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Comparison of the utility of two abbreviated forms of the MMPI for psychiatric screening of the elderly.

Assessed the utility of the Faschingbauer Abbreviated MMPI (FAM) and MMPI-168 for use with the elderly. FAM and MMPI-168 items were extracted from the MMPIs of 24 older male veteran medical or alcoholic patients. The results indicate that both abbreviated forms are highly correlated with and yield similar diagnostic inferences to the standard MMPI. For this sample population, the FAM was significantly (p less than .001) more in accordance with the standard MMPI than the MMPI-168.

Aged↗

Comparative evaluation of two MMPI short forms with chemical abusing inpatients.

Studied several novel analyses of the correspondence between two popular MMPI short forms and the full MMPI, including multivariate profile analyses and analyses of change scores. Pre- and posttreatment MMPIs were collected from 100 veterans in a treatment program for alcohol and drug problems. Scores for the Faschingbauer Abbreviated MMPI and the MMPI-168 were extracted from full MMPI protocols. Each short form was compared separately with the full form in several individual-case-oriented and group-data-oriented analyses. Significant differences between full and both short form profiles were found. It was concluded that neither short form is recommended for individual case descriptions, that significant problems arise in using these short forms for group descriptive or comparative research, and that these short forms show moderately acceptable correspondence with full MMPIs over time. It appears that short MMPIs continue to show serious deficits in reliability, i.e., in correspondence with full MMPIs, in spite of recent attempts to demonstrate validity somewhat independent of the full MMPI.

Adult↗

The Test-Retest Index and high F MMPI profiles.

Using the Test-Retest (TR) Index, male psychiatric inpatients (N = 87) with very high MMPI F scale scores (T greater than 90) were designated either consistent or inconsistent responders. Inconsistent MMPI responding was associated with psychotic thought disorder and abstract reasoning deficits, which suggests that these Ss were too confused to conscientiously complete the MMPI. Consistent responders endorsed more obvious pathological items of the MMPI. The two groups did not differ in vocabulary intelligence, and their mean MMPI profiles were very similar. Uses of the TR Index for clarifying the meaning of high F MMPI profiles are discussed.

Adult↗

The utility of an improved readability short form of the MMPI with elderly male patients.

Compared an improved readability short form of the MMPI (IRF) with the FAM and the MMPI-168 in a sample of 100 male veterans, aged 60 and over. The three forms were found to perform acceptably well in terms of measures commonly used to evaluate the statistical validity of MMPI short forms. Median correlations of short form estimates with the MMPI standard scales were .91, .90, and .89 for the FAM, MMPI-168, and the IRF, respectively. In comparison with the other two forms, the IRF was intermediate in the frequency of codetype matches, but was highest in rate of correct validity decisions. The IRF also showed the fewest significant differences between the means of the estimated MMPI scale scores and those that actually were obtained. It was concluded that although the results demonstrated no strong statistical advantage for any short form, the IRF, because of increased comprehensibility, might have a wider applicability, particularly among patients with whom short forms would be used most often.

Aged↗

Borderline personality disorder: replication of MMPI profiles.

The purpose of this study was to determine whether a particular MMPI profile is associated with borderline personality disorder (BPD). Forty-seven symptomatic volunteers who satisfied DSM-III criteria for borderline and/or schizotypal personality disorder were given the full MMPI. Concordance of MMPI profile for BDP confirmed the findings of four previous studies. Elevations were noted on F, D, PD, PA, PT, and SC. A subject's profile with this pattern is interpreted from item content as generally neurotic, dysthymic, socially withdrawn, suspicious, apathetic toward the future, affectively erratic, unable to anticipate the consequences of his or her own behavior, and unable to judge the social desirability of his or her own behavior. Correlations of the foregoing scales with a total BPD score ranged from .44 to .77, with a multiple R of .80 and a cross validity of .77. The accuracy of predicting actual BPD and non-BPD cases was 89%. Accordingly, the MMPI could be used as a coarse screen for BPD casefinding in that patients with the MMPI profiles above should be selected for more thorough diagnostic workup. In the future, the MMPI might be linked to other variables, such as drug response, to understand further the pathophysiology of BPD.

Adolescent↗

A longitudinal study of the effects of seizure symptoms on the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) clinical interpretation.

This study investigated whether the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) items reflecting seizure symptoms spuriously inflate MMPI-2 scores in persons with epilepsy. In a repeated measures prospective design, patients with epilepsy completed the MMPI-2 prior to epilepsy surgery and again two years later when they were either seizure-free or not seizure-free. Compared to baseline scores, only seizure-free patients showed a decline in endorsement of seizure items, and only on one scale, Hypochondriasis (Hs). Clinical profiles were not meaningfully different when readministered when seizures were no longer present. Moreover, profiles generated by individuals with and without seizures were not significantly different. We conclude the MMPI-2 is a valid test in an epilepsy population, as seizure content did not alter its clinical interpretation. In using the MMPI-2 in patients with epilepsy, a modest correction on the Hs and Schizophrenia (Sc) scales is warranted in selected cases. In MMPI-2 research, assessing both statistical and clinical significance is recommended.

Adult↗

Parent and child MMPI responses: characteristics among families with adolescents in inpatient and outpatient settings.

The relationship of parent personality to child psychopathology has been investigated in numerous MMPI studies over the past three decades. Very few of these studies, however, have directly analyzed MMPI response patterns of both parents and offspring. The current study included the MMPI responses of 199 families with adolescents entering inpatient and outpatient psychiatric setting (N = 542). Inpatient parents and adolescents had significantly higher mean scores across a variety of MMPI scales than did their outpatient counterparts. The linear combination of adolescent and maternal MMPI scale data, in a stepwise discriminative function analysis, resulted in accurate classification of 75% of all children in inpatient treatment and 74% of all children assigned to outpatient treatment. Findings were discussed in terms of salient MMPI differences between inpatient and outpatient families and shared psychopathological characteristics among family members with offspring in psychiatric treatment settings.

Adolescent↗

Correlations between the MMPI and the Brief Psychiatric Rating Scale in schizophrenic and schizoaffective patients.

Though self-report measures and clinician-based ratings are extensively used to document psychopathology, there has been little work examining the relationship between these different types of measurement techniques. The current work examined the relationship between the Minnesota Multiphasic Personality Inventory (MMPI) and the Brief Psychiatric Rating Scale (BPRS) in patients with schizophrenia and schizoaffective disorder. Correlations were calculated in an initial exploratory sample, and a set of relationships was selected for confirmation in a second sample. The BPRS items of hallucinatory behavior and tension significantly correlated with MMPI measures of psychoticism. BPRS measures of hostility correlated with scale 4 (Psychopathic Deviate) of the MMPI. BPRS and MMPI measures of depression also were related. In contrast, BPRS and MMPI measures thought to reflect negative symptoms were uncorrelated. These results offer behavioral validity for the use of the MMPI in schizophrenic samples and suggest that the two measures tap similar as well as separable symptom constructs thought to be common in schizophrenia.

Adult↗

The aging MMPI: contemporary norms for contemporary teenagers.

In 1937, research was initiated to develop a questionnaire that would aid physicians in evaluating the psychologic functioning of patients. The questionnaire quickly proved to be useful and became, as the Minnesota Multiphasic Personality Inventory (MMPI), the most widely used and thoroughly researched objective personality-assessment instrument. In 1959, the first computerized scoring and interpretative system for the MMPI was developed at the Mayo Clinic. During the 50 years that the MMPI has been used, however, our society has changed considerably. Therefore, a new normal contemporary reference sample of adults was obtained by Mayo Clinic investigators in 1983. Significant changes in response patterns were observed in comparison with the original norms, and new tables, based on normalized T scores rather than the linear transformation procedures of the past, were developed; these were incorporated into the Mayo Clinic MMPI scoring and interpretative system in 1984. Subsequently, a companion study of contemporary normal adolescents (691 girls and 624 boys) also showed significant changes in response patterns in comparison with the original norms. In addition, MMPI profiles from contemporary normal adolescents continue to differ from those of contemporary normal adults, similar to the differences noted between these two groups in the past. Data from these contemporary normal adolescents were used to develop new adolescent norms, which were incorporated into the Mayo Clinic scoring and interpretative system for the MMPI in January 1988.

Adolescent↗

The MMPI-2 as an adjunct to the diagnosis of pseudoseizures.

Although the original Minnesota multiphasic personality inventory (MMPI) showed promise in the psychometric discrimination of patients with epileptic seizures and pseudoseizures, inconsistencies and relatively low rates of accuracy have been reported. The present study evaluated the restandardized MMPI-2 for its accuracy in discriminating patients with pseudoseizures in a population with intractable epilepsy. MMPI-2 profiles for 139 consecutive adult inpatients (24 with pseudoseizures) were classified as a pseudoseizure pattern if they had (a) a T score on Scale 1 and/or 3 > or = 65, (b) Scale 1 or 3 in the 2-point high code, and (c) if 1 or 3 was not the highest scale, it was < or = 6T from the highest scale. Compared to studies using the original MMPI, it was expected the MMPI-2 would more accurately classify patients in each group. Preliminary analyses revealed pseudoseizure patients had a greater history of mental health interventions and were older when their seizure disorder began, relative to the epilepsy patients. A classification accuracy of 92% was found for pseudoseizures and 94% for epilepsy patients. For the pseudoseizure group, clinically meaningful MMPI-2 elevations followed a 3-1-2 pattern. No mean elevations above a T value of 65 were seen in the epilepsy group.

Adult↗

Cross-cultural equivalence and validity of the Vietnamese MMPI-2: assessing psychological adjustment of Vietnamese refugees.

The cross-cultural equivalence and validity of the Vietnamese translation of the Minnesota Multiphasic Personality Inventory--2 (MMPI-2) were examined in a sample of 1st-generation Vietnamese refugees in the United States (N = 143). Respondents completed the Vietnamese MMPI-2, the Harvard Trauma Questionnaire, a measure of acculturation, and a demographic questionnaire. An inspection of MMPI-2 mean profiles and items showing extreme endorsement rates suggested that certain symptom tendencies and cultural values may be reflected in responses to some MMPI-2 items. Older age, lower acculturation, greater experienced premigration-postmigration traumas, and military veteran status were all associated with elevated MMPI-2 profiles, suggesting that the MMPI-2 functions in a reasonably equivalent and valid way in this population.

Acculturation↗

Racial identity and the MMPI in African American male college students.

The relation of the Minnesota Multiphasic Personality Inventory (MMPI) to the Racial Identity Attitude Scale--Black, Short Form (RIAS-B) was examined among 50 African American male college students in a reanalysis of unpublished MMPI data described in R. H. Dana (1993). This permitted study of relationships between MMPI scores and specific psychological variables hypothesized to produce cultural differences among African Americans. Results indicated RIAS-B scale scores functioned as predictors of MMPI scale scores. Similar research with the MMPI-2 incorporating larger samples that more adequately represent African American heterogeneity is needed. Methodological implications of these findings for MMPI-2 research with ethnic and racial groups are discussed, emphasizing the importance of research to depathologize African American racial and cultural identity.

Adaptation, Psychological↗

MMPI-2 profiles in chronic daily headache and their relationship to anxiety levels and accompanying symptoms.

OBJECTIVES: To examine a group of patients with chronic daily headache using the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2) and to determine whether the data acquired were related to the anxiety levels of the patients, as detected by the Spielberger State-Trait Anxiety Inventory (STAI) 1, 2 and to the presence of a number of accompanying symptoms that are frequently observed in patients with chronic headache. BACKGROUND: In the last decade, the MMPI-2 was released and its items used to develop 15 "content scales." Recently, this instrument was adapted to the Italian population. METHODS: Five men and 30 women with chronic daily headache had a semistructured interview in which the presence of 21 behavioral or somatic symptoms was recorded. The Italian version of the MMPI-2 and the STAI 1, 2 (Italian version) were employed. A configural analysis of the MMPI profiles was performed, and four types were distinguished: "conversion V" (n = 5), elevation of the "neurotic triad" (n = 5), the "emotionally overwhelmed" with scale elevation of the neurotic triad and of several other scales (n = 18), and "the copers" with no scale elevation above 65 (n = 4). Three patients could not be classified. The pain characteristics, the prevalence of accompanying symptoms, and the STAI 1, 2 scores were assessed in all patients and in the different MMPI groups, and the data were statistically analyzed (ANOVA and chi-square analysis). RESULTS: All patients with no MMPI-2 scale elevation showed a tendency to a conversion V profile: in this group, the chronicity was markedly and significantly lower than in all other groups. Moreover, in this group, the STAI 1, 2 scores and the prevalence of some accompanying symptoms were significantly lower than in the other groups. Migraine characteristics did not differ significantly from group to group. CONCLUSIONS: Hysterical traits were observed in a number of patients with chronic daily headache and might constitute a predisposing factor for this condition. With time, the personality profile deteriorates, either through an increase in the hysterical traits or through its transformation, with a parallel increase in anxiety levels and the presence of accompanying symptoms.

Adult↗

The MMPI-2 Fake Bad Scale: concordance and specificity of true and estimated scores.

A number of recent studies have supported the use of the MMPI-2 Fake Bad Scale (FBS) as a measure of negative response bias, the scale at times demonstrating greater sensitivity to negative response bias than other MMPI-2 validity scales. However, clinicians may not always have access to True FBS (T-FBS) scores, such as when True-False answer sheets are unavailable or published research studies do not report FBS raw scores. Under these conditions, Larrabee (2003a) suggests a linear regression formula that provides estimated FBS (E-FBS) scores derived from weighted validity and clinical T-Scores. The present study intended to validate this regression formula of MMPI-2 E-FBS scores and demonstrate its specificity in a sample of non-litigating, clinically referred, medically intractable epilepsy patients. We predicted that the E-FBS scores would correlate highly (>.70) with the T-FBS scores, that the E-FBS would show comparable correlations with MMPI-2 validity and clinical scales relative to the T-FBS, and that the E-FBS would show an adequate ability to match T-FBS scores using a variety of previously suggested T-FBS raw score cutoffs. Overall, E-FBS scores correlated very highly with T-FBS scores (r = .78, p < .0001), though correlations were especially high for women (r = .85, p < .0001) compared to men (r = .62, p < .001). Thirty-one of 32 (96.9%) comparisons made between E-FBS/T-FBS correlates with other MMPI-2 scales were nonsignificant. When matching to T-FBS "high" and "low" scores, the E-FBS scores demonstrated the highest hit rate (92.5%) through use of Lees-Haley's (1992) revised cutoffs for men and women. These same cutoffs resulted in excellent overall specificity for both the T-FBS scores (92.5%) and E-FBS scores (90.6%). The authors conclude that the E-FBS represents an adequate estimate of T-FBS scores in the current epilepsy sample. Use of E-FBS scores may be especially useful when clinicians conduct the MMPI-2 short form, which does not include all of the 43 FBS items but does include enough items to compute each of the validity and clinical T-Scores. Future studies should examine E-FBS sensitivity in compensation-seekers with incomplete effort.

Adult↗

MMPI-2 short form proposal: CAUTION.

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) is widely used in neuropsychology, though its length (567 items) is sometimes prohibitive. This study investigated some psychometric characteristics of the 180-item version of the MMPI-2 () in order to delineate its strengths, limitations, and appropriate scope of clinical application. Limited reliability and poor predictive accuracy were recently reported for many of the MMPI-2 short-form scales in a study that used 205 brain-injured patients. In the present investigation, we used a psychiatric sample (N=186) with normal neurological findings to examine short-form accuracy in predicting basic scale scores, profile code types, identifying high-point scales, and classifying scores as pathological (T>/=65) or normal-range. The results suggest that, even as applied to neurologically normal individuals, the proposed short form of the MMPI-2 is unreliable for predicting clinical code types, identifying the high-point scale, or predicting the scores on most of the basic scales. In contrast, this short form can be used to predict whether the full-scale scores fall within the pathological range (T>/=65). These findings suggest that clinicians might be able to salvage a small amount of information from the shortened (180-item) version of the MMPI-2 when MMPI-2 protocols are incomplete. However, clinicians should not use a standard interpretive approach with this test, and routine clinical application is unwarranted. Future evaluations of short-form validity should provide a more detailed examination of individual protocols, including an analysis of the frequency of accurate prediction of full-form scores.

Adult↗

MMPI correlates of sleep and respiratory disturbance in obstructive sleep apnea.

STUDY OBJECTIVE: To evaluate associations between polysomnographic variables in obstructive sleep apnea (OSA) and a variety of psychological responses (including depressive symptoms) as assessed by the Minnesota Multiphasic Personality Inventory (MMPI). DESIGN: Cross-sectional. SETTING: University sleep disorders center. PATIENTS: One-hundred seventy eight consecutive clinical OSA patients. INTERVENTIONS: Not applicable. MEASUREMENTS AND RESULTS: Patients completed the MPI prior to overnight diagnostic polysomnography. Fifty-eight percent demonstrated at least one MMPI elevation (mean = 1.8 elevations), with Depression (D) elevated for 32%, Hypochondriasis (Hs) for 30%, and Hysteria (Hy) for 21%. Thirty-eight percent demonstrated two or more elevations, with several variations of Hs-D and Hs-D-Hy configurations evident. "Conversion V" profiles were fairly rare, and a large number of miscellaneous configurations occurred once. Significant correlations were detected between several MMPI scale scores and total sleep time, the apnea-hypopnea index (AHI) during REM, and particularly arterial oxygen saturation, even when partialling out variance related to body mass index (BMI). In contract, D scores were not correlated with any polysomnographic parameters. Based upon MMPI configuration, the sample was subdivided into the following seven profile groups: Nonelevated (n = 74); Single D (n = 11); Single non-D (n = 25); Combined D plus (a) HS or HY (n = 7), (b) Hs and Hy (n = 10), or (c) other (n = 29); and Multiple non-D (n = 22). Multivariate analysis controlling for age and gender indicated higher AHI in the Single non-D, Combined D plus other, and Multiple non-D groups, compared to the Single D group. Also, there was lower average oxygen saturation in the Multiple non-D group, compared to Single D, Single non-D, and Nonelevated groups. The Combined D plus HS and/or Hy groups did not differ from each other or from other groups, even when merged. The Multiple non-D findings were unattributable to any specific scale or overall number of elevations. CONCLUSIONS: OSA patients who have core depressive symptoms (as measured by MMPI scale D) without significant psychological symptoms in other areas tend to have less severe OSA, whereas those with a diverse set of other psychological symptoms overshadowing depressive symptoms (e.g., somatic focus, emotional reactivity, family/marital problems, cognitive problems, etc.) tend to have greater AHI and lower oxygen saturation. Although it seems probable that these MMPI differences primarily reflect OSA effects, prospective research is needed to confirm this hypothesis.

Adult↗

Validity of MMPI-2 profiles in chronic back pain patients: differences in path models of coping and somatization.

OBJECTIVE: To show clinical utility and empirical validity of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) chronic pain patient subgroups by identification of differential multivariate relationships across groups. METHOD: This study used structural equation modeling to test cognitive coping strategies and somatization as mediator variables in path models with pain severity and depression used as exogenous (independent) variables and patient's activity level as the final endogenous (dependent) variable, across MMPI-2 profiles. RESULTS: Hierarchical cluster analysis, performed on a sample of 569 chronic low back patients, resulted in four cluster profiles identifiable as those found in previous work with the MMPI-2 (within normal limits, V-type, neurotic triad, and depressed-pathological). Somatization mediated the relationship between depression and activity level for the neurotic triad group but not the other three groups. A positive linear relationship was found between somatization and depression for the within normal limits, neurotic triad, and depressed-pathological groups, whereas their linear association was negative for the V-type group. Cognitive coping strategies mediated the relationship between depression and activity level for the within normal limits group. In addition, cognitive coping was predictive of activity level for the within normal limits, V-type, and neurotic triad groups but not for the depressed-pathological group. CONCLUSION: Consistent with previous cluster analytic studies, this study replicated four MMPI-2 cluster profile groups in chronic pain patients. These results have also shown that several multivariate relationships between variables are different across MMPI-2 groups, providing evidence for the validity for these MMPI-2 subgroups.

Adaptation, Psychological↗

Validity of the Minnesota Multiphasic Personality Inventory (MMPI) to psychopathology in patients with epilepsy.

Information regarding the sensitivity of the Minnesota Multiphasic Personality Inventory (MMPI) to psychopathology and the meaning of MMPI elevations in neurological patients, particularly in those with epilepsy, is of both theoretical and clinical concern. Such information has a particular relevance to the temporal lobe epilepsy-psychopathology controversy. In order to investigate evidence for increased psychopathology as a function of complex partial seizures (temporal lobe epilepsy in the old nomenclature), three groups of epilepsy patients differing in seizure type were compared on the MMPI. No supportive evidence was present for such an association. Second, the sensitivity of the MMPI to psychopathology was examined by comparing three groups of epilepsy patients differing in history of psychiatric problems. The results clearly indicated that the MMPI is sensitive to psychopathology in patients with epilepsy. Finally, the Sc scale was examined in relation to items descriptive of "disease-related experiences" and the psychiatric implications of endorsing such items. About one third of the items were identified as descriptive of "real experiences." Nevertheless, patients with psychiatric histories endorsed more of such items. In conclusion, the MMPI appears to be sensitive to psychopathology in epilepsy. Therefore, insensitivity of this instrument cannot be advanced as an explanation for the results of many studies that have not supported the temporal lobe epilepsy-psychopathology controversy.

Adult↗