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MMPI-2 with Mexican psychiatric inpatients: basic and content scales.

This paper presents the results of a study of the Mexican Spanish version of the MMPI-2 with a clinical sample of 233 patients who were diagnosed as having psychological disturbances or personality disorders, according to DSM-III R criteria. Inpatient scores were obtained from four psychiatric hospitals, located in Mexico City. The scores of the patients were compared with those of Mexican college students, which is the largest Mexican normative sample collected to date, consisting of 813 men and 1,137 women. Results of this study show that the MMPI-2 can accurately differentiate between normal and non-normal groups in Mexican populations and demonstrate that the inventory maintains its construct validity in this clinical sample.

Adolescent↗

Psychiatric inpatients and the MMPI-2: providing benchmarks.

The second edition of the Minnesota Multiphasic Personality Inventory (MMPI-2: Butcher & Williams, 1992) has become the standard instrument for assessing individuals in a variety of settings, including inpatient psychiatric facilities (Piotrowski, 1997). This study reports on the responding of 516 adult psychiatric inpatients on an acute-care inpatient unit who were administered the MMPI-2 after they were referred for diagnostic testing. Base-rate responding, two-point code frequencies, and gender- and race-based responding are reported. Differences in gender and race responding are noted to coincide with differences in psychiatric diagnosis for those groups. The importance of having base rates for an inpatient sample is discussed. In particular, it is noted that the high levels of endorsement that are characteristic of this population can be difficult to interpret without access to inpatient comparison profiles.

Adolescent↗

Validation of a brain-damage vs. schizophrenia MMPI key.

Since neuropsychologic tests largely have failed to separate schizophrenic from brain-damaged patients, an MMPI key was constructed to make such a separation. When cross-validated, this key provided a 76% correct separation and achi2 significant beyond the .001 level for 50 schizophrenic and 50 brain-damaged profiles. Neuropsychologic tests should be used to separate normals from brain-damaged patients and the MMPI to separate schizophrenic from brain-damaged patients.

Adjustment Disorders↗

The MMPI in the differential diagnosis of organicity vs. schizophrenia: empirical findings and a somewhat different perspective.

Watson's MMPI Scale for differentiating organicity from schizophrenia was found to correlate significantly with the MMPI Schizophrenia Scale and was found not to differentiate significantly better than the Schizophrenia Scale for the two patient groups under consideration. Watson's general approach of using personality measures for such differential diagnosis was lauded, although doubt that his scale is superior to other methods of diagnosing schizophrenia was expressed.

Brain Damage, Chronic↗

Reliability of the Maxi-Mult and scale equivalence with the MMPI.

Forty chronic male alcoholic inpatients completed the MMPI and separately administered Maxi-Mult in a counterbalanced presentation order after a 3-day interval. Neither the intracorrelations among the Maxi-Mult scales nor the intercorrelation coefficients between the short and standard scales were affected by presentation order. High intercorrelations of the standard MMPI scales with the Maxi-Mult scales were found for both the separately administered and the embedded forms; coefficients tended to be higher for the embedded Maxi-Mult. Both the test-retest reliability of the Maxi-Mult and the stability of the short vs. standard-scale correlation coefficients were adequate. The economical length and the response mode of the Maxi-Mult suit it for use as a research instrument to assess group performance. A hostility scale also tested during this study was found to have a high test-retest reliability coefficient.

Adult↗

Frequency of MMPI two-point codes in a large alcoholic sample.

The MMPI two-point codes of 1,009 male Caucasian inpatient alcoholics were examined. Although the mean profile was 4-2, analysis of individual profiles revealed that 79% of the profiles were classified differently from the mean profile. These findings indicate that alcoholics are a heterogeneous group with respect to the MMPI. Some of the most frequently occurring codetypes seem to be associated with widely different behavioral descriptions, which leads to the inference that alcoholics are heterogeneous with respect to personality characteristics as well.

Adult↗

Further evidence that concerns the validity of an MMPI key for separation of brain-damaged and schizophrenic patients.

This study attempted to cross-validate an MMPI Key for the separation of brain-damaged and schizophrenic inpatients. MMPI profiles generated by 20 males with a variety of documented brain dysfunctions were compared to those of 20 heterogenous male schizophrenics. The groups were matched on the variables of age and education. The procedure provided 82.5% correct classification, which included 85% correct schizophrenic identification and 80% correct brain-damage identification. The Key was recommended for use as a rough screening device or as a supplement to appropriate neuropsychological procedures.

Adult↗

Personality patterns of drug abusers as shown by MMPI profiles.

MMPI and 16 PF patterns of a group of drug abusers who were participating in a voluntary VA Drug Abuse Program were investigated. The MMPI profiles of 91 male veterans who ranged in age from 18-45 years were classified according to two-point code types. A comparison was made of the most frequently occurring code types among drug abusers, medical patients, and psychiatric patients. The two modal profile types among drug abusers were the 4-9/9-4 and the 2-4/4-2, which accounted for 32% of the sample. An additional comparison between the two modal types and responses to the 16 PF was made. Results indicate a closer resemblance to psychiatric patients than to medical patients, and the variety of high point code types is discussed. The similarity between the present sample of modal code types with research on drug abusers undertaken 20 years previously also is discussed.

Adolescent↗

Application of the somatization factor of the MMPI-168 with low back pain patients.

The usefulness of the Somatization factor of the MMPI-168 with low back pain patients was examined in two separate studies. In study 1, 58 male veteran low back pain patients who had been divided into organic and mixed groups served as Ss. MMPI protocols were rescored for the five factors of Overall, Hunter, and Butcher (1973). The organic and mixed groups differed only on the Somatization factor. A cutting score of raw greater than or equal to 8 (T = 75) was determined to classify the sample correctly 74.5% of the time. In study 2, a second sample of 48 male veteran low back pain patients was divided into mixed, organic, and functional groups. The mixed group was subdivided further into a mixed-pain group who still were having pain and were seeking treatment and a mixed-relief group who were experiencing a reduction of pain and were returning to vocational activities. The functional and mixed-pain groups differed from the organic and mixed-relief groups on the Somatization and Depression factors. The cutting score determined in the study 1 correctly classified patients 83% of the time.

Adjustment Disorders↗

Use of the MMPI to predict effective hotline workers.

The present study investigated the use of the MMPI to discriminate between two groups of hotline volunteers: those who after training would become effective interviewers and those who would not. Effective interviewers were defined as those who emitted 40% or more good responses when they were responding to a crisis call. The criterion measure employed was the Therapist Error Checklist. When a specification equation based on standard MMPI scales was used, 91% of effective interviewers and 90% of ineffective interviewers were identified correctly.

Counseling↗

Psychological mindedness, intelligence, and item subtlety endorsement patterns on the MMPI.

Investigated the relationship between psychological mindedness (measured by the Psychological Mindedness [Py] scale of the California Psychological Inventory [CPI]), intelligence (estimated by American College Test [act] scores), and item subtlety endorsement patterns of Ss asked to answer the MMPI under standard, fake-good, and fake-bad response sets. Male (N equal to 30) and female (N equal to 30) undergraduate students completed the Py scale and two MMPI protocols--one under standard test-taking instructions and the other under either a fake-good or a fake-bad set with order of administration and sex counterbalanced. Under the standard response set, Ss who scored high on the CPI-Py endorsed more very subtle and somewhat subtle items and fewer neutral, somewhat obvious, and very obvious items than Ss who scored low on this scale. Intellectual ability was not related to the endorsement of subtle or obvious items under standard or fake-good response sets. Under instructions to fake-bad, more intelligent individuals endorsed fewer somewhat subtle items and more very obvious items than less intelligent individuals. These results were discussed in reference to the utility of subtle items as unobstrusive measures of personality or as indicators of certain response sets.

Adolescent↗

Behavioral correlates for within-normal-limit MMPI profiles with and without elevated K in students at a university mental health center.

Young adults who were attending a college student mental health center and who obtained MMPI profiles with clinical scales within normal limits with and without elevated K were compared to all other patients at the center on 175 descriptors obtained from intake interviews. Those items that discriminated (x2, p less than .05) students who obtained these profile types from others are reported as tentative MMPI interpretive correlates for patients in similar settings. Correlates ranged from those indicative of situational difficulties to serious psychopathology, and clear sex differences were present. It is concluded that within-normal-limit profiles do not indicate psychological normality when they occur in such a setting and that useful interpretive information can be identified for these, as well as clinically elevated profile types.

Adolescent↗

MMPI correlates of looking left or right during mental tasks.

Correlated directionality of eye movements during mental tasks with MMPI profiles of 22 women and 16 men evaluated for mild neurotic disorder. Directionality of eye movements was correlated with MMPI scales at above chance levels, which suggests that the phenomenon of eye movement directionality relates to objective measures of personality.

Adult↗

Behavioral correlates of infrequent two-point MMPI code types at a university mental health center.

Presented interpretive correlates for 95 college students who were seeking mental health services and who generated the following infrequently occurring MMPI code types: Spike 2, 2-0/0-2, 2-4/4-2, 2-6/6-2, 3-4/4-3, 3-9/9-3, 4-7/7-4, 6-7/7-6, 7-9/9-7, and Spike O. Descriptors were derived from intake interview and mental status information collected without knowledge of the MMPI profile. Those items that discriminated between each profile type and the remainder of the student mental health population (Chi Square, alpha = .05, .01) are presented as tentative interpretive descriptors that may be helpful in generating hypotheses for use with college student psychiatric outpatients.

Female↗

The applicability of the Beall-Panton MMPI escape index to female felons.

Tested the discrimination capacity of the MMPI Beall-Panton escape (EC) index by applying it to a sample of 168 minimum security incarcerated female felons. The EC index did not differentiate significantly between escapee (N = 71) and non-escapee (N = 97) female felons. However, significant differentiation between the groups did occur when MMPI clinical and validity scales were considered separately. Escapees scored significantly higher than non-escapees on scales F, PD, PT, SC, and MA and significantly lower on scale L. In addition, female escapees were significantly younger and more often imprisoned as a juvenile than non-escapees. There were no significant differences between the two groups with respect to IQ, educational level, sentence length, or numbers of adult incarcerations, psychiatric hospitalizations, or children.

Adult↗

Age and MMPI indices of schizophrenia.

Assessed the generalizability of empirically derived MMPI criteria for the diagnosis of schizophrenia with an older sample of hospitalized patients (N = 65). The criterion diagnosis was established through the use of a standarized structured interview and a diagnostic system for schizophrenia based on the use of discriminant function analysis. Results were quite disappointing because only 22% of the sample obtained an MMPI profile that fit the above criteria.

Adult↗