved administering the MMPI-2 to a group of 218 "normals" (college students) with instructions that differed from traditional instructions. Specifically, the test instructions were altered to explain more about the test and the presence of validity scales to apprise participants that disingenuous responding can be detected. The responses of college students taking the test under altered instructions were compared with those of a similar sample of 150 college students who took the test under standard instructions. Although under altered conditions there was a statistically significant tendency for measures assessing defensiveness (L, K, and S) to be lower for some participants (women but not men), the differences were trivial. Modified instructions made little practical difference in test performance when people who were not motivated to deceive on the test were informed of the presence of validity checks on the test.

Adult↗